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  5. JORGE PARAJON, DDS, MS, PA

JORGE PARAJON, DDS, MS, PA

Company Details

Entity Name: JORGE PARAJON, DDS, MS, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Dec 2005 (19 years ago)
Document Number: P05000167187
FEI/EIN Number 204140091
Mail Address: 1986 Altavista Circle, Lakeland, FL, 33810, US
Address: 1040 Breezewood Drive, LAKELAND, FL, 33809, US
ZIP code: 33809
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235346149 2007-05-17 2020-08-22 4238 US HIGHWAY 98 N, LAKELAND, FL, 338093819, US 4238 US HIGHWAY 98 N, LAKELAND, FL, 338093819, US

Contacts
Phone +1 863-815-8559
Fax 8638151454

Authorized person
Name AMY KROEGER
Role INS COOD
Phone 2175405100

Taxonomy
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JORGE PARAJON DDS MS PA 401(K) PROFIT SHARING PLAN & TRUST 2023 204140091 2024-06-20 JORGE PARAJON DDS MS PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8638534985
Plan sponsor’s address 4238 US HWY 98 NORTH, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2024-06-20
Name of individual signing JORGE PARAJON
Valid signature Filed with authorized/valid electronic signature
JORGE PARAJON DDS MS PA 401(K) PROFIT SHARING PLAN & TRUST 2022 204140091 2024-07-30 JORGE PARAJON DDS MS PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8638534985
Plan sponsor’s address 1040 BREEZEWOOD DRIVE, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2024-07-30
Name of individual signing JORGE PARAJON
Valid signature Filed with authorized/valid electronic signature
JORGE PARAJON DDS MS PA 2022 214140091 2024-01-25 JORGE PARAJON DDS MS PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8638534985
Plan sponsor’s DBA name PARAJON ORTHODONTICS
Plan sponsor’s address PARAJON ORTHODONTICS, 1040 BREEZEWOOD DR, LAKELAND, FL, 338093877

Signature of
Role Plan administrator
Date 2024-01-25
Name of individual signing JORGE PARAJON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-01-25
Name of individual signing JORGE PARAJON
Valid signature Filed with authorized/valid electronic signature
JORGE PARAJON DDS MS PA 2022 214140091 2024-01-25 JORGE PARAJON DDS MS PA 13
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8638534985
Plan sponsor’s DBA name PARAJON ORTHODONTICS
Plan sponsor’s address PARAJON ORTHODONTICS, 1040 BREEZEWOOD DR, LAKELAND, FL, 338093877

Signature of
Role Plan administrator
Date 2024-01-25
Name of individual signing JORGE PARAJON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-01-25
Name of individual signing JORGE PARAJON
Valid signature Filed with authorized/valid electronic signature
JORGE PARAJON DDS MS PA 401(K) PROFIT SHARING PLAN & TRUST 2021 204140091 2022-07-01 JORGE PARAJON DDS MS PA 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8638534985
Plan sponsor’s address 4238 US HWY 98 NORTH, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2022-07-01
Name of individual signing JORGE PARAJON
Valid signature Filed with authorized/valid electronic signature
JORGE PARAJON DDS MS PA 401(K) PROFIT SHARING PLAN & TRUST 2020 204140091 2021-08-13 JORGE PARAJON DDS MS PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8638534985
Plan sponsor’s address 4238 US HWY 98 NORTH, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2021-08-13
Name of individual signing JORGE PARAJON
Valid signature Filed with authorized/valid electronic signature
JORGE PARAJON DDS MS PA 401(K) PROFIT SHARING PLAN & TRUST 2019 204140091 2020-08-10 JORGE PARAJON DDS MS PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8638534985
Plan sponsor’s address 4238 US HWY 98 NORTH, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2020-08-10
Name of individual signing JORGE PARAJON
Valid signature Filed with authorized/valid electronic signature
JORGE PARAJON DDS MS PA 401 K PROFIT SHARING PLAN TRUST 2018 204140091 2019-03-13 JORGE PARAJON DDS MS PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8638534985
Plan sponsor’s address 4238 US HWY 98 NORTH, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2019-03-13
Name of individual signing AMANDA
Valid signature Filed with authorized/valid electronic signature
JORGE PARAJON DDS MS PA 401 K PROFIT SHARING PLAN TRUST 2016 204140091 2017-07-13 JORGE PARAJON DDS MS PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8638534985
Plan sponsor’s address 4238 US HWY 98 NORTH, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing JORGE PARAJON
Valid signature Filed with authorized/valid electronic signature
JORGE PARAJON DDS MS PA 401 K PROFIT SHARING PLAN TRUST 2015 204140091 2016-08-03 JORGE PARAJON DDS MS PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8638534985
Plan sponsor’s address 4238 US HWY 98 NORTH, LAKELAND, FL, 33809

Signature of
Role Plan administrator
Date 2016-08-03
Name of individual signing JORGE PARAJON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PARAJON JORGE UDr. Agent 1986 Altavista Circle, Lakeland, FL, 33810

President

Name Role Address
PARAJON JORGE President 1986 Altavista Circle, Lakeland, FL, 33810

Secretary

Name Role Address
PARAJON JORGE Secretary 1986 Altavista Circle, Lakeland, FL, 33810

Treasurer

Name Role Address
PARAJON JORGE Treasurer 1986 Altavista Circle, Lakeland, FL, 33810

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-06-05 1040 Breezewood Drive, LAKELAND, FL 33809 No data
CHANGE OF MAILING ADDRESS 2016-01-27 1040 Breezewood Drive, LAKELAND, FL 33809 No data
REGISTERED AGENT ADDRESS CHANGED 2016-01-27 1986 Altavista Circle, Lakeland, FL 33810 No data
REGISTERED AGENT NAME CHANGED 2014-01-08 PARAJON, JORGE U, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-02-12
ANNUAL REPORT 2022-06-05
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-07-22
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-11
ANNUAL REPORT 2017-02-22
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-03-15

Related by officers

PARAJON JORGE

PARAJON MANAGEMENT COMPANY, LLC

PARAJON JORGE UDr.

PARAJON MANAGEMENT COMPANY, LLC

Related by address

1986 Altavista Circle, Lakeland, FL, 33810, US

TACTICAL TRIGGER INNOVATIONS, LLC PARAJON MANAGEMENT COMPANY, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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