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  5. LAKE BALDWIN DENTAL, PA

LAKE BALDWIN DENTAL, PA

Company Details

Entity Name: LAKE BALDWIN DENTAL, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Aug 2004 (20 years ago)
Document Number: P04000124521
FEI/EIN Number 201616031
Address: 950 LAKE BALDWIN LANE, ORLANDO, FL, 32814
Mail Address: 950 LAKE BALDWIN LANE, ORLANDO, FL, 32814
ZIP code: 32814
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114211273 2011-06-07 2011-06-07 950 LAKE BALDWIN LN, ORLANDO, FL, 328146651, US 950 LAKE BALDWIN LN, ORLANDO, FL, 328146651, US

Contacts
Phone +1 407-515-8500
Fax 4075153039

Authorized person
Name DR. WILLIAM B DUNN IV
Role OWNER
Phone 4075158500

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number DN16156
State FL
Is Primary Yes
Taxonomy Code 332BC3200X - Customized Equipment (DME)
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE BALDWIN DENTAL, PA 401(K) PLAN 2023 201616031 2024-04-25 LAKE BALDWIN DENTAL, PA 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-10
Business code 621210
Sponsor’s telephone number 4075158500
Plan sponsor’s address 950 LAKE BALDWIN LANE, ORLANDO, FL, 32814

Signature of
Role Plan administrator
Date 2024-04-25
Name of individual signing WILLIAM DUNN
Valid signature Filed with authorized/valid electronic signature
LAKE BALDWIN DENTAL, PA 401(K) PLAN 2022 201616031 2023-06-21 LAKE BALDWIN DENTAL, PA 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-10
Business code 621210
Sponsor’s telephone number 4075158500
Plan sponsor’s address 950 LAKE BALDWIN LANE, ORLANDO, FL, 32814

Signature of
Role Plan administrator
Date 2023-06-21
Name of individual signing WILLIAM B. DUNN, IV
Valid signature Filed with authorized/valid electronic signature
LAKE BALDWIN DENTAL, PA 401(K) PLAN 2021 201616031 2022-04-06 LAKE BALDWIN DENTAL, PA 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-10
Business code 621210
Sponsor’s telephone number 4075158500
Plan sponsor’s address 950 LAKE BALDWIN LANE, ORLANDO, FL, 328146651

Signature of
Role Plan administrator
Date 2022-04-06
Name of individual signing WILLIAM B. DUNN, IV
Valid signature Filed with authorized/valid electronic signature
LAKE BALDWIN DENTAL, PA 401(K) PLAN 2020 201616031 2021-02-17 LAKE BALDWIN DENTAL, PA 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-10
Business code 621210
Sponsor’s telephone number 4075158500
Plan sponsor’s address 950 LAKE BALDWIN LANE, ORLANDO, FL, 328146651

Signature of
Role Plan administrator
Date 2021-02-17
Name of individual signing WILLIAM B. DUNN, IV
Valid signature Filed with authorized/valid electronic signature
LAKE BALDWIN DENTAL, PA 401(K) PLAN 2019 201616031 2020-02-12 LAKE BALDWIN DENTAL, PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-10
Business code 621210
Sponsor’s telephone number 4075158500
Plan sponsor’s address 950 LAKE BALDWIN LANE, ORLANDO, FL, 328146651

Signature of
Role Plan administrator
Date 2020-02-12
Name of individual signing WILLIAM B. DUNN, IV
Valid signature Filed with authorized/valid electronic signature
LAKE BALDWIN DENTAL, PA 401(K) PLAN 2018 201616031 2019-01-28 LAKE BALDWIN DENTAL, PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-10
Business code 621210
Sponsor’s telephone number 4075158500
Plan sponsor’s address 950 LAKE BALDWIN LANE, ORLANDO, FL, 328146651

Signature of
Role Plan administrator
Date 2019-01-28
Name of individual signing WILLIAM B. DUNN, IV
Valid signature Filed with authorized/valid electronic signature
LAKE BALDWIN DENTAL, PA 401(K) PLAN 2017 201616031 2018-02-28 LAKE BALDWIN DENTAL, PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-10
Business code 621210
Sponsor’s telephone number 4075158500
Plan sponsor’s address 950 LAKE BALDWIN LANE, ORLANDO, FL, 328146651

Signature of
Role Plan administrator
Date 2018-02-28
Name of individual signing WILLIAM B. DUNN, IV
Valid signature Filed with authorized/valid electronic signature
LAKE BALDWIN DENTAL, PA 401(K) PLAN 2016 201616031 2017-03-02 LAKE BALDWIN DENTAL, PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-10
Business code 621210
Sponsor’s telephone number 4075158500
Plan sponsor’s address 950 LAKE BALDWIN LANE, ORLANDO, FL, 328146651

Signature of
Role Plan administrator
Date 2017-03-02
Name of individual signing WILLIAM B. DUNN, IV
Valid signature Filed with authorized/valid electronic signature
LAKE BALDWIN DENTAL, PA 401(K) PLAN 2015 201616031 2016-02-19 LAKE BALDWIN DENTAL, PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-10
Business code 621210
Sponsor’s telephone number 4075158500
Plan sponsor’s address 950 LAKE BALDWIN LANE, ORLANDO, FL, 328146651

Signature of
Role Plan administrator
Date 2016-02-19
Name of individual signing WILLIAM B. DUNN, IV
Valid signature Filed with authorized/valid electronic signature
LAKE BALDWIN DENTAL, PA 401(K) PLAN 2014 201616031 2015-02-11 LAKE BALDWIN DENTAL, PA 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-04-10
Business code 621210
Sponsor’s telephone number 4075158500
Plan sponsor’s address 950 LAKE BALDWIN LANE, ORLANDO, FL, 328146651

Signature of
Role Plan administrator
Date 2015-02-11
Name of individual signing WILLIAM B. DUNN, IV
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DUNN IV WILLIAM B Agent 3633 Dubsdread Circle, ORLANDO, FL, 32804

President

Name Role Address
DUNN IV WILLIAM B President 3633 Dubsdread Circle, ORLANDO, FL, 32804

Secretary

Name Role Address
DUNN MARY J Secretary 3633 Dubsdread Cir, ORLANDO, FL, 32804

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2017-03-21 3633 Dubsdread Circle, ORLANDO, FL 32804 No data
REGISTERED AGENT NAME CHANGED 2008-03-12 DUNN IV, WILLIAM BDR. No data
CHANGE OF PRINCIPAL ADDRESS 2006-03-03 950 LAKE BALDWIN LANE, ORLANDO, FL 32814 No data
CHANGE OF MAILING ADDRESS 2006-03-03 950 LAKE BALDWIN LANE, ORLANDO, FL 32814 No data

Documents

Name Date
ANNUAL REPORT 2024-02-03
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-05-05
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-04-02

Related by officers

DUNN MARY J

AUKAMALI, LLC INFINITE LIMOUSINE SERVICES OF SOUTHWEST FLORIDA 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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