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  5. SHAWN M. PERCE, D.M.D., M.S.D., P.A.

SHAWN M. PERCE, D.M.D., M.S.D., P.A.

Company Details

Entity Name: SHAWN M. PERCE, D.M.D., M.S.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Jul 2004 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 30 Aug 2004 (20 years ago)
Document Number: P04000111594
FEI/EIN Number 731713717
Address: 605 STATE ROAD 13 NORTH, SUITE 104, JACKSONVILLE, FL, 32259, US
Mail Address: 605 STATE ROAD 13 NORTH, SUITE 104, JACKSONVILLE, FL, 32259, US
ZIP code: 32259
County: St. Johns
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHAWN M PERCE D M D M S D P A 401(K) PROFIT SHARING PLAN & TRUST 2023 731713717 2024-04-09 SHAWN M PERCE D M D M S D P A 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9042875557
Plan sponsor’s address 605 SR 13, SUITE 104, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2024-04-09
Name of individual signing SHAWN PERCE
Valid signature Filed with authorized/valid electronic signature
SHAWN M PERCE D M D M S D P A 401(K) PROFIT SHARING PLAN & TRUST 2022 731713717 2023-07-11 SHAWN M PERCE D M D M S D P A 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9042875557
Plan sponsor’s address 605 SR 13, SUITE 104, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing SHAWN PERCE
Valid signature Filed with authorized/valid electronic signature
SHAWN M PERCE D M D M S D P A 401(K) PROFIT SHARING PLAN & TRUST 2021 731713717 2022-04-05 SHAWN M PERCE D M D M S D P A 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9042875557
Plan sponsor’s address 605 SR 13, SUITE 104, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2022-04-05
Name of individual signing SHAWN PERCE
Valid signature Filed with authorized/valid electronic signature
SHAWN M PERCE D M D M S D P A 401(K) PROFIT SHARING PLAN & TRUST 2020 731713717 2021-04-16 SHAWN M PERCE D M D M S D P A 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9042875557
Plan sponsor’s address 605 SR 13, SUITE 104, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2021-04-16
Name of individual signing SHAWN PERCE
Valid signature Filed with authorized/valid electronic signature
SHAWN M PERCE D M D M S D P A 401(K) PROFIT SHARING PLAN & TRUST 2019 731713717 2020-07-07 SHAWN M PERCE D M D M S D P A 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9042875557
Plan sponsor’s address 605 SR 13, SUITE 104, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing SHAWN PERCE
Valid signature Filed with authorized/valid electronic signature
SHAWN M PERCE D M D M S D P A 401 K PROFIT SHARING PLAN TRUST 2018 731713717 2019-04-02 SHAWN M PERCE D M D M S D P A 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9042875557
Plan sponsor’s address 605 SR 13, SUITE 104, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2019-04-02
Name of individual signing SHAWN PERCE
Valid signature Filed with authorized/valid electronic signature
SHAWN M PERCE D M D M S D P A 401 K PROFIT SHARING PLAN TRUST 2017 731713717 2018-07-13 SHAWN M PERCE D M D M S D P A 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9042875557
Plan sponsor’s address 605 SR 13, SUITE 104, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2018-07-13
Name of individual signing SHAWN PERCE
Valid signature Filed with authorized/valid electronic signature
SHAWN M PERCE D M D M S D P A 401 K PROFIT SHARING PLAN TRUST 2016 731713717 2017-06-20 SHAWN M PERCE D M D M S D P A 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9042875557
Plan sponsor’s address 605 SR 13, SUITE 104, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing SHAWN PERCE
Valid signature Filed with authorized/valid electronic signature
SHAWN M PERCE D M D M S D P A 401 K PROFIT SHARING PLAN TRUST 2015 731713717 2016-05-16 SHAWN M PERCE D M D M S D P A 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9042875557
Plan sponsor’s address 605 SR 13, SUITE 104, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2016-05-16
Name of individual signing SHAWN PERCE
Valid signature Filed with authorized/valid electronic signature
SHAWN M PERCE D M D M S D P A 401 K PROFIT SHARING PLAN TRUST 2014 731713717 2015-06-05 SHAWN M PERCE D M D M S D P A 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 9042875557
Plan sponsor’s address 605 SR 13, SUITE 104, JACKSONVILLE, FL, 32259

Signature of
Role Plan administrator
Date 2015-06-05
Name of individual signing SHAWN PERCE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PERCE SHAWN M Agent 121 LANTERN WICK PLACE, PONTE VEDRA BEACH, FL, 32082

President

Name Role Address
PERCE SHAWN M President 121 LANTERN WICK PL, PONTE VEDRA BEACH, FL, 32082

Secretary

Name Role Address
PERCE SHAWN M Secretary 121 LANTERN WICK PL, PONTE VEDRA BEACH, FL, 32082

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2010-01-08 121 LANTERN WICK PLACE, PONTE VEDRA BEACH, FL 32082 No data
AMENDMENT 2004-08-30 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-04-16
ANNUAL REPORT 2020-02-25
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-02-23

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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