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JR DENTAL, INC.

Company Details

Entity Name: JR DENTAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Sep 2003 (21 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 04 May 2011 (14 years ago)
Document Number: P03000102475
FEI/EIN Number 200269649
Address: 2874 Forest Mill Ln, Jacksonville, FL, 32257, US
Mail Address: 2874 Forest Mill Ln, Jacksonville, FL, 32257, US
ZIP code: 32257
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JR DENTAL, INC. 401(K) PLAN 2023 200269649 2024-07-10 JR DENTAL, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9047865850
Plan sponsor’s address 7030 NORMANDY BLVD, JACKSONVILLE, FL, 32299

Signature of

Role Plan administrator
Date 2024-07-10
Name of individual signing OBDULIA RONDON
Valid signature Filed with authorized/valid electronic signature
JR DENTAL, INC. 401(K) PLAN 2022 200269649 2023-10-11 JR DENTAL, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9047865850
Plan sponsor’s address 7030 NORMANDY BLVD, JACKSONVILLE, FL, 32299

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing OBDULIA RONDON
Valid signature Filed with authorized/valid electronic signature
JR DENTAL, INC. 401(K) PLAN 2021 200269649 2022-07-18 JR DENTAL, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9047865850
Plan sponsor’s address 7030 NORMANDY BLVD, JACKSONVILLE, FL, 32299

Signature of

Role Plan administrator
Date 2022-07-18
Name of individual signing ALEXIS JUSTIZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-18
Name of individual signing OBDULIA RONDON
Valid signature Filed with authorized/valid electronic signature
JR DENTAL, INC. 401(K) PLAN 2020 200269649 2021-06-23 JR DENTAL, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9047865850
Plan sponsor’s address 7030 NORMANDY BLVD, JACKSONVILLE, FL, 32299

Signature of

Role Plan administrator
Date 2021-06-23
Name of individual signing ALEXIS JUSTIZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-23
Name of individual signing OBDULIA RONDON
Valid signature Filed with authorized/valid electronic signature
JR DENTAL, INC. 401(K) PLAN 2019 200269649 2020-04-15 JR DENTAL, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9047865850
Plan sponsor’s address 7030 NORMANDY BLVD, JACKSONVILLE, FL, 32299

Signature of

Role Plan administrator
Date 2020-04-15
Name of individual signing ALEXIS JUSTIZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-15
Name of individual signing OBDULIA RONDON
Valid signature Filed with authorized/valid electronic signature
JR DENTAL, INC. 401(K) PLAN 2018 200269649 2019-03-20 JR DENTAL, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9047865850
Plan sponsor’s address 7030 NORMANDY BLVD, JACKSONVILLE, FL, 32299

Signature of

Role Plan administrator
Date 2019-03-20
Name of individual signing ALEXIS JUSTIZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-20
Name of individual signing OBDULIA RONDON
Valid signature Filed with authorized/valid electronic signature
JR DENTAL, INC. 401(K) PLAN 2017 200269649 2018-07-25 JR DENTAL, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9047865850
Plan sponsor’s address 7030 NORMANDY BLVD, JACKSONVILLE, FL, 32299

Signature of

Role Plan administrator
Date 2018-07-25
Name of individual signing ALEXIS JUSTIZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-25
Name of individual signing OBDULIA RONDON
Valid signature Filed with authorized/valid electronic signature
JR DENTAL, INC. 401(K) PLAN 2016 200269649 2017-06-19 JR DENTAL, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9047865850
Plan sponsor’s address 7030 NORMANDY BLVD, JACKSONVILLE, FL, 32299

Signature of

Role Plan administrator
Date 2017-06-19
Name of individual signing ALEXIS JUSTIZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-19
Name of individual signing OBDULIA RONDON
Valid signature Filed with authorized/valid electronic signature
JR DENTAL, INC. 401(K) PLAN 2015 200269649 2016-07-27 JR DENTAL, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9047865850
Plan sponsor’s address 7030 NORMANDY BLVD, JACKSONVILLE, FL, 32299
JR DENTAL, INC. 401(K) PLAN 2014 200269649 2015-06-26 JR DENTAL, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 9047865850
Plan sponsor’s address 7030 NORMANDY BLVD, JACKSONVILLE, FL, 32299

Signature of

Role Plan administrator
Date 2015-06-26
Name of individual signing OBOULIA RONDON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MONAKEY SAMINA H Agent 12443 SAN JOSE BLVD, JACKSONVILLE, FL, 32223

President

Name Role Address
RONDON OBDULIA D President 2874 Forest Mill Ln, Jacksonville, FL, 32257

Secretary

Name Role Address
RONDON OBDULIA D Secretary 2874 Forest Mill Ln, Jacksonville, FL, 32257

Treasurer

Name Role Address
RONDON OBDULIA D Treasurer 2874 Forest Mill Ln, Jacksonville, FL, 32257

Director

Name Role Address
RONDON OBDULIA D Director 2874 Forest Mill Ln, Jacksonville, FL, 32257

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000105885 JAX MULTISPECIALTY DENTAL CENTER ACTIVE 2015-10-16 2025-12-31 No data 7030 NORMANDY BLVD, JACKSONVILLE, FL, 32205
G15000074551 JAX MULISPECIALTY DENTAL CENTER EXPIRED 2015-07-17 2020-12-31 No data 7101 NORMANDY BLVD, JACKSONVILLE, FL, 32205

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-27 2874 Forest Mill Ln, Jacksonville, FL 32257 No data
CHANGE OF MAILING ADDRESS 2022-01-25 2874 Forest Mill Ln, Jacksonville, FL 32257 No data
REINSTATEMENT 2011-05-04 No data No data
REGISTERED AGENT ADDRESS CHANGED 2011-05-04 12443 SAN JOSE BLVD, SUITE 301, JACKSONVILLE, FL 32223 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
REGISTERED AGENT NAME CHANGED 2007-03-09 MONAKEY, SAMINA HCPA No data

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-02-01
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-01-09

Date of last update: 02 Feb 2025

Sources: Florida Department of State