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  5. ROSS H. FISHMAN, D.M.D., M.S., P.A.

ROSS H. FISHMAN, D.M.D., M.S., P.A.

Company Details

Entity Name: ROSS H. FISHMAN, D.M.D., M.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 29 May 2012 (13 years ago)
Document Number: P12000049542
FEI/EIN Number 45-5429730
Address: 552 JACKSONVILLE DR., JACKSONVILLE BEACH, FL 32250
Mail Address: 225 Pablo Rd, PONTE VEDRA BEACH, FL 32082
ZIP code: 32250
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FISHMAN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2023 455429730 2024-10-07 ROSS H. FISHMAN, D.M.D., M.S., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9042474097
Plan sponsor’s address 552 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250
FISHMAN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2022 455429730 2023-10-12 ROSS H. FISHMAN, D.M.D., M.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9042474097
Plan sponsor’s address 552 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250
FISHMAN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2021 455429730 2022-10-12 ROSS H. FISHMAN, D.M.D., M.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9042474097
Plan sponsor’s address 552 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250
FISHMAN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2020 455429730 2021-10-15 ROSS H. FISHMAN, D.M.D., M.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9042474097
Plan sponsor’s address 552 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing ROSS H. FISHMAN, D.M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing ROSS H. FISHMAN, D.M.D.
Valid signature Filed with authorized/valid electronic signature
FISHMAN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2019 455429730 2020-10-13 ROSS H. FISHMAN, D.M.D., M.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9042474097
Plan sponsor’s address 552 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing ROSS FISHMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing ROSS FISHMAN
Valid signature Filed with authorized/valid electronic signature
FISHMAN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2018 455429730 2019-08-13 ROSS H. FISHMAN, D.M.D., M.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9042474097
Plan sponsor’s address 552 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2019-08-13
Name of individual signing ROSS FISHMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-13
Name of individual signing ROSS FISHMAN
Valid signature Filed with authorized/valid electronic signature
FISHMAN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2017 455429730 2018-07-23 ROSS H. FISHMAN, D.M.D., M.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9042474097
Plan sponsor’s address 552 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing ROSS FISHMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-23
Name of individual signing ROSS FISHMAN
Valid signature Filed with authorized/valid electronic signature
FISHMAN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2016 455429730 2017-07-10 ROSS H. FISHMAN, D.M.D., M.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9042474097
Plan sponsor’s address 552 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing ROSS FISHMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-10
Name of individual signing ROSS FISHMAN
Valid signature Filed with authorized/valid electronic signature
FISHMAN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2015 455429730 2016-03-14 ROSS H. FISHMAN, D.M.D., M.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9042474097
Plan sponsor’s address 552 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2016-03-14
Name of individual signing ROSS FISHMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-14
Name of individual signing ROSS FISHMAN
Valid signature Filed with authorized/valid electronic signature
FISHMAN PEDIATRIC DENTISTRY 401(K) PROFIT SHARING PLAN 2014 455429730 2015-05-08 ROSS H. FISHMAN, D.M.D., M.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 9042474097
Plan sponsor’s address 552 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250

Signature of
Role Plan administrator
Date 2015-05-08
Name of individual signing ROSS FISHMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-08
Name of individual signing ROSS FISHMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
FISHMAN, ROSS H Agent 225 Pablo Rd, PONTE VEDRA BEACH, FL 32082

President

Name Role Address
FISHMAN, ROSS H President 225 Pablo Rd, PONTE VEDRA BEACH, FL 32082

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000075960 FISHMAN PEDIATRIC DENTISTRY ACTIVE 2024-06-20 2029-12-31 No data 225 PABLO ROAD, PONTE VEDRA BEACH, FL, 32082
G13000015122 FISHMAN PEDIATRIC DENTISTRY EXPIRED 2013-02-12 2018-12-31 No data 552 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2014-02-13 552 JACKSONVILLE DR., JACKSONVILLE BEACH, FL 32250 No data
REGISTERED AGENT ADDRESS CHANGED 2014-02-13 225 Pablo Rd, PONTE VEDRA BEACH, FL 32082 No data
CHANGE OF PRINCIPAL ADDRESS 2013-03-19 552 JACKSONVILLE DR., JACKSONVILLE BEACH, FL 32250 No data

Documents

Name Date
ANNUAL REPORT 2024-04-28
ANNUAL REPORT 2023-05-27
ANNUAL REPORT 2022-05-31
ANNUAL REPORT 2021-04-11
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-04-12
ANNUAL REPORT 2017-01-26
ANNUAL REPORT 2016-03-31
ANNUAL REPORT 2015-02-27

Related by officers

FISHMAN, ROSS H

ZOEETH, LLC

Related by address

552 JACKSONVILLE DR., JACKSONVILLE BEACH, FL 32250

WILLIAM L. LOVE, D.D.S., P.A.

Date of last update: 22 Feb 2025

Sources: Florida Department of State

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