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TY J ERIKS, DMD, CORP

TY J ERIKS, DMD, CORP

Company Details

Entity Name:	TY J ERIKS, DMD, CORP
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	30 Oct 2013 (11 years ago)
Document Number:	P13000088903
FEI/EIN Number	463997553
Address:	3399 W WOOLBRIGHT RD, BOYNTON BEACH, FL, 33436, US
Mail Address:	3399 W WOOLBRIGHT RD, BOYNTON BEACH, FL, 33436, US
ZIP code:	33436
County:	Palm Beach
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1659143352

2023-10-25

2023-10-25

3399 W WOOLBRIGHT RD, BOYNTON BEACH, FL, 334367245, US

3399 W WOOLBRIGHT RD, BOYNTON BEACH, FL, 334367245, US

Contacts

Phone

+1 561-733-4004

Authorized person

Name	DR. TY ERIKS
Role	OWNER
Phone	2067942212

Taxonomy

Taxonomy Code	1223G0001X - General Practice Dentistry
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

ERIKS DENTAL PRACTICE RETIREMENT PLAN & TRUST

2023

463997553

2024-06-07

TY J ERIKS, DMD, CORP

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	5617334004
Plan sponsor’s address	3399 W. WOOLBRIGHT ROAD, BOYNTON BEACH, FL, 33436

ERIKS DENTAL PRACTICE RETIREMENT PLAN & TRUST

2022

463997553

2023-08-01

TY J ERIKS, DMD, CORP

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	5617334004
Plan sponsor’s address	3399 W. WOOLBRIGHT ROAD, BOYNTON BEACH, FL, 33436

ERIKS DENTAL PRACTICE RETIREMENT PLAN & TRUST

2021

463997553

2022-08-16

TY J ERIKS, DMD, CORP

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	5617334004
Plan sponsor’s address	3399 W. WOOLBRIGHT ROAD, BOYNTON BEACH, FL, 33436

ERIKS DENTAL PRACTICE RETIREMENT PLAN & TRUST

2020

463997553

2021-06-01

TY J ERIKS, DMD, CORP

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	5617334004
Plan sponsor’s address	3399 W. WOOLBRIGHT ROAD, BOYNTON BEACH, FL, 33436

ERIKS DENTAL PRACTICE RETIREMENT PLAN & TRUST

2019

463997553

2020-09-21

TY J ERIKS, DMD, CORP

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	5617334004
Plan sponsor’s address	3399 W. WOOLBRIGHT ROAD, BOYNTON BEACH, FL, 33436

Agent

Name	Role	Address
ERIKS SHAREE D	Agent	3225 NE 40th Ct, Fort Lauderdale, FL, 33308

President

Name	Role	Address
ERIKS TY J	President	3399 West Woolbright Road, Boynton Beach, FL, 33436

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G19000060283	ERIKS DENTAL GROUP	EXPIRED	2019-05-21	2024-12-31	No data	3399 W WOOLBRIGHT RD, BOYNTON BEACH, FL, 33436
G16000095624	LISSAUER & ERIKS DENTAL GROUP	EXPIRED	2016-09-01	2021-12-31	No data	3399 W WOOLBRIGHT RD, BOYNTON BEACH, FL, 33436

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT ADDRESS CHANGED	2024-03-14	3225 NE 40th Ct, Fort Lauderdale, FL 33308	No data
CHANGE OF PRINCIPAL ADDRESS	2017-03-17	3399 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33436	No data
CHANGE OF MAILING ADDRESS	2017-03-17	3399 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33436	No data
REGISTERED AGENT NAME CHANGED	2017-03-17	ERIKS, SHAREE D	No data

Documents

Name	Date
ANNUAL REPORT	2024-03-14
ANNUAL REPORT	2023-04-26
ANNUAL REPORT	2022-03-16
ANNUAL REPORT	2021-01-27
ANNUAL REPORT	2020-07-20
ANNUAL REPORT	2019-05-21
ANNUAL REPORT	2018-04-26
ANNUAL REPORT	2017-03-17
ANNUAL REPORT	2016-01-26
ANNUAL REPORT	2015-02-27
Domestic Profit	2013-10-30

Date of last update: 01 Feb 2025

Sources: Florida Department of State