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DENISE M. PIECZYNSKI, D.M.D., P.A.

Company Details

Entity Name: DENISE M. PIECZYNSKI, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Aug 1994 (30 years ago)
Document Number: P94000062516
FEI/EIN Number 593264465
Address: 1625 20TH STREET, VERO BEACH, FL, 32960
Mail Address: 1625 20TH STREET, VERO BEACH, FL, 32960
ZIP code: 32960
County: Indian River
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENISE M. PIECZYNSKI, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2023 593264465 2024-06-26 DENISE M. PIECZYNSKI, D.M.D., P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 7725677889
Plan sponsor’s address 1625 20TH STREET, VERO BEACH, FL, 349603565

Signature of

Role Plan administrator
Date 2024-06-26
Name of individual signing JEFF BROWN
Valid signature Filed with authorized/valid electronic signature
DENISE M. PIECZYNSKI, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2022 593264465 2023-07-18 DENISE M. PIECZYNSKI, D.M.D., P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 7725677889
Plan sponsor’s address 1625 20TH STREET, VERO BEACH, FL, 349603565

Signature of

Role Plan administrator
Date 2023-07-18
Name of individual signing JEFF BROWN
Valid signature Filed with authorized/valid electronic signature
DENISE M. PIECZYNSKI, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2021 593264465 2022-08-23 DENISE M. PIECZYNSKI, D.M.D., P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 7725677889
Plan sponsor’s address 1625 20TH STREET, VERO BEACH, FL, 349603565

Signature of

Role Plan administrator
Date 2022-08-23
Name of individual signing JEFF BROWN
Valid signature Filed with authorized/valid electronic signature
DENISE M. PIECZYNSKI, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2020 593264465 2021-04-12 DENISE M. PIECZYNSKI, D.M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 7725677889
Plan sponsor’s address 1625 20TH STREET, VERO BEACH, FL, 329603565

Signature of

Role Plan administrator
Date 2021-04-12
Name of individual signing JEFFREY BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-12
Name of individual signing JEFFREY BROWN
Valid signature Filed with authorized/valid electronic signature
DENISE M. PIECZYNSKI, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2019 593264465 2020-08-13 DENISE M. PIECZYNSKI, D.M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 7725677889
Plan sponsor’s address 1625 20TH STREET, VERO BEACH, FL, 329603565

Signature of

Role Plan administrator
Date 2020-08-13
Name of individual signing JEFFREY BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-13
Name of individual signing JEFFREY BROWN
Valid signature Filed with authorized/valid electronic signature
DENISE M. PIECZYNSKI, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2018 593264465 2019-05-10 DENISE M. PIECZYNSKI, D.M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 7725677889
Plan sponsor’s address 1625 20TH STREET, VERO BEACH, FL, 329603565

Signature of

Role Plan administrator
Date 2019-05-10
Name of individual signing JEFFREY BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-10
Name of individual signing JEFFREY BROWN
Valid signature Filed with authorized/valid electronic signature
DENISE M. PIECZYNSKI, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2017 593264465 2018-08-13 DENISE M. PIECZYNSKI, D.M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 7725677889
Plan sponsor’s address 1625 20TH STREET, VERO BEACH, FL, 329603565

Signature of

Role Plan administrator
Date 2018-08-13
Name of individual signing DENISE M PIECZYNSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-13
Name of individual signing DENISE M PIECZYNSKI
Valid signature Filed with authorized/valid electronic signature
DENISE M. PIECZYNSKI, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2016 593264465 2017-05-30 DENISE M. PIECZYNSKI, D.M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 7725677889
Plan sponsor’s address 1625 20TH STREET, VERO BEACH, FL, 329603565

Signature of

Role Plan administrator
Date 2017-05-30
Name of individual signing DENISE M PIECZYNSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-30
Name of individual signing DENISE M PIECZYNSKI
Valid signature Filed with authorized/valid electronic signature
DENISE M. PIECZYNSKI, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2015 593264465 2016-10-13 DENISE M. PIECZYNSKI, D.M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 7725677889
Plan sponsor’s address 1625 20TH STREET, VERO BEACH, FL, 329603565

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing DENISE M PIECZYNSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing DENISE M PIECZYNSKI
Valid signature Filed with authorized/valid electronic signature
DENISE M. PIECZYNSKI, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2014 593264465 2015-07-29 DENISE M. PIECZYNSKI, D.M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 7725677889
Plan sponsor’s address 1625 20TH STREET, VERO BEACH, FL, 329603565

Signature of

Role Plan administrator
Date 2015-07-29
Name of individual signing DENISE PIECZYNSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-29
Name of individual signing DENISE PIECZYNSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PIECZYNSKI DENISE M Agent 1625 20TH STREET, VERO BEACH, FL, 32960

Director

Name Role Address
PIECZYNSKI DENISE M Director 1625 20TH STREET, VERO BEACH, FL, 32960

Date of last update: 02 Jan 2025

Sources: Florida Department of State