| Entity Name: | EUSTIS LAKESIDE DENTAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Apr 2021 (4 years ago) |
| Document Number: | P21000041472 |
| FEI/EIN Number | 86-3744989 |
| Address: | 15 W ATWATER AVE, EUSTIS, FL, 32726, US |
| Mail Address: | 15 W ATWATER AVE, EUSTIS, FL, 32726, US |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EUSTIS LAKESIDE DENTAL 401(K) PROFIT SHARING PLAN | 2023 | 863744989 | 2024-09-07 | EUSTIS LAKESIDE DENTAL, P.A. | 14 | |||||||||||||||||||||||
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| EUSTIS LAKESIDE DENTAL DEFINED BENEFIT PLAN | 2023 | 863744989 | 2024-09-07 | EUSTIS LAKESIDE DENTAL, P.A. | 7 | |||||||||||||||||||||||
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| EUSTIS LAKESIDE DENTAL 401(K) PROFIT SHARING PLAN | 2022 | 863744989 | 2023-10-02 | EUSTIS LAKESIDE DENTAL, P.A. | 13 | |||||||||||||||||||||||
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| EUSTIS LAKESIDE DENTAL DEFINED BENEFIT PLAN | 2022 | 863744989 | 2023-10-10 | EUSTIS LAKESIDE DENTAL, P.A. | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-10-10 |
| Name of individual signing | SUMMER YOUNG |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2007-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3523572564 |
| Plan sponsor’s address | 15 W. ATWATER AVE, EUSTIS, FL, 327265401 |
| Name | Role | Address |
|---|---|---|
| YOUNG SUMMER B | Agent | 15 W ATWATER AVE, EUSTIS, FL, 32726 |
| Name | Role | Address |
|---|---|---|
| YOUNG SUMMER B | President | 15 W ATWATER AVE, EUSTIS, FL, 32726 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-16 |
| Domestic Profit | 2021-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
