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  5. ISLAND DENTAL ASSOCIATES, PA

ISLAND DENTAL ASSOCIATES, PA

Company Details

Entity Name: ISLAND DENTAL ASSOCIATES, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 20 Apr 2018 (7 years ago)
Document Number: P18000037269
FEI/EIN Number NOT APPLICABLE
Address: 1721 FLAGLER AVE, KEY WEST, FL, 33040, US
Mail Address: 1721 FLAGLER AVE, KEY WEST, FL, 33040, US
ZIP code: 33040
County: Monroe
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ISLAND DENTAL ASSOCIATES, PA PROFIT SHARING PLAN 2020 650334095 2021-09-30 ISLAND DENTAL ASSOCIATES, PA 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3052946696
Plan sponsor’s address 1721 FLAGLER AVE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2021-09-30
Name of individual signing BILL MAYFIELD
Valid signature Filed with authorized/valid electronic signature
ISLAND DENTAL ASSOCIATES, PA PROFIT SHARING PLAN 2020 650334095 2021-06-22 ISLAND DENTAL ASSOCIATES, PA 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3052946696
Plan sponsor’s address 1721 FLAGLER AVE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2021-06-22
Name of individual signing BILL MAYFIELD
Valid signature Filed with authorized/valid electronic signature
ISLAND DENTAL ASSOCIATES, PA PROFIT SHARING PLAN 2019 650334095 2020-07-17 ISLAND DENTAL ASSOCIATES, PA 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3052946696
Plan sponsor’s address 1721 FLAGLER AVE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2020-07-17
Name of individual signing BILL MAYFIELD
Valid signature Filed with authorized/valid electronic signature
ISLAND DENTAL ASSOCIATES, PA PROFIT SHARING PLAN 2018 650334095 2019-07-24 ISLAND DENTAL ASSOCIATES, PA 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3052946696
Plan sponsor’s address 1721 FLAGLER AVE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing BILL MAYFIELD
Valid signature Filed with authorized/valid electronic signature
ISLAND DENTAL ASSOCIATES, PA PROFIT SHARING PLAN 2017 650334095 2018-07-18 ISLAND DENTAL ASSOCIATES, PA 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3052946696
Plan sponsor’s address 1721 FLAGLER AVE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2018-07-18
Name of individual signing BILL MAYFIELD
Valid signature Filed with authorized/valid electronic signature
ISLAND DENTAL ASSOCIATES, PA PROFIT SHARING PLAN 2016 650334095 2017-07-23 ISLAND DENTAL ASSOCIATES, PA 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3052946696
Plan sponsor’s address 1721 FLAGLER AVE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2017-07-23
Name of individual signing BILL MAYFIELD
Valid signature Filed with authorized/valid electronic signature
ISLAND DENTAL ASSOCIATES, PA PROFIT SHARING PLAN 2015 650334095 2016-07-18 ISLAND DENTAL ASSOCIATES, PA 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3052946696
Plan sponsor’s address 1721 FLAGLER AVE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing BILL MAYFIELD
Valid signature Filed with authorized/valid electronic signature
ISLAND DENTAL ASSOCIATES, PA PROFIT SHARING PLAN 2014 650334095 2015-05-04 ISLAND DENTAL ASSOCIATES, PA 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3052946696
Plan sponsor’s address 1721 FLAGLER AVE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2015-05-04
Name of individual signing Y1059564
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-04
Name of individual signing Y1059564
Valid signature Filed with authorized/valid electronic signature
ISLAND DENTAL ASSOCIATES, PA PROFIT SHARING PLAN 2013 650334095 2014-09-22 ISLAND DENTAL ASSOCIATES, PA 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3052946696
Plan sponsor’s address 1721 FLAGLER AVE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing Y1059564
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-22
Name of individual signing Y1059564
Valid signature Filed with authorized/valid electronic signature
ISLAND DENTAL ASSOCIATES, PA PROFIT SHARING PLAN 2012 650334095 2013-07-27 ISLAND DENTAL ASSOCIATES, PA 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 3052946696
Plan sponsor’s address 1721 FLAGLER AVE, KEY WEST, FL, 33040

Signature of
Role Plan administrator
Date 2013-07-27
Name of individual signing Y1059564
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-27
Name of individual signing Y1059564
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SPELIOS LOUIS G Agent 1721 FLAGLER AVE, KEY WEST,, FL, 33040

President

Name Role Address
SPELIOS LOUIS G President 1721 FLAGLER AVE, KEY WEST, FL, 33040

Documents

Name Date
ANNUAL REPORT 2024-01-28
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-01-29
ANNUAL REPORT 2021-01-15
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-05
Domestic Profit 2018-04-20

Related by officers

SPELIOS LOUIS G

SMILES OF AMERICA, INC DENTALFX, INC. ARTISTIC SMILES P.A. BLUE SKY HEALTH CARE, LLC LSSR LLC ISLAND DENTAL PA HOOKED KEY WEST, LLC SPELIOS AND ASSOCIATES - KENDALL, P.A. SPELIOS AND ASSOCIATES - OLD CUTLER, P.A. DENTAL HEALTH ASSOCIATES, INC.

Related by address

1721 FLAGLER AVE, KEY WEST, FL, 33040, US

TRAVELZOOOM.COM CO. HOOKED KEY WEST, LLC

1721 FLAGLER AVE, KEY WEST, FL, 33040, US

TRAVELZOOOM.COM CO. HOOKED KEY WEST, LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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