Search icon

JOHN A. NELSON, DDS, PA

Company Details

Entity Name: JOHN A. NELSON, DDS, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 02 Feb 2009 (16 years ago)
Document Number: P09000009744
FEI/EIN Number 26-4168166
Address: 3915 Biscayne Blvd, 306, MIAMI, FL 33137
Mail Address: 3915 Biscayne Blvd, Suite 306, MIAMI, FL 33137
ZIP code: 33137
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOHN A NELSON DDS PA 401(K) P/S PLAN 2023 264168166 2024-10-10 JOHN A NELSON DDS PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3055986070
Plan sponsor’s address 3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137

Signature of

Role Plan administrator
Date 2024-10-10
Name of individual signing JOHN NELSON
Valid signature Filed with authorized/valid electronic signature
JOHN A NELSON DDS PA 401(K) P/S PLAN 2020 264168166 2021-10-08 JOHN A NELSON DDS PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3055986070
Plan sponsor’s address 3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137

Plan administrator’s name and address

Administrator’s EIN 264168166
Plan administrator’s name JOHN A NELSON DDS PA
Plan administrator’s address 3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137
Administrator’s telephone number 3055986070

Signature of

Role Plan administrator
Date 2021-10-08
Name of individual signing JOHN A. NELSON
Valid signature Filed with authorized/valid electronic signature
JOHN A NELSON DDS PA 401(K) P/S PLAN 2019 264168166 2020-10-12 JOHN A NELSON DDS PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3055986070
Plan sponsor’s address 3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137

Plan administrator’s name and address

Administrator’s EIN 264168166
Plan administrator’s name JOHN A NELSON DDS PA
Plan administrator’s address 3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137
Administrator’s telephone number 3055986070

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing JAMILE RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
JOHN A NELSON DDS PA 401(K) P/S PLAN 2018 264168166 2019-10-10 JOHN A NELSON DDS PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3055986070
Plan sponsor’s address 3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137

Plan administrator’s name and address

Administrator’s EIN 264168166
Plan administrator’s name JOHN A NELSON DDS PA
Plan administrator’s address 3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137
Administrator’s telephone number 3055986070

Signature of

Role Plan administrator
Date 2019-10-10
Name of individual signing ALYSON WALKER
Valid signature Filed with authorized/valid electronic signature
JOHN A NELSON DDS PA 401(K) P/S PLAN 2017 264168166 2018-07-23 JOHN A NELSON DDS PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 3055986070
Plan sponsor’s address 3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137

Plan administrator’s name and address

Administrator’s EIN 264168166
Plan administrator’s name JOHN A NELSON DDS PA
Plan administrator’s address 3915 BISCAYNE BLVD STE 306, MIAMI, FL, 33137
Administrator’s telephone number 3055986070

Signature of

Role Plan administrator
Date 2018-07-23
Name of individual signing JOHN A. NELSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STACY SAND, CPA, PA Agent 6538 COLLINS AVE, STE 429, MIAMI BEACH, FL 33141

President

Name Role Address
NELSON, JOHN A President 480 NE 31st, Apt 3404 MIAMI, FL 33137

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000013735 MIDTOWN DENTAL EXPIRED 2019-01-25 2024-12-31 No data 3915 BISCAYNE BLVD, SUITE 306, MIAMI, FL, 33137
G13000045074 MIDTOWN DENTAL EXPIRED 2013-05-10 2018-12-31 No data 3915 BISCAYNE BLVD., SUITE 306, MIAMI, FL, 33137

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2015-02-25 3915 Biscayne Blvd, 306, MIAMI, FL 33137 No data
CHANGE OF PRINCIPAL ADDRESS 2014-01-23 3915 Biscayne Blvd, 306, MIAMI, FL 33137 No data

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-03-16
ANNUAL REPORT 2022-04-13
ANNUAL REPORT 2021-04-05
ANNUAL REPORT 2020-06-23
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-02-15
ANNUAL REPORT 2017-03-27
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-02-25

Date of last update: 26 Jan 2025

Sources: Florida Department of State