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  5. MRC DENTAL GROUP, INC

MRC DENTAL GROUP, INC

Company Details

Entity Name: MRC DENTAL GROUP, INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 17 Mar 2017 (8 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 27 Apr 2023 (2 years ago)
Document Number: P17000025323
FEI/EIN Number 82-0885757
Address: 425 SOUTH AVALON PARK BLVD, 500, ORLANDO, FL 32828
Mail Address: 425 SOUTH AVALON PARK BLVD, 500, ORLANDO, FL 32828
ZIP code: 32828
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366977282 2017-04-28 2017-04-28 425 S AVALON PARK BLVD STE 500, ORLANDO, FL, 328286703, US 425 S AVALON PARK BLVD STE 500, ORLANDO, FL, 328286703, US

Contacts
Phone +1 407-249-9292

Authorized person
Name DR. MARC R CHAPKIS
Role OWNER
Phone 4072499292

Taxonomy
Taxonomy Code 122300000X - Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MRC DENTAL GROUP INC 401K PLAN 2023 820885757 2024-07-31 MRC DENTAL GROUP INC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4077399079
Plan sponsor’s address 425 SOUTH AVALON PARK BLVD, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
MRC DENTAL GROUP INC 401K PLAN 2022 820885757 2023-06-28 MRC DENTAL GROUP INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4077399079
Plan sponsor’s address 425 SOUTH AVALON PARK BLVD, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2023-06-28
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
MRC DENTAL GROUP INC 401K PLAN 2021 820885757 2022-07-06 MRC DENTAL GROUP INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4077399079
Plan sponsor’s address 425 SOUTH AVALON PARK BLVD, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2022-07-06
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
MRC DENTAL GROUP INC 401K PLAN 2020 820885757 2021-07-12 MRC DENTAL GROUP INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4077399079
Plan sponsor’s address 425 SOUTH AVALON PARK BLVD, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2021-07-12
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
MRC DENTAL GROUP INC 401K PLAN 2019 820885757 2021-03-22 MRC DENTAL GROUP INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4077399079
Plan sponsor’s address 425 SOUTH AVALON PARK BLVD, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2021-03-22
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
MRC DENTAL GROUP INC 401K PLAN 2019 820885757 2021-01-26 MRC DENTAL GROUP INC 16
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4077399079
Plan sponsor’s address 425 SOUTH AVALON PARK BLVD, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2021-01-26
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
MRC DENTAL GROUP INC 401K PLAN 2019 820885757 2021-03-04 MRC DENTAL GROUP INC 16
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4077399079
Plan sponsor’s address 425 SOUTH AVALON PARK BLVD, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2021-03-04
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
MRC DENTAL GROUP INC 401K PLAN 2018 820885757 2019-05-30 MRC DENTAL GROUP INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4077399079
Plan sponsor’s address 425 SOUTH AVALON PARK BLVD, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2019-05-30
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature
MRC DENTAL GROUP INC 401K PLAN 2017 820885757 2019-06-12 MRC DENTAL GROUP INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621210
Sponsor’s telephone number 4077399079
Plan sponsor’s address 425 SOUTH AVALON PARK BLVD, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing MARC CHAPKIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Chapkis, Marc R Agent 425 SOUTH AVALON PARK BLVD, 500, ORLANDO, FL 32828

President

Name Role Address
CHAPKIS, MARC R President 425 SOUTH AVALON PARK BLVD, ORLANDO, FL 32828

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000038525 DENTISTRY OF ORLANDO EXPIRED 2017-04-11 2022-12-31 No data 425 SOUTH AVALON PARK BLVD SUITE 500, ORLANDO, FL, 32828

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-04-27 No data No data
REGISTERED AGENT NAME CHANGED 2023-04-27 Chapkis, Marc R No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
REINSTATEMENT 2023-04-27
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-13
Domestic Profit 2017-03-17

Related by officers

CHAPKIS, MARC R

BAM LLC

Related by address

425 SOUTH AVALON PARK BLVD, 500, ORLANDO, FL 32828

ALL TIME WIRELESS LLC

425 SOUTH AVALON PARK BLVD, 500, ORLANDO, FL 32828

ALL TIME WIRELESS LLC

Date of last update: 19 Jan 2025

Sources: Florida Department of State

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