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  5. DAVID A. BEACH D.M.D., M.S., P.A.

DAVID A. BEACH D.M.D., M.S., P.A.

Company Details

Entity Name: DAVID A. BEACH D.M.D., M.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Jun 2005 (20 years ago)
Document Number: P05000089448
FEI/EIN Number 651253660
Mail Address: 13601 Chapman Reserve Court, Tampa, FL, 33613, US
Address: 27605 CASHFORD CIRCLE, 101, WESLEY CHAPEL, FL, 33544
ZIP code: 33544
County: Pasco
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID A. BEACH, D. M. D. , M. S. , P. A. 401(K) 2021 651253660 2022-04-18 DAVID A. BEACH, D. M. D. , M. S. , P. A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8139078751
Plan sponsor’s address 27605 CASHFORD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 335446953

Signature of
Role Plan administrator
Date 2022-04-18
Name of individual signing DAVID BEACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-18
Name of individual signing DAVID A BEACH
Valid signature Filed with authorized/valid electronic signature
DAVID A. BEACH, D. M. D. , M. S. , P. A. 401(K) PLAN 2020 651253660 2021-05-16 DAVID A. BEACH, D. M. D. , M. S. , P. A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8139078751
Plan sponsor’s address 27605 CASHFORD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 335446953

Signature of
Role Plan administrator
Date 2021-05-16
Name of individual signing DAVID BEACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-16
Name of individual signing DAVID A BEACH
Valid signature Filed with authorized/valid electronic signature
DAVID A. BEACH, D. M. D. , M. S. , P. A. 401(K) 2020 651253660 2022-01-03 DAVID A. BEACH, D. M. D. , M. S. , P. A. 5
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8139078751
Plan sponsor’s address 27605 CASHFORD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 335446953

Signature of
Role Plan administrator
Date 2022-01-03
Name of individual signing DAVID BEACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-03
Name of individual signing DAVID A BEACH
Valid signature Filed with authorized/valid electronic signature
DAVID A. BEACH, D. M. D. , M. S. , P. A. 401(K) PLAN 2019 651253660 2020-07-01 DAVID A. BEACH, D. M. D. , M. S. , P. A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8139078751
Plan sponsor’s address 27605 CASHFORD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 335446953

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing DAVID BEACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-01
Name of individual signing DAVID BEACH
Valid signature Filed with authorized/valid electronic signature
DAVID A. BEACH, D. M. D. , M. S. , P. A. 401(K) PLAN 2018 651253660 2019-07-16 DAVID A. BEACH, D. M. D. , M. S. , P. A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8139078751
Plan sponsor’s address 27605 CASHFORD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 335446953

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing DAVID A BEACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-16
Name of individual signing DAVID A BEACH
Valid signature Filed with authorized/valid electronic signature
DAVID A. BEACH, D. M. D. , M. S. , P. A. 401(K) PLAN 2017 651253660 2018-07-06 DAVID A. BEACH, D. M. D. , M. S. , P. A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8139078751
Plan sponsor’s address 27605 CASHFORD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 335446953

Signature of
Role Plan administrator
Date 2018-07-06
Name of individual signing DAVID A BEACH
Valid signature Filed with authorized/valid electronic signature
DAVID A. BEACH, D. M. D. , M. S. , P. A. 401(K) PLAN 2016 651253660 2017-06-28 DAVID A. BEACH, D. M. D. , M. S. , P. A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8139078751
Plan sponsor’s address 27605 CASHFORD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 335446953

Signature of
Role Plan administrator
Date 2017-06-27
Name of individual signing DAVID A. BEACH, D.M.D., M.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-28
Name of individual signing DAVID A. BEACH, D.M.D., M.S.
Valid signature Filed with authorized/valid electronic signature
DAVID A. BEACH, D. M. D. , M. S. , P. A. 401(K) PLAN 2015 651253660 2016-09-13 DAVID A. BEACH, D. M. D. , M. S. , P. A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8139078751
Plan sponsor’s address 27605 CASHFORD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 335446953

Signature of
Role Plan administrator
Date 2016-09-13
Name of individual signing DAVID A. BEACH, D.M.D., M.S.
Valid signature Filed with authorized/valid electronic signature
DAVID A. BEACH, D. M. D. , M. S. , P. A. 401(K) PLAN 2014 651253660 2015-08-26 DAVID A. BEACH, D. M. D. , M. S. , P. A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8139078751
Plan sponsor’s address 27605 CASHFORD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 335446953

Signature of
Role Plan administrator
Date 2015-08-26
Name of individual signing DAVID A. BEACH
Valid signature Filed with authorized/valid electronic signature
DAVID A. BEACH, D.M.D., M.S., P.A. 401(K) PLAN 2013 651253660 2014-10-07 DAVID A. BEACH, D.M.D., M.S., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8139078751
Plan sponsor’s address 27605 CASHFORD CIRCLE, SUITE 101, WESLEY CHAPEL, FL, 335446953

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing DAVID A. BEACH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

Director

Name Role Address
BEACH DAVID A Director 13601 Chapman Reserve Court, Tampa, FL, 33613

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000056698 MY ROOT DR. ACTIVE 2021-04-26 2026-12-31 No data 13601 CHAPMAN RESERVE COURT, TAMPA, FL, 33613
G11000052857 ENDODONTIC PROFESSIONALS ACTIVE 2011-06-05 2026-12-31 No data 27605 CASHFORD CIRCLE SUITE 101, WESLEY CHAPEL, FL, 33544

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-08-01 C T CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2023-08-01 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data
CHANGE OF MAILING ADDRESS 2015-01-18 27605 CASHFORD CIRCLE, 101, WESLEY CHAPEL, FL 33544 No data
CHANGE OF PRINCIPAL ADDRESS 2008-01-12 27605 CASHFORD CIRCLE, 101, WESLEY CHAPEL, FL 33544 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J12000747629 TERMINATED 1000000330195 PASCO 2012-10-17 2022-10-25 $ 511.55 STATE OF FLORIDA, DEPARTMENT OF REVENUE, PORT RICHEY SERVICE CENTER, 6709 RIDGE RD STE 300, PORT RICHEY FL346686842

Documents

Name Date
ANNUAL REPORT 2024-01-12
Reg. Agent Change 2023-08-01
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-01-22
ANNUAL REPORT 2016-01-31

Related by officers

BEACH DAVID A

GOOSE COVE CLAMS, LLC DAVID BEACH CONSTRUCTION, LLC COASTAL VENTURES MANAGEMENT, L.L.C. DAVID BEACH LAND TRUST, LLC

Related by address

13601 Chapman Reserve Court, Tampa, FL, 33613, US

DAVID BEACH LAND TRUST, LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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