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STEPHEN M. KOBERNICK, D.D.S., P.A.

Company Details

Entity Name: STEPHEN M. KOBERNICK, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 08 Jan 1993 (32 years ago)
Document Number: P93000001503
FEI/EIN Number 593157829
Address: 1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756
Mail Address: 1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756
ZIP code: 33756
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STEPHEN M. KOBERNICK, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2013 593157529 2014-07-28 STEPHEN M. KOBERNICK, D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-01
Business code 621111
Sponsor’s telephone number 7275862681
Plan sponsor’s address 1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756

Plan administrator’s name and address

Administrator’s EIN 593157529
Plan administrator’s name STEPHEN M. KOBERNICK, D.D.S., P.A.
Plan administrator’s address 1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756
Administrator’s telephone number 7275862681

Signature of

Role Plan administrator
Date 2014-07-28
Name of individual signing DEBORAH KOBERNICK
Valid signature Filed with authorized/valid electronic signature
STEPHEN M. KOBERNICK, D.D.S., P.A. 401K PROFIT SHARING PLAN 2013 593157529 2014-06-24 STEPHEN M. KOBERNICK, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-01
Business code 621111
Sponsor’s telephone number 7275862681
Plan sponsor’s address 1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756

Plan administrator’s name and address

Administrator’s EIN 593157529
Plan administrator’s name STEPHEN M. KOBERNICK, D.D.S., P.A.
Plan administrator’s address 1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756
Administrator’s telephone number 7275862681

Signature of

Role Plan administrator
Date 2014-06-24
Name of individual signing DEBBIE KOBERNICK
Valid signature Filed with authorized/valid electronic signature
STEPHEN M. KOBERNICK, D.D.S., P.A. 401K PROFIT SHARING PLAN 2012 593157529 2013-10-14 STEPHEN M. KOBERNICK, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-01
Business code 621111
Sponsor’s telephone number 7275862681
Plan sponsor’s address 1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756

Plan administrator’s name and address

Administrator’s EIN 593157529
Plan administrator’s name STEPHEN M. KOBERNICK, D.D.S., P.A.
Plan administrator’s address 1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756
Administrator’s telephone number 7275862681

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing STEPHEN M. KOBERNICK, D.D.S.
Valid signature Filed with authorized/valid electronic signature
STEPHEN M. KOBERNICK, D.D.S., P.A. 401K PROFIT SHARING PLAN 2011 593157529 2012-09-27 STEPHEN M. KOBERNICK, D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-01
Business code 621111
Sponsor’s telephone number 7275862681
Plan sponsor’s address 1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756

Plan administrator’s name and address

Administrator’s EIN 593157529
Plan administrator’s name STEPHEN M. KOBERNICK, D.D.S., P.A.
Plan administrator’s address 1472 JORDAN HILLS COURT, CLEARWATER, FL, 33756
Administrator’s telephone number 7275862681

Signature of

Role Plan administrator
Date 2012-09-27
Name of individual signing STEPHEN M. KOBERNICK, D.D.S.
Valid signature Filed with authorized/valid electronic signature
STEPHEN M. KOBERNICK, D.D.S., P.A. 401K PROFIT SHARING PLAN 2010 593157529 2011-03-22 STEPHEN M. KOBERNICK, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-01
Business code 621111
Sponsor’s telephone number 7275862681
Plan sponsor’s address 1601 SOUTH HIGHLAND AVENUE, SUITE E, CLEARWATER, FL, 337561344

Plan administrator’s name and address

Administrator’s EIN 593157529
Plan administrator’s name STEPHEN M. KOBERNICK, D.D.S., P.A.
Plan administrator’s address 1601 SOUTH HIGHLAND AVENUE, SUITE E, CLEARWATER, FL, 337561344
Administrator’s telephone number 7275862681

Signature of

Role Plan administrator
Date 2011-03-22
Name of individual signing STEPHEN M. KOBERNICK, D.D.S.
Valid signature Filed with authorized/valid electronic signature
STEPHEN M. KOBERNICK, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2009 593157529 2010-10-02 STEPHEN M. KOBERNICK, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-01
Business code 621111
Sponsor’s telephone number 7275862681
Plan sponsor’s address 1601 SOUTH HIGHLAND AVENUE, SUITE E, CLEARWATER, FL, 337561344

Plan administrator’s name and address

Administrator’s EIN 593157529
Plan administrator’s name STEPHEN M. KOBERNICK, D.D.S., P.A.
Plan administrator’s address 1601 SOUTH HIGHLAND AVENUE, SUITE E, CLEARWATER, FL, 337561344
Administrator’s telephone number 7275862681

Signature of

Role Plan administrator
Date 2010-10-02
Name of individual signing STEPHEN M. KOBERNICK, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GASSMAN ALAN S Agent 1212 COURT ST., CLEARWATER, FL, 33756

President

Name Role Address
KOBERNICK DEBORAH S President 792 LIVE OAK TERRACE NE, ST PETERSBURG, FL, 33703

Director

Name Role Address
KOBERNICK DEBORAH S Director 792 LIVE OAK TERRACE NE, ST PETERSBURG, FL, 33703

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
AMENDMENT 2013-12-04 No data No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State