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  5. NELSON GUMUCIO, D.D.S., P.A.

NELSON GUMUCIO, D.D.S., P.A.

Company Details

Entity Name: NELSON GUMUCIO, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Feb 1994 (31 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Nov 2016 (8 years ago)
Document Number: P94000008298
FEI/EIN Number 650484125
Address: 208 NW Ave L, Belle Glade, FL, 33430, US
Mail Address: 208 NW Ave L, Belle Glade, FL, 33430, US
ZIP code: 33430
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NELSON GUMUCIO DDS 401(K) PLAN 2023 650484125 2024-06-12 NELSON GUMUCIO D D S P A 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5613097778
Plan sponsor’s address 208 NW AVE L, BELLE GLADE, FL, 33430

Signature of
Role Plan administrator
Date 2024-06-12
Name of individual signing NELSON GUMUCIO
Valid signature Filed with authorized/valid electronic signature
NELSON GUMUCIO DDS 401(K) PLAN 2022 650484125 2023-06-02 NELSON GUMUCIO D D S P A 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5613097778
Plan sponsor’s address 208 NW AVE L, BELLE GLADE, FL, 33430

Signature of
Role Plan administrator
Date 2023-06-02
Name of individual signing NELSON GUMUCIO
Valid signature Filed with authorized/valid electronic signature
NELSON GUMUCIO DDS 401(K) PLAN 2021 650484125 2022-06-20 NELSON GUMUCIO D D S P A 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5613097778
Plan sponsor’s address 13005 SOUTHERN BLVD STE 143, LOXAHATCHEE, FL, 33470

Signature of
Role Plan administrator
Date 2022-06-20
Name of individual signing NELSON GUMUCIO
Valid signature Filed with authorized/valid electronic signature
NELSON GUMUCIO DDS 401(K) PLAN 2020 650484125 2021-08-18 NELSON GUMUCIO D D S P A 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5613097778
Plan sponsor’s address 13005 SOUTHERN BLVD STE 143, LOXAHATCHEE, FL, 33470

Signature of
Role Plan administrator
Date 2021-08-18
Name of individual signing NELSON GUMUCIO
Valid signature Filed with authorized/valid electronic signature
NELSON GUMUCIO DDS 401(K) PLAN 2019 650484125 2021-02-04 NELSON GUMUCIO D D S P A 5
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5613097778
Plan sponsor’s address 13005 SOUTHERN BLVD STE 143, LOXAHATCHEE, FL, 33470

Signature of
Role Plan administrator
Date 2021-02-04
Name of individual signing NELSON GUMUCIO
Valid signature Filed with authorized/valid electronic signature
NELSON GUMUCIO DDS 401(K) PLAN 2019 650484125 2021-02-17 NELSON GUMUCIO D D S P A 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5613097778
Plan sponsor’s address 13005 SOUTHERN BLVD STE 143, LOXAHATCHEE, FL, 33470

Signature of
Role Plan administrator
Date 2021-02-17
Name of individual signing NELSON GUMUCIO
Valid signature Filed with authorized/valid electronic signature
NELSON GUMUCIO DDS 401(K) PLAN 2018 650484125 2019-05-31 NELSON GUMUCIO D D S P A 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5613097778
Plan sponsor’s address 13005 SOUTHERN BLVD STE 143, LOXAHATCHEE, FL, 33470

Signature of
Role Plan administrator
Date 2019-05-31
Name of individual signing NELSON GUMUCIO
Valid signature Filed with authorized/valid electronic signature
NELSON GUMUCIO DDS 401(K) PLAN 2017 650484125 2018-11-26 NELSON GUMUCIO D D S P A 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 5613097778
Plan sponsor’s address 13005 SOUTHERN BLVD STE 143, LOXAHATCHEE, FL, 33470

Signature of
Role Plan administrator
Date 2018-11-26
Name of individual signing NELSON GUMUCIO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GUMUCIO NELSON D Agent 208 NW Ave L, Belle Glade, FL, 33430

President

Name Role Address
Gumucio Nelson D President 208 NW Ave L, Belle Glade, FL, 33430

Vice President

Name Role Address
Gumucio Nelson D Vice President 208 NW Ave L, Belle Glade, FL, 33430

Secretary

Name Role Address
Gumucio Nelson D Secretary 208 NW Ave L, Belle Glade, FL, 33430

Treasurer

Name Role Address
Gumucio Nelson D Treasurer 208 NW Ave L, Belle Glade, FL, 33430

Director

Name Role Address
Gumucio Nelson D Director 208 NW Ave L, Belle Glade, FL, 33430

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-09 208 NW Ave L, Belle Glade, FL 33430 No data
CHANGE OF MAILING ADDRESS 2024-02-09 208 NW Ave L, Belle Glade, FL 33430 No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-09 208 NW Ave L, Belle Glade, FL 33430 No data
REINSTATEMENT 2016-11-17 No data No data
REGISTERED AGENT NAME CHANGED 2016-11-17 GUMUCIO, NELSON D.D.S. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-02-07
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-03-25
ANNUAL REPORT 2017-01-09
REINSTATEMENT 2016-11-17
ANNUAL REPORT 2015-03-09

Related by officers

No related officers

Related by address

208 NW Ave L, Belle Glade, FL, 33430, US

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Date of last update: 03 Feb 2025

Sources: Florida Department of State

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