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  5. EXCEPTIONAL COSMETIC DENTISTRY, PA

EXCEPTIONAL COSMETIC DENTISTRY, PA

Company Details

Entity Name: EXCEPTIONAL COSMETIC DENTISTRY, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 17 Aug 2004 (20 years ago)
Date of dissolution: 15 Sep 2006 (18 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 15 Sep 2006 (18 years ago)
Document Number: P04000118952
FEI/EIN Number NOT APPLICABLE
Address: 3304 SIERRA CIRCLE, TAMPA, FL, 33629, US
Mail Address: 3304 SIERRA CIRCLE, TAMPA, FL, 33629, US
ZIP code: 33629
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EXCEPTIONAL COSMETIC DENTISTRY, PA PROFIT SHARING PLAN 2021 593694451 2022-08-19 EXCEPTIONAL COSMETIC DENTISTRY, PA 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3523326725
Plan sponsor’s address 932 NW 56TH TERRACE, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2022-08-19
Name of individual signing KIMBERLEY MOWERY, DMD
Valid signature Filed with authorized/valid electronic signature
EXCEPTIONAL COSMETIC DENTISTRY, PA PROFIT SHARING PLAN 2020 593694451 2021-05-24 EXCEPTIONAL COSMETIC DENTISTRY, PA 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3523326725
Plan sponsor’s address 932 NW 56TH TERRACE, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2021-05-24
Name of individual signing KIMBERLEY MOWERY, DMD
Valid signature Filed with authorized/valid electronic signature
EXCEPTIONAL COSMETIC DENTISTRY, PA PROFIT SHARING PLAN 2019 593694451 2020-08-25 EXCEPTIONAL COSMETIC DENTISTRY, PA 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3523326725
Plan sponsor’s address 932 NW 56TH TERRACE, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2020-08-25
Name of individual signing KIMBERLEY MOWERY, DMD
Valid signature Filed with authorized/valid electronic signature
EXCEPTIONAL COSMETIC DENTISTRY, PA PROFIT SHARING PLAN 2018 593694451 2019-07-12 EXCEPTIONAL COSMETIC DENTISTRY, PA 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3523326725
Plan sponsor’s address 932 NW 56TH TERRACE, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing KIMBERLEY MOWERY, DMD
Valid signature Filed with authorized/valid electronic signature
EXCEPTIONAL COSMETIC DENTISTRY, PA PROFIT SHARING PLAN 2017 593694451 2018-05-17 EXCEPTIONAL COSMETIC DENTISTRY, PA 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3523326725
Plan sponsor’s address 932 NW 56TH TERRACE, GAINESVILLE, FL, 32605

Signature of
Role Plan administrator
Date 2018-05-17
Name of individual signing KIMBERLEY MOWERY, DMD
Valid signature Filed with authorized/valid electronic signature
EXCEPTIONAL COSMETIC DENTISTRY, PA PROFIT SHARING PLAN 2016 593694451 2017-07-14 EXCEPTIONAL COSMETIC DENTISTRY, PA 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3523326725
Plan sponsor’s address 4960 W. NEWBERRY ROAD, SUITE 220, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing KIMBERLEY MOWERY, DMD
Valid signature Filed with authorized/valid electronic signature
EXCEPTIONAL COSMETIC DENTISTRY, PA PROFIT SHARING PLAN 2015 593694451 2016-07-22 EXCEPTIONAL COSMETIC DENTISTRY, PA 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3523326725
Plan sponsor’s address 4960 W. NEWBERRY ROAD, SUITE 220, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2016-07-22
Name of individual signing KIMBERLEY MOWERY, DMD
Valid signature Filed with authorized/valid electronic signature
EXCEPTIONAL COSMETIC DENTISTRY, PA PROFIT SHARING PLAN 2014 593694451 2015-05-28 EXCEPTIONAL COSMETIC DENTISTRY, PA 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3523326725
Plan sponsor’s address 4960 W. NEWBERRY ROAD, SUITE 220, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2015-05-28
Name of individual signing KIMBERLEY MOWERY, DMD
Valid signature Filed with authorized/valid electronic signature
EXCEPTIONAL COSMETIC DENTISTRY, PA PROFIT SHARING PLAN 2013 593694451 2014-05-27 EXCEPTIONAL COSMETIC DENTISTRY, PA 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3523326725
Plan sponsor’s address 4960 W. NEWBERRY RD, STE 220, GAINESVILLE, FL, 32607

Signature of
Role Plan administrator
Date 2014-05-27
Name of individual signing KIMBERLEY MOWERY, DDS
Valid signature Filed with authorized/valid electronic signature
EXCEPTIONAL COSMETIC DENTISTRY, PA PROFIT SHARING PLAN 2012 593694451 2013-06-29 EXCEPTIONAL COSMETIC DENTISTRY, PA 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 3523326725
Plan sponsor’s address 4960 W. NEWBERRY ROAD, STE 220, GAINESVILLE, FL, 32607

Plan administrator’s name and address
Administrator’s EIN 593694451
Plan administrator’s name EXCEPTIONAL COSMETIC DENTISTRY, PA
Plan administrator’s address 4960 W. NEWBERRY ROAD, STE 220, GAINESVILLE, FL, 32607
Administrator’s telephone number 3523326725

Signature of
Role Plan administrator
Date 2013-06-29
Name of individual signing KIMBERLEY MOWERY, DDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ARNOLD SCOTT D Agent 3304 SIERRA CIRCLE, TAMPA, FL, 33629

President

Name Role Address
ARNOLD SCOTT D President 3304 SIERRA CIRCLE, TAMPA, FL, 33629

Vice President

Name Role Address
ARNOLD GINA Vice President 3304 SIERRA CIRCLE, TAMPA, FL, 33629

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data

Documents

Name Date
ANNUAL REPORT 2005-07-07
Domestic Profit 2004-08-17

Related by officers

ARNOLD SCOTT D

ARNOLD AND PARKINSON DENTISTRY, P.A. NEW YORK DENTAL OFFICE, PA ARNOLD PROPERTIES OF BRANDON, LLC BRANDEN DENTURE LAB, INC. ARNOLD COSMETIC DENTISTRY, P.A. ARNOLD, WALDING AND ASSOCIATES, P.A. SMILEMAKERS OF BARTOW, P.A. SCOTT D. ARNOLD, D.M.D., P.A. ARNOLD DENTISTRY,P.A.

Related by address

3304 SIERRA CIRCLE, TAMPA, FL, 33629, US

NEW YORK DENTAL OFFICE, PA

3304 SIERRA CIRCLE, TAMPA, FL, 33629, US

NEW YORK DENTAL OFFICE, PA

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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