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  5. JAMES W. MEDLOCK, D.D.S., P.A.

JAMES W. MEDLOCK, D.D.S., P.A.

Company Details

Entity Name: JAMES W. MEDLOCK, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 15 Mar 1993 (32 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: P93000020266
FEI/EIN Number 65-0414934
Address: 7109 KINSINGTON COURT, PALM BEACH GARDENS, FL 33418
Mail Address: 7109 KINSINGTON COURT, PALM BEACH GARDENS, FL 33418
ZIP code: 33418
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAMES W. MEDLOCK, D.D.S., P.A. PROFIT SHARING PLAN 2015 650414934 2016-02-02 JAMES W. MEDLOCK, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5614394620
Plan sponsor’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406
JAMES W. MEDLOCK, D.D.S., P.A. PROFIT SHARING PLAN 2014 650414934 2015-06-30 JAMES W. MEDLOCK, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5614394620
Plan sponsor’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406
JAMES W. MEDLOCK, D.D.S., P.A. PROFIT SHARING PLAN 2013 650414934 2014-07-31 JAMES W. MEDLOCK, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5614394620
Plan sponsor’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406
JAMES W. MEDLOCK, D.D.S., P.A. PROFIT SHARING PLAN 2012 650414934 2013-10-10 JAMES W. MEDLOCK, D.D.S., P.A. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5614394620
Plan sponsor’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-10
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature
JAMES W. MEDLOCK, DDS, P.A. DEFINED BENEFIT PLAN 2012 650414934 2013-10-11 JAMES W. MEDLOCK, D.D.S., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5614394620
Plan sponsor’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-11
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature
JAMES W. MEDLOCK, DDS, P.A. DEFINED BENEFIT PLAN 2011 650414934 2012-07-18 JAMES W. MEDLOCK, D.D.S., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5614394620
Plan sponsor’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406

Plan administrator’s name and address
Administrator’s EIN 650414934
Plan administrator’s name JAMES W. MEDLOCK, D.D.S., P.A.
Plan administrator’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406
Administrator’s telephone number 5614394620

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-18
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature
JAMES W. MEDLOCK, D.D.S., P.A. PROFIT SHARING PLAN 2011 650414934 2012-06-01 JAMES W. MEDLOCK, D.D.S., P.A. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5614394620
Plan sponsor’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406

Plan administrator’s name and address
Administrator’s EIN 650414934
Plan administrator’s name JAMES W. MEDLOCK, D.D.S., P.A.
Plan administrator’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406
Administrator’s telephone number 5614394620

Signature of
Role Plan administrator
Date 2012-06-01
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-01
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature
JAMES W. MEDLOCK, D.D.S., P.A. PROFIT SHARING PLAN 2010 650414934 2011-09-08 JAMES W. MEDLOCK, D.D.S., P.A. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5614394620
Plan sponsor’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406

Plan administrator’s name and address
Administrator’s EIN 650414934
Plan administrator’s name JAMES W. MEDLOCK, D.D.S., P.A.
Plan administrator’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406
Administrator’s telephone number 5614394620

Signature of
Role Plan administrator
Date 2011-09-08
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-08
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature
JAMES W. MEDLOCK, DDS, P.A. DEFINED BENEFIT PLAN 2010 650414934 2011-09-08 JAMES W. MEDLOCK, D.D.S., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5614394620
Plan sponsor’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406

Plan administrator’s name and address
Administrator’s EIN 650414934
Plan administrator’s name JAMES W. MEDLOCK, D.D.S., P.A.
Plan administrator’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406
Administrator’s telephone number 5614394620

Signature of
Role Plan administrator
Date 2011-09-08
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-08
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature
JAMES W. MEDLOCK, D.D.S., P.A. PROFIT SHARING PLAN 2009 650414934 2010-08-26 JAMES W. MEDLOCK, D.D.S., P.A. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5614394620
Plan sponsor’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406

Plan administrator’s name and address
Administrator’s EIN 650414934
Plan administrator’s name JAMES W. MEDLOCK, D.D.S., P.A.
Plan administrator’s address 2326 SOUTH CONGRESS AVE., SUITE 1-D, WEST PALM BEACH, FL, 33406
Administrator’s telephone number 5614394620

Signature of
Role Plan administrator
Date 2010-08-26
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-26
Name of individual signing JAMES W. MEDLOCK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MEDLOCK, JAMES W Agent 7109 KINSINGTON COURT, PALM BEACH GARDENS, FL 33418

President

Name Role Address
MEDLOCK, JAMES W President 7109 KINSINGTON COURT, PALM BEACH GARDENS, FL 33418

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-23 7109 KINSINGTON COURT, PALM BEACH GARDENS, FL 33418 No data
CHANGE OF MAILING ADDRESS 2018-04-23 7109 KINSINGTON COURT, PALM BEACH GARDENS, FL 33418 No data
REGISTERED AGENT ADDRESS CHANGED 2018-04-23 7109 KINSINGTON COURT, PALM BEACH GARDENS, FL 33418 No data
REINSTATEMENT 2000-10-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-03-09
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-02-24
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-01-17
ANNUAL REPORT 2013-04-14
ANNUAL REPORT 2012-02-01
ANNUAL REPORT 2011-01-22

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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