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  5. JEFFREY V. MOFFETT, D.M.D., P.A.

JEFFREY V. MOFFETT, D.M.D., P.A. - Florida Company Profile

Company Details

Entity Name: JEFFREY V. MOFFETT, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JEFFREY V. MOFFETT, D.M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 14 Jan 2005 (20 years ago)
Document Number: P05000007887
FEI/EIN Number 202162169

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 13136 VAIL RIDGE DRIVE, RIVERVIEW, FL, 33579
Mail Address: 13136 VAIL RIDGE DRIVE, RIVERVIEW, FL, 33579
ZIP code: 33579
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033363197 2008-11-14 2008-11-14 13136 VAIL RIDGE DR, RIVERVIEW, FL, 335797187, US 13136 VAIL RIDGE DR, RIVERVIEW, FL, 335797187, US

Contacts
Phone +1 813-677-3331
Fax 8136773336

Authorized person
Name DR. JEFFREY VICTOR MOFFETT
Role PRESIDENT
Phone 8136773331

Taxonomy
Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
License Number DN15450
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEFFREY V. MOFFETT 401(K) PLAN 2023 202162169 2024-05-21 JEFFREY V. MOFFETT, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8136773331
Plan sponsor’s address 13136 VAIL RIDGE DR, RIVERVIEW, FL, 335797187

Signature of
Role Plan administrator
Date 2024-05-21
Name of individual signing JEFFREY MOFFETT
Valid signature Filed with authorized/valid electronic signature
JEFFREY V. MOFFETT 401(K) PLAN 2022 202162169 2023-03-22 JEFFREY V. MOFFETT, D.M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8136773331
Plan sponsor’s address 13136 VAIL RIDGE DR, RIVERVIEW, FL, 335797187

Signature of
Role Plan administrator
Date 2023-03-21
Name of individual signing JEFFREY MOFFETT
Valid signature Filed with authorized/valid electronic signature
JEFFREY V. MOFFETT 401(K) PLAN 2021 202162169 2022-07-22 JEFFREY V. MOFFETT, D.M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8136773331
Plan sponsor’s address 13136 VAIL RIDGE DR, RIVERVIEW, FL, 335797187

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing JEFFREY MOFFETT
Valid signature Filed with authorized/valid electronic signature
JEFFREY V. MOFFETT 401(K) PLAN 2020 202162169 2021-03-30 JEFFREY V. MOFFETT, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8136773331
Plan sponsor’s address 13136 VAIL RIDGE DR, RIVERVIEW, FL, 335797187

Signature of
Role Plan administrator
Date 2021-03-30
Name of individual signing JEFFREY MOFFETT
Valid signature Filed with authorized/valid electronic signature
JEFFREY V. MOFFETT 401(K) PLAN 2019 202162169 2020-03-16 JEFFREY V. MOFFETT, D.M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8136773331
Plan sponsor’s address 13136 VAIL RIDGE DR, RIVERVIEW, FL, 335797187

Signature of
Role Plan administrator
Date 2020-03-16
Name of individual signing JEFFREY MOFFETT
Valid signature Filed with authorized/valid electronic signature
JEFFREY V. MOFFETT 401(K) PLAN 2018 202162169 2019-01-29 JEFFREY V. MOFFETT, D.M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8136773331
Plan sponsor’s address 13136 VAIL RIDGE DR, RIVERVIEW, FL, 335797187

Signature of
Role Plan administrator
Date 2019-01-29
Name of individual signing JEFFREY MOFFETT
Valid signature Filed with authorized/valid electronic signature
JEFFREY V. MOFFETT 401(K) PLAN 2017 202162169 2018-03-01 JEFFREY V. MOFFETT, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8136773331
Plan sponsor’s address 13136 VAIL RIDGE DR, RIVERVIEW, FL, 335797187

Signature of
Role Plan administrator
Date 2018-03-01
Name of individual signing JEFFREY MOFFETT
Valid signature Filed with authorized/valid electronic signature
JEFFREY V. MOFFETT 401(K) PLAN 2016 202162169 2017-07-05 JEFFREY V. MOFFETT, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8136773331
Plan sponsor’s address 13136 VAIL RIDGE DR, RIVERVIEW, FL, 335797187

Signature of
Role Plan administrator
Date 2017-07-05
Name of individual signing JEFFREY MOFFETT
Valid signature Filed with authorized/valid electronic signature
JEFFREY V. MOFFETT 401(K) PLAN 2015 202162169 2016-05-25 JEFFREY V. MOFFETT, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8136773331
Plan sponsor’s address 13136 VAIL RIDGE DR, RIVERVIEW, FL, 335797187

Signature of
Role Plan administrator
Date 2016-05-25
Name of individual signing JEFFREY MOFFETT
Valid signature Filed with authorized/valid electronic signature
JEFFREY V. MOFFETT 401(K) PLAN 2014 202162169 2015-10-02 JEFFREY V. MOFFETT, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 8136773331
Plan sponsor’s address 13136 VAIL RIDGE DRIVE, RIVERVIEW, FL, 33579

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing JEFFREY MOFFETT
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MOFFETT JEFFREY V President 13136 VAIL RIDGE DRIVE, RIVERVIEW, FL, 33579
CASTELLANOS MOFFETT ALI G Director 13136 VAIL RIDGE DRIVE, RIVERVIEW, FL, 33579
MOFFETT JEFFREY V Agent 13136 VAIL RIDGE DRIVE, RIVERVIEW, FL, 33579

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-04-09 13136 VAIL RIDGE DRIVE, RIVERVIEW, FL 33579 -
CHANGE OF MAILING ADDRESS 2009-04-09 13136 VAIL RIDGE DRIVE, RIVERVIEW, FL 33579 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-09 13136 VAIL RIDGE DRIVE, RIVERVIEW, FL 33579 -

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-06-06
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-07-30
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-06-28
ANNUAL REPORT 2017-04-30
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-05-03

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AFDIC MOFFETT, P.A. - Active
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AFDIC MOFFETT, P.A. - Active
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CASTELLANOS MOFFETT ALI G

MOFFETT HOLDINGS, LLC - Active
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Companies related by address

13136 VAIL RIDGE DRIVE, RIVERVIEW, FL, 33579

MOFFETT HOLDINGS, LLC

13136 VAIL RIDGE DRIVE, RIVERVIEW, FL, 33579

MOFFETT HOLDINGS, LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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