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  5. PEARL K. BURNS, D.D.S., P.A.

PEARL K. BURNS, D.D.S., P.A.

Company Details

Entity Name: PEARL K. BURNS, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 May 2005 (20 years ago)
Date of dissolution: 10 Jun 2021 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 10 Jun 2021 (4 years ago)
Document Number: P05000066112
FEI/EIN Number 202928611
Address: 11 Avenue De La Mer, Palm Coast, FL, 32137, US
Mail Address: 11 Avenue De La Mer, PALM COAST, FL, 32137, US
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEARL K. BURNS, D.D.S. RETIREMENT PLAN 2013 202928611 2014-08-27 PEARL K. BURNS, D.D.S. P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 4076967117
Plan sponsor’s address 5965 RED BUG LAKE ROAD, SUITE 233, WINTER SPRINGS, FL, 32708

Signature of
Role Plan administrator
Date 2014-08-27
Name of individual signing PEARL K. BURNS, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-27
Name of individual signing PEARL K. BURNS, DDS
Valid signature Filed with authorized/valid electronic signature
PEARL K. BURNS, D.D.S. RETIREMENT PLAN 2013 202928611 2014-07-31 PEARL K. BURNS, D.D.S. P.A. 1
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 4076967117
Plan sponsor’s address 5965 RED BUG LAKE ROAD, SUITE 233, WINTER SPRINGS, FL, 32708

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing PEARL K. BURNS, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-31
Name of individual signing PEARL K. BURNS, DDS
Valid signature Filed with authorized/valid electronic signature
PEARL K. BURNS, D.D.S. RETIREMENT PLAN 2013 202928611 2014-08-27 PEARL K. BURNS, D.D.S. P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 4076967117
Plan sponsor’s address 5965 RED BUG LAKE ROAD, SUITE 233, WINTER SPRINGS, FL, 32708

Signature of
Role Plan administrator
Date 2014-08-27
Name of individual signing PEARL K. BURNS, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-27
Name of individual signing PEARL K. BURNS, DDS
Valid signature Filed with authorized/valid electronic signature
PEARL K. BURNS, D.D.S. RETIREMENT PLAN 2012 202928611 2013-05-20 PEARL K. BURNS, D.D.S. P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 4076967117
Plan sponsor’s address 5965 RED BUG LAKE ROAD, SUITE 233, WINTER SPRINGS, FL, 32708

Signature of
Role Plan administrator
Date 2013-05-20
Name of individual signing PEARL K. BURNS, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-20
Name of individual signing PEARL K. BURNS, DDS
Valid signature Filed with authorized/valid electronic signature
PEARL K. BURNS, D.D.S. RETIREMENT PLAN 2011 202928611 2012-06-20 PEARL K. BURNS, D.D.S. P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 4076967117
Plan sponsor’s address 5965 RED BUG LAKE ROAD, SUITE 233, WINTER SPRINGS, FL, 32708

Plan administrator’s name and address
Administrator’s EIN 202928611
Plan administrator’s name PEARL K. BURNS, D.D.S. P.A.
Plan administrator’s address 5965 RED BUG LAKE ROAD, SUITE 233, WINTER SPRINGS, FL, 32708
Administrator’s telephone number 4076967117

Signature of
Role Plan administrator
Date 2012-06-20
Name of individual signing PEARL K. BURNS, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-20
Name of individual signing PEARL K. BURNS, DDS
Valid signature Filed with authorized/valid electronic signature
PEARL K. BURNS, D.D.S. RETIREMENT PLAN 2009 202928611 2010-07-28 PEARL K. BURNS, D.D.S. P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621210
Sponsor’s telephone number 4076967117
Plan sponsor’s address 5965 RED BUG LAKE ROAD, SUITE 233, WINTER SPRINGS, FL, 32708

Plan administrator’s name and address
Administrator’s EIN 202928611
Plan administrator’s name PEARL K. BURNS, D.D.S. P.A.
Plan administrator’s address 5965 RED BUG LAKE ROAD, SUITE 233, WINTER SPRINGS, FL, 32708
Administrator’s telephone number 4076967117

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing PEARL K. BURNS, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-28
Name of individual signing PEARL K. BURNS, DDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Burns Pearl D Agent 811 Shallow Brook, Winter Springs, FL, 32708

Secretary

Name Role Address
Burns Pearl KD.D.S Secretary 811 Shallow Brook, Winter Springs, FL, 32708

President

Name Role Address
Burns Pearl KD.D.S President 811 Shallow Brook, Winter Springs, FL, 32708

Treasurer

Name Role Address
Burns Pearl KD.D.S Treasurer 811 Shallow Brook, Winter Springs, FL, 32708

Director

Name Role Address
Burns Pearl KD.D.S Director 811 Shallow Brook, Winter Springs, FL, 32708

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-06-10 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-04-05 11 Avenue De La Mer, #1101, Palm Coast, FL 32137 No data
CHANGE OF MAILING ADDRESS 2021-04-05 11 Avenue De La Mer, #1101, Palm Coast, FL 32137 No data
REGISTERED AGENT ADDRESS CHANGED 2021-01-26 811 Shallow Brook, Winter Springs, FL 32708 No data
REGISTERED AGENT NAME CHANGED 2017-01-04 Burns, Pearl DPA No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-06-10
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-03
ANNUAL REPORT 2019-01-04
ANNUAL REPORT 2018-01-02
ANNUAL REPORT 2017-01-04
ANNUAL REPORT 2016-01-04
ANNUAL REPORT 2015-01-09
ANNUAL REPORT 2014-01-10
ANNUAL REPORT 2013-01-20

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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