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  5. MARIELA K. LUNG, D.M.D., P.A.

MARIELA K. LUNG, D.M.D., P.A.

Company Details

Entity Name: MARIELA K. LUNG, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 10 Jan 2006 (19 years ago)
Document Number: P06000003940
FEI/EIN Number 20-4093564
Address: 5055 S. LAKELAND DR., LAKELAND, FL 33813
Mail Address: 5055 S. LAKELAND DR., LAKELAND, FL 33813
ZIP code: 33813
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARIELA K. LUNG D.M.D. 401K PROFIT SHARING PLAN 2023 204093564 2024-07-19 MARIELA K. LUNG D.M.D. P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8636882400
Plan sponsor’s address 5055 S LAKELAND DR, LAKELAND, FL, 33813

Signature of
Role Plan administrator
Date 2024-07-19
Name of individual signing MARIELA K LUNG
Valid signature Filed with authorized/valid electronic signature
MARIELA K. LUNG D.M.D. 401K PROFIT SHARING PLAN 2022 204093564 2023-08-03 MARIELA K. LUNG D.M.D. P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8636882400
Plan sponsor’s address 5055 S LAKELAND DR, LAKELAND, FL, 33813

Signature of
Role Plan administrator
Date 2023-08-03
Name of individual signing MARIELA K LUNG
Valid signature Filed with authorized/valid electronic signature
MARIELA K. LUNG D.M.D. 401K PROFIT SHARING PLAN 2021 204093564 2022-10-11 MARIELA K. LUNG D.M.D. P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8636882400
Plan sponsor’s address 5055 S LAKELAND DR, LAKELAND, FL, 33813

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing MARIELA K LUNG
Valid signature Filed with authorized/valid electronic signature
MARIELA K. LUNG D.M.D. 401K PROFIT SHARING PLAN 2020 204093564 2021-06-22 MARIELA K. LUNG D.M.D. P.A. 8
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8636882400
Plan sponsor’s address 5055 S LAKELAND DR, LAKELAND, FL, 33813

Signature of
Role Plan administrator
Date 2021-06-22
Name of individual signing MARIELA LUNG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-22
Name of individual signing MARIELA LUNG
Valid signature Filed with authorized/valid electronic signature
MARIELA K. LUNG D.M.D. 401K PROFIT SHARING PLAN 2020 204093564 2021-06-21 MARIELA K. LUNG D.M.D. P.A. 8
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8636882400
Plan sponsor’s address 5055 S LAKELAND DR, LAKELAND, FL, 33813

Signature of
Role Plan administrator
Date 2021-06-21
Name of individual signing MARIELA K LUNG
Valid signature Filed with authorized/valid electronic signature
MARIELA K. LUNG D.M.D. 401K PROFIT SHARING PLAN 2020 204093564 2021-07-28 MARIELA K. LUNG D.M.D. P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8636882400
Plan sponsor’s address 5055 S LAKELAND DR, LAKELAND, FL, 33813

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing MARIELA K LUNG
Valid signature Filed with authorized/valid electronic signature
MARIELA K. LUNG D.M.D. 401K PROFIT SHARING PLAN 2019 204093564 2021-10-01 MARIELA K. LUNG D.M.D. P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 8636882400
Plan sponsor’s address 5055 S LAKELAND DR, LAKELAND, FL, 33813

Signature of
Role Plan administrator
Date 2021-10-01
Name of individual signing MARIELA K LUNG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KNOWLTON, KEVIN C Agent 225 E. LEMON ST., STE. 300, LAKELAND, FL 33801

DR.

Name Role Address
LUNG, MARIELA K, DMD DR. 5055 S. LAKELAND DR., LAKELAND, FL 33813

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000064271 CEDAR KEY DENTISTRY EXPIRED 2014-06-23 2019-12-31 No data 5055 S. LAKELAND DRIVE, LAKELAND, FL, 33813
G06030700251 THE FAMILY DENTIST ACTIVE 2006-01-30 2026-12-31 No data 5055 SOUTH LAKELAND DRIVE, LAKELAND, FL, 33813

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2013-11-25 KNOWLTON, KEVIN C No data

Documents

Name Date
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-02-10
ANNUAL REPORT 2015-01-13

Related by officers

KNOWLTON, KEVIN C

SEU UNRESTRICTED, LLC CFO COLLEAGUE, LLC FOURTH COUNCIL PROPERTIES, LLC CFO-EDU, LLC

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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