| Entity Name: | WORTHAM ORTHODONTICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Oct 2003 (21 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 07 Dec 2018 (6 years ago) |
| Document Number: | P03000109748 |
| FEI/EIN Number | 200458805 |
| Address: | 1755 E HWY 50, SUITE B, CLERMONT, FL, 34711, US |
| Mail Address: | 1755 E HWY 50, SUITE B, CLERMONT, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WORTHAM ORTHODONTICS RETIREMENT TRUST | 2020 | 200458805 | 2021-07-21 | WORTHAM ORTHODONTICS, P.A. | 10 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2021-07-21 |
| Name of individual signing | TRACI MATLAK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 3523940100 |
| Plan sponsor’s address | 1755 E HWY 50 SUITE B, CLERMONT, FL, 34711 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-02 |
| Name of individual signing | WORTHAM ORTHODONTICS, P.A. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| WORTHAM KATHERINE | Agent | 1755 E HWY 50, STE B, CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| WORTHAM JAMES RDr. | Owne | 71 Interlaken Road, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2018-12-07 | WORTHAM ORTHODONTICS, P.A. | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-15 | 1755 E HWY 50, SUITE B, CLERMONT, FL 34711 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-13 | 1755 E HWY 50, SUITE B, CLERMONT, FL 34711 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-06-17 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-02-03 |
| ANNUAL REPORT | 2015-01-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
