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NEMETZ DENTAL ASSOCIATES, INC.

Company Details

Entity Name: NEMETZ DENTAL ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Sep 2003 (21 years ago)
Document Number: P03000102249
FEI/EIN Number 900112214
Address: 12421 SAN JOSE BLVD, STE 310, JACKSONVILLE, FL, 32223
Mail Address: 12421 SAN JOSE BLVD, STE 310, JACKSONVILLE, FL, 32223
ZIP code: 32223
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942578067 2011-12-03 2011-12-03 12421 SAN JOSE BLVD, SUITE 310, JACKSONVILLE, FL, 322232680, US 12421 SAN JOSE BLVD, SUITE 310, JACKSONVILLE, FL, 322232680, US

Contacts

Phone +1 904-292-2210
Fax 9042922205

Authorized person

Name DR. MARINELA NEMETZ
Role DENTIST
Phone 9042922210

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number DN15458
State FL
Is Primary No
Taxonomy Code 122300000X - Dentist
License Number DN12937
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEMETZ DENTAL ASSOCIATES, INC. 401K PLAN 2023 900112214 2024-07-10 NEMETZ DENTAL ASSOCIATES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621210
Sponsor’s telephone number 9048864867
Plan sponsor’s address 12421 SAN JOSE BOULEVARD, SUITE 310, JACKSONVILLE, FL, 322238659

Signature of

Role Plan administrator
Date 2024-07-10
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
NEMETZ DENTAL ASSOCIATES, INC. 401K PLAN 2022 900112214 2023-04-11 NEMETZ DENTAL ASSOCIATES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621210
Sponsor’s telephone number 9048864867
Plan sponsor’s address 12421 SAN JOSE BOULEVARD, SUITE 310, JACKSONVILLE, FL, 322238659

Signature of

Role Plan administrator
Date 2023-04-11
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
NEMETZ DENTAL ASSOCIATES, INC. 401K PLAN 2021 900112214 2022-05-05 NEMETZ DENTAL ASSOCIATES, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621210
Sponsor’s telephone number 9048864867
Plan sponsor’s address 12421 SAN JOSE BOULEVARD, SUITE 310, JACKSONVILLE, FL, 322238659

Signature of

Role Plan administrator
Date 2022-05-05
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
NEMETZ DENTAL ASSOCIATES, INC. 401K PLAN 2020 900112214 2021-08-26 NEMETZ DENTAL ASSOCIATES, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621210
Sponsor’s telephone number 9048864867
Plan sponsor’s address 12421 SAN JOSE BOULEVARD, SUITE 310, JACKSONVILLE, FL, 322238659

Signature of

Role Plan administrator
Date 2021-08-26
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-26
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
NEMETZ DENTAL ASSOCIATES, INC. 401K PLAN 2019 900112214 2021-04-29 NEMETZ DENTAL ASSOCIATES, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621210
Sponsor’s telephone number 9048864867
Plan sponsor’s address 12421 SAN JOSE BOULEVARD, SUITE 310, JACKSONVILLE, FL, 322238659

Signature of

Role Plan administrator
Date 2021-04-29
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
NEMETZ DENTAL ASSOCIATES, INC. 401K PLAN 2018 900112214 2019-06-13 NEMETZ DENTAL ASSOCIATES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621210
Sponsor’s telephone number 9048864867
Plan sponsor’s address 12421 SAN JOSE BOULEVARD, SUITE 310, JACKSONVILLE, FL, 322238659

Signature of

Role Plan administrator
Date 2019-06-13
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-13
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
NEMETZ DENTAL ASSOCIATES, INC. 401K PLAN 2017 900112214 2018-06-13 NEMETZ DENTAL ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621210
Sponsor’s telephone number 9048864867
Plan sponsor’s address 12421 SAN JOSE BOULEVARD, SUITE 310, JACKSONVILLE, FL, 322238659

Signature of

Role Plan administrator
Date 2018-06-13
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-13
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
NEMETZ DENTAL ASSOCIATES, INC. 401K PLAN 2016 900112214 2017-04-20 NEMETZ DENTAL ASSOCIATES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621210
Sponsor’s telephone number 9048864867
Plan sponsor’s address 12421 SAN JOSE BOULEVARD, SUITE 310, JACKSONVILLE, FL, 322238659

Signature of

Role Plan administrator
Date 2017-04-20
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-20
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
NEMETZ DENTAL ASSOCIATES, INC. 401K PLAN 2015 900112214 2016-07-13 NEMETZ DENTAL ASSOCIATES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621210
Sponsor’s telephone number 9048864867
Plan sponsor’s address 12421 SAN JOSE BOULEVARD, SUITE 310, JACKSONVILLE, FL, 322238659

Signature of

Role Plan administrator
Date 2016-06-10
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-10
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature
NEMETZ DENTAL 401(K) PLAN 2014 900112214 2015-05-12 NEMETZ DENTAL ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-01
Business code 621210
Sponsor’s telephone number 9048864867
Plan sponsor’s address 12421 SAN JOSE BLVD SUITE 310, JACKSONVILLE, FL, 322238659

Signature of

Role Plan administrator
Date 2015-05-12
Name of individual signing ROBERT NEMETZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROBERT NEMETZ Agent 12421 SAN JOSE BLVD., JACKSONVILLE, FL, 32223

Owne

Name Role Address
NEMETZ ROBERT J Owne 12421 SAN JOSE BLVD, STE 310, JACKSONVILLE, FL, 32223

Co

Name Role Address
Nemetz Marinela M Co 12421 SAN JOSE BLVD STE 310, JACKSONVILLE, FL, 32223

Officer

Name Role Address
Nemetz Marinela M Officer 12421 SAN JOSE BLVD STE 310, JACKSONVILLE, FL, 32223

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2012-01-06 ROBERT, NEMETZ No data
REGISTERED AGENT ADDRESS CHANGED 2012-01-06 12421 SAN JOSE BLVD., SUITE 310, JACKSONVILLE, FL 32223 No data
CHANGE OF PRINCIPAL ADDRESS 2008-04-03 12421 SAN JOSE BLVD, STE 310, JACKSONVILLE, FL 32223 No data
CHANGE OF MAILING ADDRESS 2008-04-03 12421 SAN JOSE BLVD, STE 310, JACKSONVILLE, FL 32223 No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-02-04
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-01-30
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-02-01
ANNUAL REPORT 2017-03-01
ANNUAL REPORT 2016-01-29
ANNUAL REPORT 2015-01-09

Date of last update: 03 Feb 2025

Sources: Florida Department of State