| Entity Name: | MAUREEN BERGMAN, D.M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Mar 1995 (30 years ago) |
| Document Number: | P95000026096 |
| FEI/EIN Number | 650571155 |
| Address: | 3375 BURNS ROAD, SUITE 209, PALM BEACH GARDENS, FL, 33410 |
| Mail Address: | 3375 BURNS ROAD, SUITE 209, PALM BEACH GARDENS, FL, 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAUREEN BERGMAN, DMD, PA PROFIT SHARING PLAN | 2012 | 650571155 | 2013-09-20 | MAUREEN BERGMAN, D.M.D., P.A. | 2 | |||||||||||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-09-20 |
| Name of individual signing | MAUREEN BERGMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-09-20 |
| Name of individual signing | MAUREEN BERGMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5616911629 |
| Plan sponsor’s address | 3375 BURNS ROAD, STE 209, PALM BEACH GARDENS, FL, 334104361 |
Plan administrator’s name and address
| Administrator’s EIN | 650571155 |
| Plan administrator’s name | MAUREEN BERGMAN, D.M.D., P.A. |
| Plan administrator’s address | 3375 BURNS ROAD, STE 209, PALM BEACH GARDENS, FL, 334104361 |
| Administrator’s telephone number | 5616911629 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-12 |
| Name of individual signing | MAUREEN BERGMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-09-12 |
| Name of individual signing | MAUREEN BERGMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BERGMAN MAUREEN | Agent | 3375 BURNS ROAD, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| BERGMAN MAUREEN | Director | 3375 BURNS ROAD, SUITE 209, PALM BEACH GARDENS, FL, 33410 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
