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  5. J EDWARD CARROLL, D.M.D. INC.

J EDWARD CARROLL, D.M.D. INC.

Company Details

Entity Name: J EDWARD CARROLL, D.M.D. INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Jul 2012 (13 years ago)
Date of dissolution: 09 Apr 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 09 Apr 2020 (5 years ago)
Document Number: P12000061238
FEI/EIN Number 90-0870505
Address: 5216 Scotland Pl, Lakeland, FL, 33813, US
Mail Address: PO Box 586, Mulberry, FL, 33860-0586, US
ZIP code: 33813
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
J. EDWARD CARROLL, D.M.D. 401(K) PLAN 2018 900870505 2019-04-17 J. EDWARD CARROLL, D.M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8636037400
Plan sponsor’s address 5216 SCOTLAND PL, LAKELAND, FL, 338133063

Signature of
Role Plan administrator
Date 2019-02-06
Name of individual signing JAMES CARROLL
Valid signature Filed with authorized/valid electronic signature
J. EDWARD CARROLL, D.M.D. 401(K) PLAN 2017 900870505 2018-01-25 J. EDWARD CARROLL, D.M.D., INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8636037400
Plan sponsor’s address 2156 HARDEN BLVD, LAKELAND, FL, 338035917

Signature of
Role Plan administrator
Date 2018-01-25
Name of individual signing JAMES CARROLL
Valid signature Filed with authorized/valid electronic signature
J. EDWARD CARROLL, D.M.D. 401(K) PLAN 2016 900870505 2017-05-19 J. EDWARD CARROLL, D.M.D., INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8636037400
Plan sponsor’s address 2156 HARDEN BLVD, LAKELAND, FL, 338035917

Signature of
Role Plan administrator
Date 2017-05-18
Name of individual signing JAMES CARROLL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-18
Name of individual signing JAMES CARROLL
Valid signature Filed with authorized/valid electronic signature
J. EDWARD CARROLL, D.M.D. 401(K) PLAN 2015 900870505 2016-04-26 J. EDWARD CARROLL, D.M.D., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8636037400
Plan sponsor’s address 2156 HARDEN BLVD, LAKELAND, FL, 338035917

Signature of
Role Plan administrator
Date 2016-04-25
Name of individual signing JAMES CARROLL
Valid signature Filed with authorized/valid electronic signature
J. EDWARD CARROLL, D.M.D. 401(K) PLAN 2014 900870505 2015-03-27 J. EDWARD CARROLL, D.M.D., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8636037400
Plan sponsor’s address 2156 HARDEN BOULEVARD, LAKELAND, FL, 33803

Signature of
Role Plan administrator
Date 2015-03-26
Name of individual signing JAMES CARROLL
Valid signature Filed with authorized/valid electronic signature
J. EDWARD CARROLL, D.M.D. 401(K) PLAN 2013 900870505 2014-03-27 J. EDWARD CARROLL, D.M.D., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8636037400
Plan sponsor’s address 2156 HARDEN BOULEVARD, LAKELAND, FL, 33803

Signature of
Role Plan administrator
Date 2014-03-26
Name of individual signing JAMES CARROLL
Valid signature Filed with authorized/valid electronic signature
J. EDWARD CARROLL, D.M.D. 401(K) PLAN 2012 900870505 2013-06-03 J. EDWARD CARROLL, D.M.D., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8636037400
Plan sponsor’s address 2156 HARDEN BOULEVARD, LAKELAND, FL, 33803

Signature of
Role Plan administrator
Date 2013-05-31
Name of individual signing JAMES CARROLL
Valid signature Filed with authorized/valid electronic signature
J. EDWARD CARROLL, D.M.D. 401(K) PLAN 2011 592891303 2012-06-14 J. EDWARD CARROLL, D.M.D. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8636037400
Plan sponsor’s address 2156 HARDEN BOULEVARD, LAKELAND, FL, 33803

Plan administrator’s name and address
Administrator’s EIN 592891303
Plan administrator’s name J. EDWARD CARROLL, D.M.D.
Plan administrator’s address 2156 HARDEN BOULEVARD, LAKELAND, FL, 33803
Administrator’s telephone number 8636037400

Signature of
Role Plan administrator
Date 2012-06-14
Name of individual signing JAMES CARROLL
Valid signature Filed with authorized/valid electronic signature
J. EDWARD CARROLL, D.M.D. 401(K) PLAN 2010 592891303 2011-06-14 J. EDWARD CARROLL, D.M.D. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8636037400
Plan sponsor’s address 2156 HARDEN BOULEVARD, LAKELAND, FL, 33803

Plan administrator’s name and address
Administrator’s EIN 592891303
Plan administrator’s name J. EDWARD CARROLL, D.M.D.
Plan administrator’s address 2156 HARDEN BOULEVARD, LAKELAND, FL, 33803
Administrator’s telephone number 8636037400

Signature of
Role Plan administrator
Date 2011-06-13
Name of individual signing JAMES CARROLL
Valid signature Filed with authorized/valid electronic signature
J. EDWARD CARROLL, D.M.D. 401(K) PLAN 2009 592891303 2010-05-26 J. EDWARD CARROLL, D.M.D. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 8636037400
Plan sponsor’s mailing address 2156 HARDEN BOULEVARD, LAKELAND, FL, 33803
Plan sponsor’s address 2156 HARDEN BOULEVARD, LAKELAND, FL, 33803

Plan administrator’s name and address
Administrator’s EIN 592891303
Plan administrator’s name J. EDWARD CARROLL, D.M.D.
Plan administrator’s address 2156 HARDEN BOULEVARD, LAKELAND, FL, 33803
Administrator’s telephone number 8636037400

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-05-21
Name of individual signing JAMES CARROLL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CARROLL J. EDWARD Agent 5216 Scotland Pl, Lakeland, FL, 33813

President

Name Role Address
CARROLL J EDWARD Dr. President 5216 Scotland Pl, Lakeland, FL, 33813

Director

Name Role Address
CARROLL J EDWARD Dr. Director 5216 Scotland Pl, Lakeland, FL, 33813

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-04-09 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-02-09 5216 Scotland Pl, Lakeland, FL 33813 No data
CHANGE OF MAILING ADDRESS 2019-02-09 5216 Scotland Pl, Lakeland, FL 33813 No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-09 5216 Scotland Pl, Lakeland, FL 33813 No data

Documents

Name Date
Voluntary Dissolution 2020-04-09
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-02-08
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-02-26
ANNUAL REPORT 2015-04-10
ANNUAL REPORT 2014-03-19
ANNUAL REPORT 2013-02-01
Domestic Profit 2012-07-12

Related by officers

CARROLL J. EDWARD

HARDEN LATE APEX LLC HARDEN BOULEVARD PROPERTY OWNERS ASSOCIATION, INC.

Related by address

PO Box 586, Mulberry, FL, 33860-0586, US

HARDEN LATE APEX LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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