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JAMES E. PEWITT, D.M.D., P.A.

Company Details

Entity Name: JAMES E. PEWITT, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 18 Jan 1994 (31 years ago)
Date of dissolution: 30 Mar 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 30 Mar 2020 (5 years ago)
Document Number: P94000006590
FEI/EIN Number 59-3218909
Address: 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL 32563
Mail Address: 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL 32563
ZIP code: 32563
County: Santa Rosa
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN 2020 593218909 2021-03-22 JAMES E. PEWITT, D.M.D., P.A. 7
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8509348222
Plan sponsor’s address 4117 SOUNDPOINTE DR, GULF BREEZE, FL, 32563

Signature of

Role Plan administrator
Date 2021-03-22
Name of individual signing DANA PEWITT
Valid signature Filed with authorized/valid electronic signature
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN 2019 593218909 2020-10-12 JAMES E. PEWITT, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8509348222
Plan sponsor’s address 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing DANA PEWITT
Valid signature Filed with authorized/valid electronic signature
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN 2018 593218909 2019-03-09 JAMES E. PEWITT, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8509348222
Plan sponsor’s address 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563

Signature of

Role Plan administrator
Date 2019-03-09
Name of individual signing JAMES E. PEWITT, DMD
Valid signature Filed with authorized/valid electronic signature
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN 2017 593218909 2018-03-05 JAMES E. PEWITT, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8509348222
Plan sponsor’s address 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563

Signature of

Role Plan administrator
Date 2018-03-05
Name of individual signing JAMES E. PEWITT, D.M.D.
Valid signature Filed with authorized/valid electronic signature
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN 2016 593218909 2017-05-18 JAMES E. PEWITT, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8509348222
Plan sponsor’s address 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563

Signature of

Role Plan administrator
Date 2017-05-18
Name of individual signing JAMES E. PEWITT, D.M.D.
Valid signature Filed with authorized/valid electronic signature
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN 2015 593218909 2016-03-20 JAMES E. PEWITT, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8509348222
Plan sponsor’s address 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563

Signature of

Role Plan administrator
Date 2016-03-20
Name of individual signing JAMES E. PEWITT, D.M.D.
Valid signature Filed with authorized/valid electronic signature
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN 2014 593218909 2015-06-08 JAMES E. PEWITT, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8509348222
Plan sponsor’s address 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563

Signature of

Role Plan administrator
Date 2015-06-08
Name of individual signing JAMES E. PEWITT, D.M.D.
Valid signature Filed with authorized/valid electronic signature
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN 2013 593218909 2014-06-16 JAMES E. PEWITT, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8509348222
Plan sponsor’s address 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563

Signature of

Role Plan administrator
Date 2014-06-16
Name of individual signing JAMES E. PEWITT, D.M.D.
Valid signature Filed with authorized/valid electronic signature
JAMES E. PEWITT, D.M.D., P.A. 401(K) RETIREMENT PLAN 2012 593218909 2013-10-14 JAMES E. PEWITT, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 8509348222
Plan sponsor’s address 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL, 32563

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing JAMES E. PEWITT, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PEWITT, JAMES E, Dr. Agent 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL 32563

President

Name Role Address
PEWITT, JAMES E, Dr. President 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL 32563

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-03-30 No data No data
REGISTERED AGENT NAME CHANGED 2013-01-10 PEWITT, JAMES E, Dr. No data
CHANGE OF PRINCIPAL ADDRESS 2002-01-25 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL 32563 No data
CHANGE OF MAILING ADDRESS 2002-01-25 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL 32563 No data
REGISTERED AGENT ADDRESS CHANGED 2002-01-25 1371 COUNTRY CLUB ROAD, GULF BREEZE, FL 32563 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-03-30
ANNUAL REPORT 2019-01-07
ANNUAL REPORT 2018-01-25
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-01-20
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-01-13
ANNUAL REPORT 2013-01-10
ANNUAL REPORT 2012-01-09
ANNUAL REPORT 2011-01-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State