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  5. OTTLEY SMILES DENTAL CENTER, P.A.

OTTLEY SMILES DENTAL CENTER, P.A.

Company Details

Entity Name: OTTLEY SMILES DENTAL CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Nov 2003 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 16 Oct 2007 (17 years ago)
Document Number: P03000140133
FEI/EIN Number 200524023
Address: 8117 NAVARRE PKWY., NAVARRE, FL, 32566, US
Mail Address: 8117 NAVARRE PKWY., NAVARRE, FL, 32566, US
ZIP code: 32566
County: Santa Rosa
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OTTLEY SMILES DENTAL CENTER, P.A. 401(K) RETIREMENT PLAN 2023 200524023 2024-09-16 OTTLEY SMILES DENTAL CENTER, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8509390757
Plan sponsor’s address 8117 NAVARRE PARKWAY, NAVARRE, FL, 32566

Signature of
Role Plan administrator
Date 2024-09-16
Name of individual signing JARED OTTLEY
Valid signature Filed with authorized/valid electronic signature
OTTLEY SMILES DENTAL CENTER, P.A. 401(K) RETIREMENT PLAN 2022 200524023 2023-10-03 OTTLEY SMILES DENTAL CENTER, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8509390757
Plan sponsor’s address 8117 NAVARRE PARKWAY, NAVARRE, FL, 32566

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing JARED OTTLEY
Valid signature Filed with authorized/valid electronic signature
OTTLEY SMILES DENTAL CENTER, P.A. 401(K) RETIREMENT PLAN 2021 200524023 2022-09-29 OTTLEY SMILES DENTAL CENTER, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8509390757
Plan sponsor’s address 8117 NAVARRE PARKWAY, NAVARRE, FL, 325666907

Signature of
Role Plan administrator
Date 2022-09-29
Name of individual signing JARED OTTLEY
Valid signature Filed with authorized/valid electronic signature
OTTLEY SMILES DENTAL CENTER, P.A. 401(K) RETIREMENT PLAN 2020 200524023 2021-10-07 OTTLEY SMILES DENTAL CENTER, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8509390757
Plan sponsor’s address 8117 NAVARRE PARKWAY, NAVARRE, FL, 325666907

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing JARED OTTLEY
Valid signature Filed with authorized/valid electronic signature
OTTLEY SMILES DENTAL CENTER, P.A. 401(K) RETIREMENT PLAN 2019 200524023 2021-01-14 OTTLEY SMILES DENTAL CENTER, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8509390757
Plan sponsor’s address 8117 NAVARRE PARKWAY, NAVARRE, FL, 325666907

Signature of
Role Plan administrator
Date 2021-01-14
Name of individual signing JARED OTTLEY
Valid signature Filed with authorized/valid electronic signature
OTTLEY SMILES DENTAL CENTER, P.A. 401(K) RETIREMENT PLAN 2018 200524023 2019-10-08 OTTLEY SMILES DENTAL CENTER, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8509390757
Plan sponsor’s address 8117 NAVARRE PARKWAY, NAVARRE, FL, 325666907

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing JARED OTTLEY
Valid signature Filed with authorized/valid electronic signature
OTTLEY SMILES DENTAL CENTER, P.A. 401(K) RETIREMENT PLAN 2017 200524023 2018-10-15 OTTLEY SMILES DENTAL CENTER, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8509390757
Plan sponsor’s address 8117 NAVARRE PARKWAY, NAVARRE, FL, 325666907

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing JARED OTTLEY
Valid signature Filed with authorized/valid electronic signature
OTTLEY SMILES DENTAL CENTER, P.A. 401(K) RETIREMENT PLAN 2016 200524023 2017-10-14 OTTLEY SMILES DENTAL CENTER, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8509390757
Plan sponsor’s address 8117 NAVARRE PARKWAY, NAVARRE, FL, 325666907

Signature of
Role Plan administrator
Date 2017-10-14
Name of individual signing JARED OTTLEY
Valid signature Filed with authorized/valid electronic signature
OTTLEY SMILES DENTAL CENTER, P.A. 401(K) RETIREMENT PLAN 2015 200524023 2016-10-11 OTTLEY SMILES DENTAL CENTER, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8509390757
Plan sponsor’s address 8117 NAVARRE PARKWAY, NAVARRE, FL, 325666907

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing JARED OTTLEY
Valid signature Filed with authorized/valid electronic signature
OTTLEY SMILES DENTAL CENTER, P.A. 401(K) RETIREMENT PLAN 2014 200524023 2015-10-01 OTTLEY SMILES DENTAL CENTER, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8509390757
Plan sponsor’s address 8117 NAVARRE PARKWAY, NAVARRE, FL, 325666907

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing JARED OTTLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
OTTLEY JARED Agent 8117 NAVARRE PKWY., NAVARRE, FL, 32566

President

Name Role Address
OTTLEY JARED President 8117 NAVARRE PKWY., NAVARRE, FL, 32566

Secretary

Name Role Address
OTTLEY KARINA Secretary 8117 NAVARRE PKWY., NAVARRE, FL, 32566

Treasurer

Name Role Address
OTTLEY KARINA Treasurer 8117 NAVARRE PKWY., NAVARRE, FL, 32566

Vice President

Name Role Address
OTTLEY JONATHAN Vice President 8117 NAVARRE PKWY., NAVARRE, FL, 32566

Events

Event Type Filed Date Value Description
AMENDMENT 2007-10-16 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-01-19
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-01-22
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-19

Related by officers

OTTLEY JARED

OTTLEY REAL ESTATE LLC

OTTLEY KARINA

OTTLEY REAL ESTATE LLC

OTTLEY JONATHAN

OTTLEY REAL ESTATE LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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