Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Duval
    4. ›
  4. 32218
    5. ›
  5. ORSBORN ORTHODONTICS, P.A.

ORSBORN ORTHODONTICS, P.A.

Company Details

Entity Name: ORSBORN ORTHODONTICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 May 2007 (18 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 30 Apr 2009 (16 years ago)
Document Number: P07000060202
FEI/EIN Number 260301610
Address: 3890 DUNN AVE, 903, JACKSONVILLE, FL, 32218
Mail Address: 3890 DUNN AVE, 903, JACKSONVILLE, FL, 32218
ZIP code: 32218
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORSBORN ORTHODONTICS, P.A. 401(K) PLAN 2023 260301610 2024-09-19 ORSBORN ORTHODONTICS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 9047454555
Plan sponsor’s address 3890 DUNN AVENUE, SUITE 903, JACKSONVILLE, FL, 322180000

Signature of
Role Plan administrator
Date 2024-09-19
Name of individual signing KHALIL ORSBORN
Valid signature Filed with authorized/valid electronic signature
ORSBORN ORTHODONTICS, P. A. 401(K) PLAN 2022 260301610 2023-08-14 ORSBORN ORTHODONTICS, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9047454555
Plan sponsor’s address 3890 DUNN AVENUE, SUITE 903, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2023-08-14
Name of individual signing KHALIL ORSBORN
Valid signature Filed with authorized/valid electronic signature
ORSBORN ORTHODONTICS, P. A. 401(K) PLAN 2021 260301610 2022-10-06 ORSBORN ORTHODONTICS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9047454555
Plan sponsor’s address 3890 DUNN AVENUE, SUITE 903, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing KHALIL ORSBORN
Valid signature Filed with authorized/valid electronic signature
ORSBORN ORTHODONTICS, P. A. 401(K) PLAN 2020 260301610 2021-10-12 ORSBORN ORTHODONTICS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9047454555
Plan sponsor’s address 3890 DUNN AVENUE, SUITE 903, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing KHALIL ORSBORN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing KHALIL ORSBORN
Valid signature Filed with authorized/valid electronic signature
ORSBORN ORTHODONTICS, P. A. 401(K) PLAN 2019 260301610 2020-10-09 ORSBORN ORTHODONTICS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9047454555
Plan sponsor’s address 3890 DUNN AVENUE, SUITE 903, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing KHALIL ORSBORN
Valid signature Filed with authorized/valid electronic signature
ORSBORN ORTHODONTICS, P. A. 401(K) PLAN 2018 260301610 2019-10-15 ORSBORN ORTHODONTICS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9047454555
Plan sponsor’s address 3890 DUNN AVENUE, SUITE 903, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing KHALIL ORSBORN
Valid signature Filed with authorized/valid electronic signature
ORSBORN ORTHODONTICS, P. A. 401(K) PLAN 2017 260301610 2018-10-12 ORSBORN ORTHODONTICS, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9047454555
Plan sponsor’s address 3890 DUNN AVENUE, SUITE 903, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing KHALIL ORSBORN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-12
Name of individual signing KHALIL ORSBORN
Valid signature Filed with authorized/valid electronic signature
ORSBORN ORTHODONTICS, P. A. 401(K) PLAN 2016 260301610 2017-06-14 ORSBORN ORTHODONTICS, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9047454555
Plan sponsor’s address 3890 DUNN AVENUE, SUITE 903, JACKSONVILLE, FL, 32218

Signature of
Role Plan administrator
Date 2017-06-14
Name of individual signing KHALIL ORSBORN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-14
Name of individual signing KHALIL ORSBORN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ORSBORN KHALIL Agent 3890 DUNN AVE, JACKSONVILLE, FL, 32218

Director

Name Role Address
ORSBORN KHALIL Director 3890 DUNN AVE STE 903, JACKSONVILLE, FL, 32218

Events

Event Type Filed Date Value Description
CANCEL ADM DISS/REV 2009-04-30 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-04-30 3890 DUNN AVE, 903, JACKSONVILLE, FL 32218 No data
CHANGE OF MAILING ADDRESS 2009-04-30 3890 DUNN AVE, 903, JACKSONVILLE, FL 32218 No data
REGISTERED AGENT ADDRESS CHANGED 2009-04-30 3890 DUNN AVE, 903, JACKSONVILLE, FL 32218 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J16000102909 TERMINATED 1000000704632 DUVAL 2016-02-01 2036-02-04 $ 7,118.85 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556123

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-13
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-01-26
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-03-31

Related by officers

ORSBORN KHALIL

HARBORN, LLC HENDLEY STONE FOUNDATION, INC. K J O HOLDING, INC. THE ORSBORN FOUNDATION, INC. BRK ENTERPRISES, LLC KHALIL OSBORN, DDS, LLC

Related by address

3890 DUNN AVE, 903, JACKSONVILLE, FL, 32218

BRK ENTERPRISES, LLC

3890 DUNN AVE, 903, JACKSONVILLE, FL, 32218

BRK ENTERPRISES, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated