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  5. MARYAM BRAZDO, D.M.D., P.A.

MARYAM BRAZDO, D.M.D., P.A.

Company Details

Entity Name: MARYAM BRAZDO, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Feb 2012 (13 years ago)
Document Number: P12000014692
FEI/EIN Number 90-0796228
Address: 1061 S. WICKHAM ROAD, MELBOURNE, FL, 32904, US
Mail Address: 1061 S. Wickham Road, West Melbourne, FL, 32904, US
ZIP code: 32904
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ARTISTIC TOUCH DENTISTRY 401(K) PROFIT SHARING PLAN 2021 900796228 2022-09-23 MARYAM BRAZDO, D.M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-13
Business code 621210
Sponsor’s telephone number 3212432030
Plan sponsor’s address 1061 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2022-09-23
Name of individual signing MARYAM BRAZDO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ARTISTIC TOUCH DENTISTRY 401(K) PROFIT SHARING PLAN 2020 900796228 2021-10-07 MARYAM BRAZDO, D.M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-13
Business code 621210
Sponsor’s telephone number 3212432030
Plan sponsor’s address 1061 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing MARYAM BRAZDO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ARTISTIC TOUCH DENTISTRY 401(K) PROFIT SHARING PLAN 2019 900796228 2020-10-12 MARYAM BRAZDO, D.M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-13
Business code 621210
Sponsor’s telephone number 3212432030
Plan sponsor’s address 1061 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing MARYAM BRAZDO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ARTISTIC TOUCH DENTISTRY 401(K) PROFIT SHARING PLAN 2018 900796228 2019-07-29 MARYAM BRAZDO, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-13
Business code 621210
Sponsor’s telephone number 3212432030
Plan sponsor’s address 1061 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing MARYAM BRAZDO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ARTISTIC TOUCH DENTISTRY 401(K) PROFIT SHARING PLAN 2017 900796228 2018-06-19 MARYAM BRAZDO, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-13
Business code 621210
Sponsor’s telephone number 3212432030
Plan sponsor’s address 1061 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing MARYAM BRAZDO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ARTISTIC TOUCH DENTISTRY 401(K) PROFIT SHARING PLAN 2016 900796228 2017-05-31 MARYAM BRAZDO, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-13
Business code 621210
Sponsor’s telephone number 3212432030
Plan sponsor’s address 1061 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2017-05-31
Name of individual signing MARYAM BRAZDO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ARTISTIC TOUCH DENTISTRY 401(K) PROFIT SHARING PLAN 2015 900796228 2016-04-12 MARYAM BRAZDO, D.M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-13
Business code 621210
Sponsor’s telephone number 3212432030
Plan sponsor’s address 1061 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2016-04-12
Name of individual signing MARYAM BRAZDO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ARTISTIC TOUCH DENTISTRY 401(K) PROFIT SHARING PLAN 2014 900796228 2015-09-17 MARYAM BRAZDO, D.M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-13
Business code 621210
Sponsor’s telephone number 3212432030
Plan sponsor’s address 1061 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2015-09-17
Name of individual signing MARYAM BRAZDO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ARTISTIC TOUCH DENTISTRY 401(K) PROFIT SHARING PLAN 2013 900796228 2014-07-29 MARYAM BRAZDO, D.M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-13
Business code 621210
Sponsor’s telephone number 3212432030
Plan sponsor’s address 1061 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2014-07-29
Name of individual signing MARYAM BRAZDO, D.M.D.
Valid signature Filed with authorized/valid electronic signature
ARTISTIC TOUCH DENTISTRY 401(K) PROFIT SHARING PLAN 2012 900796228 2013-06-11 MARYAM BRAZDO, D.M.D., P.A. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-02-13
Business code 621210
Sponsor’s telephone number 3212432030
Plan sponsor’s address 1061 SOUTH WICKHAM ROAD, WEST MELBOURNE, FL, 32904

Signature of
Role Plan administrator
Date 2013-06-11
Name of individual signing MARYAM BRAZDO, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BRAZDO MARYAM Agent 1061 S. Wickham Road, West Melbourne, FL, 32904

President

Name Role Address
BRAZDO MARYAM President 1061 S. Wickham Road, West Melbourne, FL, 32904

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000017472 ARTISTIC TOUCH DENTISTRY ACTIVE 2012-02-20 2027-12-31 No data 1061 S WICKHAM RD, MELBOURNE, FL, 32904

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2014-01-15 1061 S. WICKHAM ROAD, MELBOURNE, FL 32904 No data
REGISTERED AGENT ADDRESS CHANGED 2013-02-04 1061 S. Wickham Road, West Melbourne, FL 32904 No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-02-11
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-03-04
ANNUAL REPORT 2018-02-05
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-01-11

Related by officers

BRAZDO MARYAM

HATBRAZ REAL ESTATE LLC

Related by address

1061 S. Wickham Road, West Melbourne, FL, 32904, US

HATBRAZ REAL ESTATE LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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