Search icon

MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A.

Company Details

Entity Name: MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 22 Dec 2016 (8 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: P16000100586
FEI/EIN Number 81-4785566
Address: 3736 TURMAN LOOP, WESLEY CHAPEL, FL, 33544, US
Mail Address: 3736 turman loop, wesley chapel, FL, 33544, US
ZIP code: 33544
County: Pasco
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MYSTIC OAKS 401(K) PLAN 2022 814785566 2023-10-16 MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-04-01
Business code 621210
Sponsor’s telephone number 9046992270
Plan sponsor’s address 3751 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335449201

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing PREMATEE SARWAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing PREMATEE SARWAN
Valid signature Filed with authorized/valid electronic signature
MYSTIC OAKS 401(K) PLAN 2022 814785566 2023-03-08 MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-04-01
Business code 621210
Sponsor’s telephone number 9046992270
Plan sponsor’s address 3751 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335449201

Signature of

Role Plan administrator
Date 2023-03-08
Name of individual signing PREMATEE SARWAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-08
Name of individual signing PREMATEE SARWAN
Valid signature Filed with authorized/valid electronic signature
MYSTIC OAKS 401(K) PLAN 2021 814785566 2022-07-07 MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-04-01
Business code 621210
Sponsor’s telephone number 9046992270
Plan sponsor’s address 3751 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335449201

Signature of

Role Plan administrator
Date 2022-07-07
Name of individual signing PREMATEE SARWAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-07
Name of individual signing PREMATEE SARWAN
Valid signature Filed with authorized/valid electronic signature
MYSTIC OAKS 401(K) PLAN 2020 814785566 2022-07-07 MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-04-01
Business code 621210
Sponsor’s telephone number 9046992270
Plan sponsor’s address 3751 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335449201

Signature of

Role Plan administrator
Date 2022-07-07
Name of individual signing PREMATEE SARWAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-07
Name of individual signing PREMATEE SARWAN
Valid signature Filed with authorized/valid electronic signature
MYSTIC OAKS 401(K) PLAN 2019 814785566 2021-03-05 MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-04-01
Business code 621210
Sponsor’s telephone number 9046992270
Plan sponsor’s address 3751 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335449201

Signature of

Role Plan administrator
Date 2021-03-05
Name of individual signing PREMATEE SARWAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-05
Name of individual signing PREMATEE SARWAN
Valid signature Filed with authorized/valid electronic signature
MYSTIC OAKS 401(K) PLAN 2018 814785566 2019-07-29 MYSTIC OAKS FAMILY & COSMETIC DENTISTRY, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-04-01
Business code 621210
Sponsor’s telephone number 9046992270
Plan sponsor’s address 3751 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 335449201

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing PREMATEE SARWAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-29
Name of individual signing PREMATEE SARWAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SARWAN PREMATEE D Agent 28684 CORBARA PL, WESLEY CHAPEL, FL, 33543

President

Name Role Address
SARWAN PREMATEE D President 3751 BRUCE B DOWNS BLVD., WESLEY CHAPEL, FL, 33544

Secretary

Name Role Address
SARWAN PREMATEE D Secretary 3751 BRUCE B DOWNS BLVD., WESLEY CHAPEL, FL, 33544

Treasurer

Name Role Address
SARWAN PREMATEE D Treasurer 3751 BRUCE B DOWNS BLVD., WESLEY CHAPEL, FL, 33544

Director

Name Role Address
SARWAN PREMATEE D Director 3751 BRUCE B DOWNS BLVD., WESLEY CHAPEL, FL, 33544

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF MAILING ADDRESS 2022-02-01 3736 TURMAN LOOP, WESLEY CHAPEL, FL 33544 No data
CHANGE OF PRINCIPAL ADDRESS 2021-06-08 3736 TURMAN LOOP, WESLEY CHAPEL, FL 33544 No data

Documents

Name Date
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-03-03
ANNUAL REPORT 2020-06-10
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-04-23
Domestic Profit 2016-12-22

Date of last update: 02 Feb 2025

Sources: Florida Department of State