| Entity Name: | VITRAL ORTHODONTICS PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Sep 2018 (6 years ago) |
| Document Number: | P18000080579 |
| FEI/EIN Number | 83-2032972 |
| Address: | 114 Wilshire Blvd, CASSELBERRY, FL, 32707, US |
| Mail Address: | 114 Wilshire Blvd, CASSELBERRY, FL, 32707, US |
| ZIP code: | 32707 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245795194 | 2019-02-05 | 2019-02-05 | 114 WILSHIRE BLVD, CASSELBERRY, FL, 327075345, US | 114 WILSHIRE BLVD, CASSELBERRY, FL, 327075345, US | |||||||||||||
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| Phone | +1 407-907-6361 |
Authorized person
| Name | LILLELENNY SANTANA |
| Role | PRESIDENT |
| Phone | 4079076361 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VITRAL ORTHODONTICS PA 401(K) PLAN | 2023 | 832032972 | 2024-05-28 | VITRAL ORTHODONTICS PA | 10 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-28 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CARDENAS ALAIN | Agent | 114 WILSHIRE BLVD, CASSELBERRY, FL, 32707 |
| Name | Role | Address |
|---|---|---|
| SANTANA LILLELENNY | President | 114 Wilshire Blvd, CASSELBERRY, FL, 32707 |
| Name | Role | Address |
|---|---|---|
| CARDENAS ALAIN | Secretary | 114 Wilshire Blvd, CASSELBERRY, FL, 32707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-09-21 | CARDENAS, ALAIN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-09-21 | 114 WILSHIRE BLVD, CASSELBERRY, FL 32707 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-28 | 114 Wilshire Blvd, CASSELBERRY, FL 32707 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-28 | 114 Wilshire Blvd, CASSELBERRY, FL 32707 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-21 |
| Reg. Agent Change | 2020-09-21 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-01-28 |
| Domestic Profit | 2018-09-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
