| Entity Name: | HERB L. BENNETT, D.M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Jun 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Sep 2021 (3 years ago) |
| Document Number: | P05000093176 |
| FEI/EIN Number | 203079132 |
| Address: | 120 EAST DIXIE AVE, LEESBURG, FL, 34748 |
| Mail Address: | 120 EAST DIXIE AVE, LEESBURG, FL, 34748 |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HERB L. BENNETT, D.M.D., P.A. 401(K) PLAN | 2012 | 203079132 | 2013-10-08 | HERB L. BENNETT, D.M.D., P.A. | 6 | |||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-10-08 |
| Name of individual signing | HERB BENNETT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3527877890 |
| Plan sponsor’s address | 120 EAST DIXIE AVE., LEESBURG, FL, 34748 |
Plan administrator’s name and address
| Administrator’s EIN | 203079132 |
| Plan administrator’s name | HERB L. BENNETT, D.M.D., P.A. |
| Plan administrator’s address | 120 EAST DIXIE AVE., LEESBURG, FL, 34748 |
| Administrator’s telephone number | 3527877890 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-12 |
| Name of individual signing | HERB BENNETT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DMD Herb B | Agent | 120 EAST DIXIE AVE, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| BENNETT HERB L | Director | 120 EAST DIXIE AVE, LEESBURG, FL, 34748 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-09-27 | DMD, Herb Bennett | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-07-17 | 120 EAST DIXIE AVE, LEESBURG, FL 34748 | No data |
| CHANGE OF MAILING ADDRESS | 2006-07-17 | 120 EAST DIXIE AVE, LEESBURG, FL 34748 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-07-17 | 120 EAST DIXIE AVE, LEESBURG, FL 34748 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-04-09 |
| REINSTATEMENT | 2021-09-27 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-03-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
