| Entity Name: | PALM HARBOR SMILES PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PALM HARBOR SMILES PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 19 Aug 2021 (4 years ago) |
| Document Number: | P21000074505 |
| FEI/EIN Number |
87-2429342
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 1475 Belcher Road S, Largo, FL, 33771, US |
| Address: | 2702 TAMPA ROAD, PALM HARBOR, FL, 34684, US |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831867183 | 2021-09-01 | 2021-09-01 | 2702 TAMPA RD, PALM HARBOR, FL, 346843311, US | 2702 TAMPA RD, PALM HARBOR, FL, 346843311, US | |||||||||||||||
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| Phone | +1 727-362-6603 |
| Fax | 7273626594 |
Authorized person
| Name | ANDREW CROUCH |
| Role | VICE PRESIDENT |
| Phone | 3218728820 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PALM HARBOR SMILES PA 401(K) PLAN | 2023 | 872429342 | 2024-05-28 | PALM HARBOR SMILES PA | 13 | |||||||||||||||||||||||||||||||
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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 |
|---|---|---|
| SORELLE CECILIA M | President | 1475 Belcher Road S, Largo, FL, 33771 |
| CROUCH ANDREW | Vice President | 1475 Belcher Road S, Largo, FL, 33771 |
| CROUCH ANDREW | Agent | 1475 Belcher Road S, Largo, FL, 33771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-24 | 2702 TAMPA ROAD, PALM HARBOR, FL 34684 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-24 | 1475 Belcher Road S, Largo, FL 33771 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-05-01 |
| Domestic Profit | 2021-08-19 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
