| Entity Name: | KENNETH L. MUNDY, D.D.S., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 17 Dec 1993 (31 years ago) |
| Date of dissolution: | 30 Apr 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Apr 2021 (4 years ago) |
| Document Number: | P93000087276 |
| FEI/EIN Number | 59-3213346 |
| Address: | 2439 Hollingsworth Hill Ave., LAKELAND, FL 33803 |
| Mail Address: | 2439 Hollingsworth Hill Ave., LAKELAND, FL 33803 |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124281977 | 2008-07-02 | 2008-07-02 | 4326 HIGHLAND PARK BLVD, LAKELAND, FL, 338131647, US | 4326 HIGHLAND PARK BLVD, LAKELAND, FL, 338131647, US | |||||||||||||||||||
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| Phone | +1 863-644-6418 |
| Fax | 8636446419 |
Authorized person
| Name | MRS. JUDY K MUNDY |
| Role | ADMINISTRATOR |
| Phone | 8636446418 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN6080 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH L. MUNDY, D.D.S., P.A. PROFIT SHARING PLAN | 2016 | 593213346 | 2017-07-06 | KENNETH L. MUNDY, D.D.S., P.A. | 8 | |||||||||||||
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| KENNETH L. MUNDY, D.D.S., P.A. PROFIT SHARING PLAN | 2015 | 593213346 | 2016-03-30 | KENNETH L. MUNDY, D.D.S., P.A. | 8 | |||||||||||||
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| KENNETH L. MUNDY, DDS, PA PROFIT SHARING PLAN | 2014 | 593213346 | 2015-05-29 | KENNETH L. MUNDY, D.D.S., P.A. | 8 | |||||||||||||
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| KENNETH L. MUNDY, DDS, PA PROFT SHARING PLAN | 2013 | 593213346 | 2014-07-16 | KENNETH L. MUNDY, D.D.S., P.A. | 8 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| MUNDY, KENNETH LD.D.S. | Agent | 2439 Hollingsworth Hill Ave., LAKELAND, FL 33803 |
| Name | Role | Address |
|---|---|---|
| MUNDY, KENNETH LD.D.S. | President | 4326 HIGHLAND PARK BLVD., LAKELAND, FL |
| Name | Role | Address |
|---|---|---|
| MUNDY, KENNETH LD.D.S. | Treasurer | 4326 HIGHLAND PARK BLVD., LAKELAND, FL |
| Name | Role | Address |
|---|---|---|
| MUNDY, KENNETH LD.D.S. | Secretary | 4326 HIGHLAND PARK BLVD., LAKELAND, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-10 | 2439 Hollingsworth Hill Ave., LAKELAND, FL 33803 | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-10 | 2439 Hollingsworth Hill Ave., LAKELAND, FL 33803 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-10 | 2439 Hollingsworth Hill Ave., LAKELAND, FL 33803 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-30 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-03-03 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-01-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
