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BARRY H. STEVENS, D.D.S., P.A.

Company Details

Entity Name: BARRY H. STEVENS, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Oct 1994 (30 years ago)
Document Number: P94000080121
FEI/EIN Number 593280332
Address: 2365 PARK STREET, JACKSONVILLE, FL, 32204
Mail Address: 2365 PARK STREET, JACKSONVILLE, FL, 32204
ZIP code: 32204
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BARRY H. STEVENS, D.D.S., P.A. PROFIT SHARING RETIREMENT PLAN 2023 593280332 2024-07-25 BARRY H. STEVENS, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9043881220
Plan sponsor’s address 2365 PARK STREET, JACKSONVILLE, FL, 32204

Signature of

Role Plan administrator
Date 2024-07-25
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-25
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
BARRY H. STEVENS, D.D.S., P.A. PROFIT SHARING RETIREMENT PLAN 2022 593280332 2023-07-31 BARRY H. STEVENS, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9043881220
Plan sponsor’s address 2365 PARK STREET, JACKSONVILLE, FL, 32204

Signature of

Role Plan administrator
Date 2023-07-31
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-31
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
BARRY H. STEVENS, D.D.S., P.A. PROFIT SHARING RETIREMENT PLAN 2021 593280332 2022-09-29 BARRY H. STEVENS, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9043881220
Plan sponsor’s address 2365 PARK STREET, JACKSONVILLE, FL, 32204
BARRY H. STEVENS, D.D.S., P.A. PROFIT SHARING RETIREMENT PLAN 2020 593280332 2021-07-26 BARRY H. STEVENS, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9043881220
Plan sponsor’s address 2365 PARK STREET, JACKSONVILLE, FL, 32204

Signature of

Role Plan administrator
Date 2021-07-26
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-26
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
BARRY H. STEVENS, D.D.S., P.A. PROFIT SHARING RETIREMENT PLAN 2019 593280332 2020-07-15 BARRY H. STEVENS, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9043881220
Plan sponsor’s address 2365 PARK STREET, JACKSONVILLE, FL, 32204

Signature of

Role Plan administrator
Date 2020-07-15
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
BARRY H. STEVENS, D.D.S., P.A. PROFIT SHARING RETIREMENT PLAN 2018 593280332 2019-07-12 BARRY H. STEVENS, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9043881220
Plan sponsor’s address 2365 PARK STREET, JACKSONVILLE, FL, 32204

Signature of

Role Plan administrator
Date 2019-07-12
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-12
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
BARRY H. STEVENS, D.D.S., P.A. PROFIT SHARING RETIREMENT PLAN 2017 593280332 2018-05-10 BARRY H. STEVENS, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9043881220
Plan sponsor’s address 2365 PARK STREET, JACKSONVILLE, FL, 32204

Signature of

Role Plan administrator
Date 2018-05-10
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
BARRY H. STEVENS, D.D.S., P.A. PROFIT SHARING RETIREMENT PLAN 2016 593280332 2017-12-06 BARRY H. STEVENS, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9043881220
Plan sponsor’s address 2365 PARK STREET, JACKSONVILLE, FL, 32204

Signature of

Role Plan administrator
Date 2017-12-06
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-12-06
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
BARRY H. STEVENS, D.D.S., P.A. PROFIT SHARING RETIREMENT PLAN 2016 593280332 2017-06-14 BARRY H. STEVENS, D.D.S., P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9043881220
Plan sponsor’s address 2365 PARK STREET, JACKSONVILLE, FL, 32204

Signature of

Role Plan administrator
Date 2017-06-14
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-14
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
BARRY H. STEVENS, D.D.S., P.A. PROFIT SHARING RETIREMENT PLAN 2015 593280332 2016-05-26 BARRY H. STEVENS, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9043881220
Plan sponsor’s address 2365 PARK STREET, JACKSONVILLE, FL, 32204

Signature of

Role Plan administrator
Date 2016-05-26
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-26
Name of individual signing BARRY H. STEVENS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEVENS BARRY H Agent 2365 PARK STREET, JACKSONVILLE, FL, 32204

Director

Name Role Address
STEVENS BARRY H Director 2365 PARK STREET, JACKSONVILLE, FL, 32204

Date of last update: 01 Jan 2025

Sources: Florida Department of State