| Entity Name: | FREEDOM DENTAL OF FORT MYERS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 Oct 2020 (4 years ago) |
| Document Number: | P20000081200 |
| FEI/EIN Number | 85-3549584 |
| Address: | 14150 Metropolis Ave, #1, Fort Myers, FL 33912 |
| Mail Address: | 14150 Metropolis Ave, #1, Fort Myers, FL 33912 |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FREEDOM DENTAL OF FORT MYERS P.A. 401(K) PLAN | 2023 | 853549584 | 2024-05-28 | FREEDOM DENTAL OF FORT MYERS P.A. | 8 | |||||||||||||||||||||||||||||||
|
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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 |
|---|---|---|
| VANDERBOSCH, JOSEPH C | Agent | 14150 Metropolis Ave, #1, Fort Myers, FL 33912 |
| Name | Role | Address |
|---|---|---|
| VANDERBOSCH, JOSEPH C | President | 14150 Metropolis Ave, #1 Fort Myers, FL 33912 |
| Name | Role | Address |
|---|---|---|
| VANDERBOSCH, JOSEPH | Treasurer | 14150 Metropolis Ave, #1 Fort Myers, FL 33912 |
| Name | Role | Address |
|---|---|---|
| VANDERBOSCH, JOSEPH | Secretary | 14150 Metropolis Ave, #1 Fort Myers, FL 33912 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-14 | 14150 Metropolis Ave, #1, Fort Myers, FL 33912 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-14 | 14150 Metropolis Ave, #1, Fort Myers, FL 33912 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-14 | 14150 Metropolis Ave, #1, Fort Myers, FL 33912 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-07-01 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-01-14 |
| Domestic Profit | 2020-10-09 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
