Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Hillsborough
    4. ›
  4. 33626
    5. ›
  5. TAMPA DENTAL WELLNESS OF WESTCHASE P.A.

TAMPA DENTAL WELLNESS OF WESTCHASE P.A.

Company Details

Entity Name: TAMPA DENTAL WELLNESS OF WESTCHASE P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 13 Feb 2012 (13 years ago)
Document Number: P12000015212
FEI/EIN Number 45-4541962
Address: 11321 COUNTRYWAY BLVD, TAMPA, FL 33626
Mail Address: 11321 COUNTRYWAY BLVD, TAMPA, FL 33626
ZIP code: 33626
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAMPA DENTAL WELLNESS OF WESTCHASE P.A. RETIREMENT PLAN 2023 454541962 2024-10-15 TAMPA DENTAL WELLNESS OF WESTCHASE P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8138552273
Plan sponsor’s address 11321 COUNTRYWAY BLVD, LEXINGTON PROFESSIONAL PARK, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP , LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8646701844

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
TAMPA DENTAL WELLNESS OF WESTCHASE 401K AND PROFIT SHARING PLAN 2017 454541962 2018-09-07 TAMPA DENTAL WELLNESS OF WESTCHASE P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8138552273
Plan sponsor’s address 11321 COUNTRYWAY BLVD, LEXINGTON PROFESSIONAL PARK, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2018-09-07
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
TAMPA DENTAL WELLNESS OF WESTCHASE 401K AND PROFIT SHARING PLAN 2016 454541962 2017-09-07 TAMPA DENTAL WELLNESS OF WESTCHASE P.A. 8
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8138552273
Plan sponsor’s address 11321 COUNTRYWAY BLVD, LEXINGTON PROFESSIONAL PARK, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2017-09-07
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
TAMPA DENTAL WELLNESS OF WESTCHASE 401K AND PROFIT SHARING PLAN 2016 454541962 2018-09-07 TAMPA DENTAL WELLNESS OF WESTCHASE P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8138552273
Plan sponsor’s address 11321 COUNTRYWAY BLVD, LEXINGTON PROFESSIONAL PARK, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2018-09-07
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
TAMPA DENTAL WELLNESS OF WESTCHASE 401K AND PROFIT SHARING PLAN 2015 454541962 2016-07-25 TAMPA DENTAL WELLNESS OF WESTCHASE P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8138552273
Plan sponsor’s address 11321 COUNTRYWAY BLVD, LEXINGTON PROFESSIONAL PARK, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
TAMPA DENTAL WELLNESS OF WESTCHASE 401K AND PROFIT SHARING PLAN 2015 454541962 2017-09-07 TAMPA DENTAL WELLNESS OF WESTCHASE P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8138552273
Plan sponsor’s address 11321 COUNTRYWAY BLVD, LEXINGTON PROFESSIONAL PARK, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2017-09-07
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
TAMPA DENTAL WELLNESS OF WESTCHASE 401K AND PROFIT SHARING PLAN 2014 454541962 2015-06-29 TAMPA DENTAL WELLNESS OF WESTCHASE P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8138552273
Plan sponsor’s address 11321 COUNTRYWAY BLVD, LEXINGTON PROFESSIONAL PARK, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2015-06-29
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
TAMPA DENTAL WELLNESS OF WESTCHASE 401K AND PROFIT SHARING PLAN 2013 454541962 2014-07-21 TAMPA DENTAL WELLNESS OF WESTCHASE P.A. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 8138552273
Plan sponsor’s address 11321 COUNTRYWAY BLVD, LEXINGTON PROFESSIONAL PARK, TAMPA, FL, 33626

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2014-07-21
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
FT CORPORATE SERVICES, LLC Agent

President

Name Role Address
CREECH-GIONIS, AMY President 11321 COUNTRYWAY BLVD, TAMPA, FL 33626

Secretary

Name Role Address
CREECH-GIONIS, AMY Secretary 11321 COUNTRYWAY BLVD, TAMPA, FL 33626

Treasurer

Name Role Address
CREECH-GIONIS, AMY Treasurer 11321 COUNTRYWAY BLVD, TAMPA, FL 33626

Director

Name Role Address
CREECH-GIONIS, AMY Director 11321 COUNTRYWAY BLVD, TAMPA, FL 33626

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000030375 DENTAL WELLNESS OF WESTCHASE EXPIRED 2012-03-28 2017-12-31 No data 11321 COUNTRYWAY BLVD., TAMPA, FL, 33626

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-07-18 FT Corporate Services No data
REGISTERED AGENT ADDRESS CHANGED 2024-07-18 501 Riverside Ave Suite 700, Jacksonville, FL 32202 No data

Documents

Name Date
ANNUAL REPORT 2024-07-18
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-05-24
ANNUAL REPORT 2020-07-20
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-03-19
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-03-20
ANNUAL REPORT 2015-02-09

Related by officers

CREECH-GIONIS, AMY

TAMPA DENTAL WELLNESS OF CARROLLWOOD LLC

Related by address

No related companies by address

Date of last update: 23 Jan 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated