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FERGUSON DENTAL P.A.

Company Details

Entity Name: FERGUSON DENTAL P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Sep 1994 (30 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 14 May 2008 (17 years ago)
Document Number: P94000067429
FEI/EIN Number 650524102
Address: 4745 SW 148TH AVE SUITE #302, DAVIE, FL, 33330, US
Mail Address: 1968 WATER RIDGE DRIVE, WESTON, FL, 33326
ZIP code: 33330
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FERGUSON DENTAL P.A. 401(K) PLAN 2023 650524102 2024-06-28 FERGUSON DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545305164
Plan sponsor’s address 1968 WATER RIDGE DRIVE, WESTON, FL, 33326

Signature of

Role Plan administrator
Date 2024-06-28
Name of individual signing KATHERINE FERGUSON
Valid signature Filed with authorized/valid electronic signature
FERGUSON DENTAL P.A. 401(K) PLAN 2022 650524102 2023-07-03 FERGUSON DENTAL, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545305164
Plan sponsor’s address 1968 WATER RIDGE DRIVE, WESTON, FL, 33326

Signature of

Role Plan administrator
Date 2023-07-03
Name of individual signing KATHERINE FERGUSON
Valid signature Filed with authorized/valid electronic signature
FERGUSON DENTAL P.A. 401(K) PLAN 2021 650524102 2022-09-19 FERGUSON DENTAL, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545305164
Plan sponsor’s address 1968 WATER RIDGE DRIVE, WESTON, FL, 33326

Signature of

Role Plan administrator
Date 2022-09-19
Name of individual signing KATHERINE FERGUSON
Valid signature Filed with authorized/valid electronic signature
FERGUSON DENTAL, P.A. 401(K) PROFIT SHARING PLAN 2020 650524102 2021-08-19 FERGUSON DENTAL, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545305164
Plan sponsor’s address 1968 WATER RIDGE DRIVE, WESTON, FL, 33326

Signature of

Role Plan administrator
Date 2021-08-19
Name of individual signing KATHERINE FERGUSON
Valid signature Filed with authorized/valid electronic signature
FERGUSON DENTAL, P.A. 401(K) PROFIT SHARING PLAN 2019 650524102 2020-07-23 FERGUSON DENTAL, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545305164
Plan sponsor’s address 1968 WATER RIDGE DRIVE, WESTON, FL, 33326

Signature of

Role Plan administrator
Date 2020-07-23
Name of individual signing KATHERINE FERGUSON
Valid signature Filed with authorized/valid electronic signature
FERGUSON DENTAL, P.A. 401(K) PROFIT SHARING PLAN 2018 650524102 2019-10-09 FERGUSON DENTAL, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545305164
Plan sponsor’s address 1968 WATER RIDGE DRIVE, WESTON, FL, 33326

Signature of

Role Plan administrator
Date 2019-10-09
Name of individual signing KATHERINE FERGUSON
Valid signature Filed with authorized/valid electronic signature
FERGUSON DENTAL, P.A. 401(K) PROFIT SHARING PLAN 2017 650524102 2018-07-12 FERGUSON DENTAL, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545305164
Plan sponsor’s address 1968 WATER RIDGE DRIVE, WESTON, FL, 33326

Signature of

Role Plan administrator
Date 2018-07-12
Name of individual signing KATHERINE FERGUSON
Valid signature Filed with authorized/valid electronic signature
FERGUSON DENTAL, P.A. 401(K) PROFIT SHARING PLAN 2016 650524102 2017-09-14 FERGUSON DENTAL, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545305164
Plan sponsor’s address 1968 WATER RIDGE DRIVE, WESTON, FL, 33326

Signature of

Role Plan administrator
Date 2017-09-14
Name of individual signing KATHERINE FERGUSON
Valid signature Filed with authorized/valid electronic signature
FERGUSON DENTAL, P.A. 401(K) PROFIT SHARING PLAN 2015 650524102 2016-06-03 FERGUSON DENTAL, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 9545305164
Plan sponsor’s address 1968 WATER RIDGE DRIVE, WESTON, FL, 33326

Signature of

Role Plan administrator
Date 2016-06-03
Name of individual signing KATHERINE FERGUSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
FERGUSON Rickie Agent 1968 WATER RIDGE DRIVE, WESTON, FL, 33326

Vice President

Name Role Address
FERGUSON RICKie Vice President 1968 WATER RIDGE DRIVE, WESTON, FL, 33326

President

Name Role Address
FERGUSON KATHERINE A President 1968 WATER RIDGE DRIVE, WESTON, FL, 33326

Secretary

Name Role Address
FERGUSON KATHERINE Secretary 1968 WATER RIDGE DRIVE, WESTON, FL, 33326

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-01-22 FERGUSON, Rickie No data
CHANGE OF PRINCIPAL ADDRESS 2010-01-08 4745 SW 148TH AVE SUITE #302, DAVIE, FL 33330 No data
NAME CHANGE AMENDMENT 2008-05-14 FERGUSON DENTAL P.A. No data
CHANGE OF MAILING ADDRESS 2002-07-17 4745 SW 148TH AVE SUITE #302, DAVIE, FL 33330 No data
REGISTERED AGENT ADDRESS CHANGED 2002-07-17 1968 WATER RIDGE DRIVE, WESTON, FL 33326 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-07-19
ANNUAL REPORT 2019-01-27
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-22

Date of last update: 03 Feb 2025

Sources: Florida Department of State