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  5. BRIAN CRUPI, D.D.S., P.A.

BRIAN CRUPI, D.D.S., P.A.

Company Details

Entity Name: BRIAN CRUPI, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 29 Dec 2006 (18 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: P06000157732
FEI/EIN Number 208131786
Address: 2487 DICK WILSON DR, SARASOTA, FL, 34240, US
Mail Address: 2487 DICK WILSON DR, SARASOTA, FL, 34240, US
ZIP code: 34240
County: Sarasota
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCDC RETIREMENT PLAN & TRUST 2019 208131786 2020-07-31 BRIAN CRUPI, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621210
Sponsor’s telephone number 9414759915
Plan sponsor’s address 2828 S MCCALL ROAD, STE 49, ENGLEWOOD, FL, 342249518

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing BEVERLY CRUPI
Valid signature Filed with authorized/valid electronic signature
SCDC RETIREMENT PLAN & TRUST 2019 208131786 2020-10-26 BRIAN CRUPI, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621210
Sponsor’s telephone number 9414759915
Plan sponsor’s address 2487 DICK WILSON DRIVE, SARASOTA, FL, 34240

Signature of
Role Plan administrator
Date 2020-10-26
Name of individual signing BEVERLY CRUPI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-26
Name of individual signing BEVERLY CRUPI
Valid signature Filed with authorized/valid electronic signature
SCDC RETIREMENT PLAN & TRUST 2018 208131786 2019-06-17 BRIAN CRUPI, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621210
Sponsor’s telephone number 9414759915
Plan sponsor’s address 2828 S MCCALL RD, STE 49, ENGLEWOOD, FL, 342249518

Signature of
Role Plan administrator
Date 2019-06-17
Name of individual signing BEVERLY CRUPI
Valid signature Filed with authorized/valid electronic signature
SCDC RETIREMENT PLAN & TRUST 2017 208131786 2018-09-24 BRIAN CRUPI, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621210
Sponsor’s telephone number 9414759915
Plan sponsor’s address 2828 S MCCALL RD, STE 49, ENGLEWOOD, FL, 342249518

Signature of
Role Plan administrator
Date 2018-09-24
Name of individual signing BEVERLY CRUPI
Valid signature Filed with authorized/valid electronic signature
SCDC RETIREMENT PLAN & TRUST 2016 208131786 2017-08-07 BRIAN CRUPI, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621210
Sponsor’s telephone number 9414759915
Plan sponsor’s address 2828 SOUTH MCCALL ROAD SUITE 49, ENGLEWOOD, FL, 34224

Signature of
Role Plan administrator
Date 2017-08-07
Name of individual signing BEVERLY CRUPI
Valid signature Filed with authorized/valid electronic signature
SCDC RETIREMENT PLAN & TRUST 2015 208131786 2016-10-03 BRIAN CRUPI, D.D.S., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621210
Sponsor’s telephone number 9414759915
Plan sponsor’s address 2828 SOUTH MCCALL ROAD SUITE 49, ENGLEWOOD, FL, 34224

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing BRIAN CRUPI, D.D.S.
Valid signature Filed with authorized/valid electronic signature
SCDC RETIREMENT PLAN & TRUST 2014 208131786 2015-10-05 BRIAN CRUPI, D.D.S., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621210
Sponsor’s telephone number 9414759915
Plan sponsor’s address 2828 SOUTH MCCALL ROAD SUITE 49, ENGLEWOOD, FL, 34224

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing BRIAN CRUPI, D.D.S., P.A.
Valid signature Filed with authorized/valid electronic signature
SCDC RETIREMENT PLAN & TRUST 2013 208131786 2015-07-06 BRIAN CRUPI, D.D.S., P.A. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 621210
Sponsor’s telephone number 9414759915
Plan sponsor’s address 2828 SOUTH MCCALL ROAD SUITE 49, ENGLEWOOD, FL, 34224

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing BRIAN CRUPI, D.D.S., P.A.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CRUPI BRIAN V Agent 2487 DICK WILSON DR, SARASOTA, FL, 34240

President

Name Role Address
CRUPI BRIAN V President 2487 DICK WILSON DR, SARASOTA, FL, 34240

Secretary

Name Role Address
CRUPI BRIAN V Secretary 2487 DICK WILSON DR, SARASOTA, FL, 34240

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000085009 SOUTH COUNTY DENTAL CARE - ENGLEWOOD EXPIRED 2015-08-17 2020-12-31 No data 2828 S. MCCALL ROAD, SUITES 48 & 49, ENGLEWOOD, FL, 34224

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-01-21 2487 DICK WILSON DR, SARASOTA, FL 34240 No data
CHANGE OF MAILING ADDRESS 2020-01-21 2487 DICK WILSON DR, SARASOTA, FL 34240 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-21 2487 DICK WILSON DR, SARASOTA, FL 34240 No data
REGISTERED AGENT NAME CHANGED 2012-01-06 CRUPI, BRIAN V No data

Documents

Name Date
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-09
ANNUAL REPORT 2017-01-28
ANNUAL REPORT 2016-01-20
ANNUAL REPORT 2015-01-15
ANNUAL REPORT 2014-01-14
ANNUAL REPORT 2013-01-07
ANNUAL REPORT 2012-01-06
ANNUAL REPORT 2011-01-19

Related by officers

CRUPI BRIAN V

CLC DENTAL, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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