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  5. BOCA JAW SURGERY, P.A.

BOCA JAW SURGERY, P.A.

Company Details

Entity Name: BOCA JAW SURGERY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Jul 2008 (17 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 09 Feb 2011 (14 years ago)
Document Number: P08000065656
FEI/EIN Number 262961471
Address: 16110 JOG ROAD, SUITE # 101, DELRAY BEACH, FL, 33446, US
Mail Address: 16110 JOG ROAD, SUITE # 101, DELRAY BEACH, FL, 33446, US
ZIP code: 33446
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOCA JAW SURGERY, P.A. CASH BALANCE DEFINED BENEFIT PLAN 2023 262961471 2024-10-07 BOCA JAW SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 5613861925
Plan sponsor’s address 16110 JOG ROAD SUITE #101, DELRAY BEACH, FL, 33446
BOCA JAW SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2023 262961471 2024-10-04 BOCA JAW SURGERY, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 5613861925
Plan sponsor’s address 16110 JOG ROAD, SUITE# 101, DELRAY BEACH, FL, 33446
BOCA JAW SURGERY, P.A. CASH BALANCE DEFINED BENEFIT PLAN 2022 262961471 2023-09-20 BOCA JAW SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 5613861925
Plan sponsor’s address 16110 JOG ROAD SUITE #101, DELRAY BEACH, FL, 33446
BOCA JAW SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2022 262961471 2023-10-04 BOCA JAW SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 5613861925
Plan sponsor’s address 16110 JOG ROAD, SUITE# 101, DELRAY BEACH, FL, 33446

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing SCARLETT BUSTILLO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-04
Name of individual signing SCARLETT BUSTILLO
Valid signature Filed with authorized/valid electronic signature
BOCA JAW SURGERY, P.A. CASH BALANCE DEFINED BENEFIT PLAN 2021 262961471 2022-10-06 BOCA JAW SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 5613861925
Plan sponsor’s address 16110 JOG ROAD SUITE #101, DELRAY BEACH, FL, 33446
BOCA JAW SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2021 262961471 2022-09-01 BOCA JAW SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 5613861925
Plan sponsor’s address 16110 JOG ROAD, SUITE# 101, DELRAY BEACH, FL, 33446

Signature of
Role Plan administrator
Date 2022-09-01
Name of individual signing SCARLETT BUSTILLO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-01
Name of individual signing SCARLETT BUSTILLO
Valid signature Filed with authorized/valid electronic signature
BOCA JAW SURGERY, P.A. 401(K) PROFIT SHARING PLAN 2020 262961471 2021-09-23 BOCA JAW SURGERY, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 5613861925
Plan sponsor’s address 16110 JOG ROAD, SUITE 1010, DELRAY BEACH, FL, 33446

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing SCARLETT BUSTILLO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-23
Name of individual signing SCARLETT BUSTILLO
Valid signature Filed with authorized/valid electronic signature
BOCA JAW SURGERY, P.A. CASH BALANCE DEFINED BENEFIT PLAN 2020 262961471 2021-10-15 BOCA JAW SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621493
Sponsor’s telephone number 5613861925
Plan sponsor’s address 16110 JOG ROAD, SUITE 101, DELRAY BEACH, FL, 33446

Agent

Name Role Address
KATZ RONALD L Agent 16110 JOG ROAD, DELRAY BEACH, FL, 33446

President

Name Role Address
KATZ RONALD L President 16110 JOG ROAD, SUITE 101, DELRAY BEACH, FL, 33446

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2014-02-20 16110 JOG ROAD, Suit# 101, DELRAY BEACH, FL 33446 No data
CHANGE OF PRINCIPAL ADDRESS 2013-02-19 16110 JOG ROAD, SUITE # 101, DELRAY BEACH, FL 33446 No data
CHANGE OF MAILING ADDRESS 2013-02-19 16110 JOG ROAD, SUITE # 101, DELRAY BEACH, FL 33446 No data
REINSTATEMENT 2011-02-09 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-20
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-02-18
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-01-21
ANNUAL REPORT 2020-02-07
ANNUAL REPORT 2019-02-28
ANNUAL REPORT 2018-02-02
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-02-10

Related by officers

KATZ RONALD L

TANYA & RON ASSOCIATES, LLC RONALD L. KATZ, DMD, P.A.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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