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  5. ADVANCED DENTAL CONCEPTS OF JUPITER, INC.

ADVANCED DENTAL CONCEPTS OF JUPITER, INC.

Company Details

Entity Name: ADVANCED DENTAL CONCEPTS OF JUPITER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 22 Jun 1994 (31 years ago)
Date of dissolution: 15 Jan 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 15 Jan 2020 (5 years ago)
Document Number: P94000047998
FEI/EIN Number 650506725
Address: 10244 Allamanda Circle, Palm Beach Gardens, FL, 33410, US
Mail Address: 10244 Allamanda circle, Palm Beach Gardens, FL, 33410, US
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215943006 2006-07-31 2007-09-01 651 WEST INDIANTOWN ROAD, SUITE A, JUPITER, FL, 33458, US 651 WEST INDIANTOWN ROAD, SUITE A, JUPITER, FL, 33458, US

Contacts
Phone +1 561-747-7172

Authorized person
Name DR. MONA SIMS
Role DENTIST
Phone 5617477172

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN12553
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED DENTAL CONCEPTS PROFIT SHARING PLAN 2022 650506725 2023-01-13 ADVANCED DENTAL CONCEPTS OF JUPITER 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5617996800
Plan sponsor’s address 10244 ALLAMANDA CIR, SUITE A, PALM BEACH GARDENS, FL, 334105221

Signature of
Role Plan administrator
Date 2023-01-13
Name of individual signing MONA SIMS
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL CONCEPTS PROFIT SHARING PLAN 2021 650506725 2022-05-25 ADVANCED DENTAL CONCEPTS OF JUPITER 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5617996800
Plan sponsor’s address 10244 ALLAMANDA CIR, SUITE A, PALM BEACH GARDENS, FL, 334105221

Signature of
Role Plan administrator
Date 2022-05-25
Name of individual signing MONA SIMS
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL CONCEPTS PROFIT SHARING PLAN 2020 650506725 2021-05-20 ADVANCED DENTAL CONCEPTS OF JUPITER 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5617996800
Plan sponsor’s address 10244 ALLAMANDA CIR, SUITE A, PALM BEACH GARDENS, FL, 334105221

Signature of
Role Plan administrator
Date 2021-05-20
Name of individual signing MONA SIMS
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL CONCEPTS PROFIT SHARING PLAN 2019 650506725 2020-05-22 ADVANCED DENTAL CONCEPTS OF JUPITER 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5617996800
Plan sponsor’s address 10244 ALLAMANDA CIR, SUITE A, PALM BEACH GARDENS, FL, 334105221

Signature of
Role Plan administrator
Date 2020-05-22
Name of individual signing MONA SIMS
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL CONCEPTS PROFIT SHARING PLAN 2018 650506725 2019-05-31 ADVANCED DENTAL CONCEPTS OF JUPITER 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5617996800
Plan sponsor’s address 10244 ALLAMANDA CIR, SUITE A, PALM BEACH GARDENS, FL, 334105221

Signature of
Role Plan administrator
Date 2019-05-31
Name of individual signing MONA SIMS
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL CONCEPTS PROFIT SHARING PLAN 2017 650506725 2018-07-20 ADVANCED DENTAL CONCEPTS OF JUPITER 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5617996800
Plan sponsor’s address 10244 ALLAMANDA CIR, SUITE A, PALM BEACH GARDENS, FL, 334105221

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing MONA SIMS
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL CONCEPTS PROFIT SHARING PLAN 2016 650506725 2017-07-19 ADVANCED DENTAL CONCEPTS OF JUPITER 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5617996800
Plan sponsor’s address 10244 ALLAMANDA CIR, SUITE A, PALM BEACH GARDENS, FL, 334105221

Signature of
Role Plan administrator
Date 2017-07-19
Name of individual signing MONA SIMS
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL CONCEPTS PROFIT SHARING PLAN 2015 650506725 2016-06-17 ADVANCED DENTAL CONCEPTS OF JUPITER 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5617996800
Plan sponsor’s address 651 W. INDIANTOWN RD, SUITE A, JUPITER, FL, 33458

Signature of
Role Plan administrator
Date 2016-06-17
Name of individual signing SIMS
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL CONCEPTS OF JUPITER, INC., DEFINED BENEFIT PENSION PLAN 2014 650506725 2015-10-31 ADVANCED DENTAL CONCEPTS OF JUPITER, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5617477172
Plan sponsor’s address COLONIAL PLAZA, 651-A WEST INDIANTOWN ROAD, JUPITER, FL, 33458

Signature of
Role Plan administrator
Date 2015-10-31
Name of individual signing MONA SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-31
Name of individual signing MONA SIMS
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL CONCEPTS OF JUPITER, INC., DEFINED BENEFIT PENSION PLAN 2013 650506725 2014-04-06 ADVANCED DENTAL CONCEPTS OF JUPITER, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5617477172
Plan sponsor’s address COLONIAL PLAZA, 651-A WEST INDIANTOWN ROAD, JUPITER, FL, 33458

Signature of
Role Plan administrator
Date 2014-04-06
Name of individual signing MONA SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-06
Name of individual signing MONA SIMS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SIMS MONA Agent 10244 Allamanda circle, palm beach gardens, FL, 33410

Director

Name Role Address
SIMS MONA Director 10244 Allamanda Circle, Palm Beach Gardens, FL, 33410

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-01-15 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-04-08 10244 Allamanda Circle, Palm Beach Gardens, FL 33410 No data
REGISTERED AGENT ADDRESS CHANGED 2016-02-06 10244 Allamanda circle, palm beach gardens, FL 33410 No data
CHANGE OF MAILING ADDRESS 2015-01-10 10244 Allamanda Circle, Palm Beach Gardens, FL 33410 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-01-15
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-01-06
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-02-06
ANNUAL REPORT 2015-01-10
ANNUAL REPORT 2014-01-19
ANNUAL REPORT 2013-01-27
ANNUAL REPORT 2012-01-16
ANNUAL REPORT 2011-02-12

Related by officers

SIMS MONA

ADVANCED CONCEPTS OF JUPITER, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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