| Entity Name: | SUNSHINE DENTAL OF ORANGE CITY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 05 Sep 1995 (29 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P95000068900 |
| FEI/EIN Number | 59-3335236 |
| Address: | 2490 ENTERPRISE ROAD, ORANGE CITY, FL 32763 |
| Mail Address: | 1502 COVERED BRIDGE DR, DELAND, FL 32724 |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669640710 | 2008-02-12 | 2008-02-12 | 2490 ENTERPRISE RD, ORANGE CITY, FL, 32763, US | 2490 ENTERPRISE RD, ORANGE CITY, FL, 32763, US | |||||||||||||||||||
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| Phone | +1 386-775-9366 |
| Fax | 3867752390 |
Authorized person
| Name | DR. JEFFREY C. METCALFE |
| Role | PRESIDENT |
| Phone | 3867759366 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN12754 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUNSHINE DENTAL OF ORANGE CITY, P.A. 401(K) PLAN | 2009 | 593335236 | 2010-10-15 | SUNSHINE DENTAL OF ORANGE CITY, P.A . | 6 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593335236 |
| Plan administrator’s name | SUNSHINE DENTAL OF ORANGE CITY, P.A . |
| Plan administrator’s address | 2490 ENTERPRISE ROAD, ORANGE CITY, FL, 32763 |
| Administrator’s telephone number | 3867759366 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-15 |
| Name of individual signing | JEFFREY METCALFE, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-10-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3867759366 |
| Plan sponsor’s address | 2490 ENTERPRISE ROAD, ORANGE CITY, FL, 32763 |
Plan administrator’s name and address
| Administrator’s EIN | 593335236 |
| Plan administrator’s name | SUNSHINE DENTAL OF ORANGE CITY, P.A . |
| Plan administrator’s address | 2490 ENTERPRISE ROAD, ORANGE CITY, FL, 32763 |
| Administrator’s telephone number | 3867759366 |
Signature of
| Role | Employer/plan sponsor |
| Date | 2010-10-13 |
| Name of individual signing | JEFFREY METCALFE, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| METCALFE, JEFFREY C | Agent | 2490 ENTERPRISE ROAD, ORANGE CITY, FL 32763 |
| Name | Role | Address |
|---|---|---|
| METCALFE, JEFFREY | DR. | 1502 COVERED BRIDGE ROAD, DELAND, FL 32724 |
| Name | Role | Address |
|---|---|---|
| KELLEY, GINA M | Manager | 1502 COVERED BRIDGE DR, DELAND, FL 32724 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-19 | 2490 ENTERPRISE ROAD, ORANGE CITY, FL 32763 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-23 | 2490 ENTERPRISE ROAD, ORANGE CITY, FL 32763 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-02-23 | 2490 ENTERPRISE ROAD, ORANGE CITY, FL 32763 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J11000006275 | TERMINATED | 2010 11723 CODL | VOLUSIA COUNTY COURT | 2010-12-21 | 2016-01-05 | $12,358.69 | PATTERSON DENTAL SUPPLY, INC., C/O WILLIAM M. LINDEMAN, P.A., POST OFFICE BOX 3506, ORLANDO, FL 32802 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-02-19 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-07-07 |
| ANNUAL REPORT | 2007-01-31 |
| ANNUAL REPORT | 2006-02-23 |
| ANNUAL REPORT | 2005-01-24 |
| ANNUAL REPORT | 2004-03-02 |
| ANNUAL REPORT | 2003-01-17 |
| ANNUAL REPORT | 2002-03-31 |
| ANNUAL REPORT | 2001-01-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
