| Entity Name: | CARR PEDIATRIC DENTISTRY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 May 2009 (16 years ago) |
| Document Number: | P09000043200 |
| FEI/EIN Number | 270205784 |
| Address: | 11936 BOYETTE RD, RIVERVIEW, FL, 33569, US |
| Mail Address: | 11936 Boyette Road, Riverview, FL, 33569, US |
| ZIP code: | 33569 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARR PEDIATRIC DENTISTRY 401(K) PLAN | 2023 | 270205784 | 2024-04-15 | CARR PEDIATRIC DENTISTRY, P.A. | 23 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-04-15 |
| Name of individual signing | NATALIE CARR BUSTILLO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8136723368 |
| Plan sponsor’s address | 11936 BOYETTE ROAD, RIVERVIEW, FL, 33569 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-03 |
| Name of individual signing | NATALIE CARR BUSTILLO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Bustillo Natalie C | Agent | 11936 Boyette Road, Riverview, FL, 33569 |
| Name | Role | Address |
|---|---|---|
| BUSTILLO NATALIE C | President | 3403 W Morrison Ave, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-03-18 | Bustillo, Natalie Carr | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-18 | 11936 Boyette Road, Riverview, FL 33569 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-10 | 11936 BOYETTE RD, RIVERVIEW, FL 33569 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-16 | 11936 BOYETTE RD, RIVERVIEW, FL 33569 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-03-15 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-02-21 |
| ANNUAL REPORT | 2015-01-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
