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DENTAL CROWN IN AN HOUR - FORT MYERS, P.A.

Company Details

Entity Name: DENTAL CROWN IN AN HOUR - FORT MYERS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Nov 2016 (8 years ago)
Document Number: P16000092347
FEI/EIN Number 81-4464563
Address: 16960 ALICO MISSION WAY, SUITE 100-101, FORT MYERS, FL, 33908
Mail Address: 16960 ALICO MISSION WAY, SUITE 100-101, FORT MYERS, FL, 33908
ZIP code: 33908
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTAL CROWN IN AN HOUR - FORT MYERS, P.A. 401(K) PLAN 2021 814464563 2022-02-25 DENTAL CROWN IN AN HOUR - FORT MYERS, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2392158555
Plan sponsor’s address 16960 ALICO MISSION WAY, SUITE 100-101, FORT MYERS, FL, 33908

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-02-25
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
DENTAL CROWN IN AN HOUR - FORT MYERS, P.A. 401(K) PLAN 2020 814464563 2021-07-09 DENTAL CROWN IN AN HOUR - FORT MYERS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2392158555
Plan sponsor’s address 16960 ALICO MISSION WAY, SUITE 100-101, FORT MYERS, FL, 33908

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2021-07-09
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
DENTAL CROWN IN AN HOUR - FORT MYERS, P.A. 401(K) PLAN 2019 814464563 2020-06-12 DENTAL CROWN IN AN HOUR - FORT MYERS, P.A. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2392158555
Plan sponsor’s address 16960 ALICO MISSION WAY, SUITE 100-101, FORT MYERS, FL, 33908

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2020-06-12
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MATTSCHEI MARCELO W Agent 16960 ALICO MISSION WAY, FORT MYERS, FL, 33908

President

Name Role Address
MATTSCHEI MARCELO W President 16960 ALICO MISSION WAY, FORT MYERS, FL, 33908

Secretary

Name Role Address
MATTSCHEI MARCELO W Secretary 16960 ALICO MISSION WAY, FORT MYERS, FL, 33908

Treasurer

Name Role Address
MATTSCHEI MARCELO W Treasurer 16960 ALICO MISSION WAY, FORT MYERS, FL, 33908

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-05-01 MATTSCHEI, MARCELO W. No data

Documents

Name Date
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-02-25
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-05-01
ANNUAL REPORT 2019-03-08
ANNUAL REPORT 2018-03-29
ANNUAL REPORT 2017-04-28
Domestic Profit 2016-11-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State