| Entity Name: | SAND DOLLAR DENTAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Apr 2017 (8 years ago) |
| Document Number: | P17000036877 |
| FEI/EIN Number | 82-1283775 |
| Address: | 300 HOLLYWOOD BLVD SE, FT WALTON BEACH, FL, 32548, US |
| Mail Address: | 300 HOLLYWOOD BLVD SE, FT WALTON BEACH, FL, 32548, US |
| ZIP code: | 32548 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023543287 | 2017-04-25 | 2017-04-25 | 2631 HIDDEN CREEK DR, NAVARRE, FL, 325666704, US | 300 HOLLYWOOD BLVD SE, FORT WALTON BEACH, FL, 325485727, US | |||||||||||||||||
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| Phone | +1 850-712-2307 |
Authorized person
| Name | DR. CARL S GRAVES |
| Role | OWNER |
| Phone | 8507122307 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN21942 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAND DOLLAR DENTAL INC 401(K) PLAN | 2023 | 821283775 | 2024-08-21 | SAND DOLLAR DENTAL INC | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-21 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GRAVES CARL S | Agent | 4203 Indian Bayou Trail, Destin, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| GRAVES CARL S | President | 4203 Indian Bayou Trail, Destin, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| OUSLEY-GRAVES RACHEL D | Vice President | 4203 Indian Bayou Trail, Destin, FL, 32541 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-02-19 | 300 HOLLYWOOD BLVD SE, FT WALTON BEACH, FL 32548 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-19 | 4203 Indian Bayou Trail, 1908, Destin, FL 32541 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-02-19 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-09 |
| Domestic Profit | 2017-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
