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  5. DENTAL CARE OF VAN DYKE, INC.

DENTAL CARE OF VAN DYKE, INC.

Company Details

Entity Name: DENTAL CARE OF VAN DYKE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 May 2006 (19 years ago)
Document Number: P06000065231
FEI/EIN Number 204846392
Address: 18930 NORTH DALE MABRY HIGHWAY, SUITE 102, LUTZ, FL, 33548
Mail Address: 18930 NORTH DALE MABRY HIGHWAY, SUITE 102, LUTZ, FL, 33548, US
ZIP code: 33548
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTAL CARE OF VAN DYKE INC 2011 204846392 2012-07-11 DENTAL CARE OF VAN DYKE INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8135288701
Plan sponsor’s address 18930 N DALE MABRY HWY, SUITE 102, LUTZ, FL, 33548

Plan administrator’s name and address
Administrator’s EIN 204846392
Plan administrator’s name DENTAL CARE OF VAN DYKE INC
Plan administrator’s address 18930 N DALE MABRY HWY, SUITE 102, LUTZ, FL, 33548
Administrator’s telephone number 8135288701

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing ISHWER REHSI
Valid signature Filed with authorized/valid electronic signature
DENTAL CARE OF VAN DYKE INC 401(K) PROFIT SHARING PLAN & TRUST 2010 204846392 2011-10-12 DENTAL CARE OF VAN DYKE INC 3
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8139637852
Plan sponsor’s address 17553 N DALE MABRY HWY, LUTZ, FL, 33548

Plan administrator’s name and address
Administrator’s EIN 204846392
Plan administrator’s name DENTAL CARE OF VAN DYKE INC
Plan administrator’s address 17553 N DALE MABRY HWY, LUTZ, FL, 33548
Administrator’s telephone number 8139637852

Signature of
Role Employer/plan sponsor
Date 2011-10-12
Name of individual signing ISHWER REHSI
Valid signature Filed with authorized/valid electronic signature
DENTAL CARE OF VAN DYKE INC 401(K) PROFIT SHARING PLAN & TRUST 2010 204846392 2011-10-12 DENTAL CARE OF VAN DYKE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8139637852
Plan sponsor’s address 17553 N DALE MABRY HWY, LUTZ, FL, 33548

Plan administrator’s name and address
Administrator’s EIN 204846392
Plan administrator’s name DENTAL CARE OF VAN DYKE INC
Plan administrator’s address 17553 N DALE MABRY HWY, LUTZ, FL, 33548
Administrator’s telephone number 8139637852

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing ISHWER REHSI
Valid signature Filed with authorized/valid electronic signature
DENTAL CARE OF VAN DYKE INC 401(K) PROFIT SHARING PLAN & TRUST 2010 204846392 2011-10-12 DENTAL CARE OF VAN DYKE INC 3
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8139637852
Plan sponsor’s address 17553 N DALE MABRY HWY, LUTZ, FL, 33548

Plan administrator’s name and address
Administrator’s EIN 204846392
Plan administrator’s name DENTAL CARE OF VAN DYKE INC
Plan administrator’s address 17553 N DALE MABRY HWY, LUTZ, FL, 33548
Administrator’s telephone number 8139637852

Signature of
Role Employer/plan sponsor
Date 2011-10-12
Name of individual signing ISHWER REHSI
Valid signature Filed with authorized/valid electronic signature
DENTAL CARE OF VAN DYKE INC 2009 204846392 2012-01-09 DENTAL CARE OF VAN DYKE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8139637852
Plan sponsor’s address 17553 N DALE MABRY HWY, LUTZ, FL, 33548

Plan administrator’s name and address
Administrator’s EIN 204846392
Plan administrator’s name DENTAL CARE OF VAN DYKE INC
Plan administrator’s address 17553 N DALE MABRY HWY, LUTZ, FL, 33548
Administrator’s telephone number 8139637852

Signature of
Role Plan administrator
Date 2012-01-09
Name of individual signing ISHWER REHSI
Valid signature Filed with authorized/valid electronic signature
DENTAL CARE OF VAN DYKE INC 2009 204846392 2012-01-09 DENTAL CARE OF VAN DYKE INC 5
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8139637852
Plan sponsor’s address 17553 N DALE MABRY HWY, LUTZ, FL, 33548

Plan administrator’s name and address
Administrator’s EIN 204846392
Plan administrator’s name DENTAL CARE OF VAN DYKE INC
Plan administrator’s address 17553 N DALE MABRY HWY, LUTZ, FL, 33548
Administrator’s telephone number 8139637852

Signature of
Role Plan administrator
Date 2012-01-09
Name of individual signing ISHWER REHSI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
REHSI ISHWER P Agent 18930 NORTH DALE MABRY HIGHWAY, LUTZ, FL, 33548

President

Name Role Address
REHSI ISHWER President 18930 NORTH DALE MABRY HIGHWAY, LUTZ, FL, 33548

Director

Name Role Address
REHSI ISHWER Director 18930 NORTH DALE MABRY HIGHWAY, LUTZ, FL, 33548

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2020-02-14 18930 NORTH DALE MABRY HIGHWAY, SUITE 102, LUTZ, FL 33548 No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-03 18930 NORTH DALE MABRY HIGHWAY, SUITE 102, LUTZ, FL 33548 No data
REGISTERED AGENT ADDRESS CHANGED 2012-04-03 18930 NORTH DALE MABRY HIGHWAY, SUITE 102, LUTZ, FL 33548 No data
REGISTERED AGENT NAME CHANGED 2008-04-23 REHSI, ISHWER PD No data

Documents

Name Date
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-13
ANNUAL REPORT 2020-02-14
ANNUAL REPORT 2019-02-26
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-25
ANNUAL REPORT 2016-02-05
ANNUAL REPORT 2015-03-11

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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