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THOMAS R. JOHNSON, .D.D.S., P.A.

Company Details

Entity Name: THOMAS R. JOHNSON, .D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 15 Sep 2003 (21 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: P03000102085
FEI/EIN Number 20-0272388
Address: 3265 CYPRESS GARDENS ROAD, WINTER HAVEN, FL 33884
Mail Address: 3265 CYPRESS GARDENS ROAD, WINTER HAVEN, FL 33884
ZIP code: 33884
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN 2015 200272388 2016-04-29 THOMAS R. JOHNSON, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8633244271
Plan sponsor’s address 3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450
THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN 2014 200272388 2016-04-29 THOMAS R. JOHNSON, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8633260004
Plan sponsor’s address P.O. BOX 10635, WINTER HAVEN, FL, 338850635
THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN 2013 200272388 2015-02-13 THOMAS R. JOHNSON, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8633244271
Plan sponsor’s address 3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450
THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN 2012 200272388 2014-01-17 THOMAS R. JOHNSON, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8633244271
Plan sponsor’s address 3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450

Signature of

Role Plan administrator
Date 2014-01-17
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-17
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN 2011 200272388 2013-01-10 THOMAS R. JOHNSON, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8633244271
Plan sponsor’s address 3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450

Plan administrator’s name and address

Administrator’s EIN 200272388
Plan administrator’s name THOMAS R. JOHNSON, D.D.S., P.A.
Plan administrator’s address 3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450
Administrator’s telephone number 8633244271

Signature of

Role Plan administrator
Date 2013-01-10
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-01-10
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN 2010 200272388 2012-01-25 THOMAS R. JOHNSON, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8633244271
Plan sponsor’s address 3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450

Plan administrator’s name and address

Administrator’s EIN 200272388
Plan administrator’s name THOMAS R. JOHNSON, D.D.S., P.A.
Plan administrator’s address 3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450
Administrator’s telephone number 8633244271

Signature of

Role Plan administrator
Date 2012-01-25
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-01-25
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN 2009 200272388 2010-12-28 THOMAS R. JOHNSON, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8633244271
Plan sponsor’s address 3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450

Plan administrator’s name and address

Administrator’s EIN 200272388
Plan administrator’s name THOMAS R. JOHNSON, D.D.S., P.A.
Plan administrator’s address 3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450
Administrator’s telephone number 8633244271

Signature of

Role Plan administrator
Date 2010-12-28
Name of individual signing TATIANA CHAVEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHNSON, THOMAS R Agent 3265 CYPRESS GARDENS ROAD, WINTER HAVEN, FL 33884

Director

Name Role Address
JOHNSON, THOMAS R Director 3265 CYPRESS GARDENS ROAD, WINTER HAVEN, FL 33884

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2015-04-21
ANNUAL REPORT 2014-04-22
ANNUAL REPORT 2013-04-18
ANNUAL REPORT 2012-04-20
ANNUAL REPORT 2011-04-21
ANNUAL REPORT 2010-04-23
ANNUAL REPORT 2009-01-16
ANNUAL REPORT 2008-03-31
ANNUAL REPORT 2007-04-04
ANNUAL REPORT 2006-04-03

Date of last update: 06 Jan 2025

Sources: Florida Department of State