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  5. W.K. FRAVEL, D.M.D., P.A.

W.K. FRAVEL, D.M.D., P.A.

Company Details

Entity Name: W.K. FRAVEL, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Sep 1996 (28 years ago)
Document Number: P96000074056
FEI/EIN Number 593398940
Address: 2515 KISSAM COURT, Belle Isle, FL, 32809, US
Mail Address: 2515 Kissam Court, Orlando, FL, 32809, US
ZIP code: 32809
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346303658 2006-12-18 2014-05-13 1291 BLACKWOOD AVE, OCOEE, FL, 347614521, US 1291 BLACKWOOD AVE, OCOEE, FL, 347614521, US

Contacts
Phone +1 407-656-0001
Fax 4076565290

Authorized person
Name MRS. JEANNE A. FRAVEL
Role OFFICE MANAGER
Phone 4076560001

Taxonomy
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number 8872
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
W.K. FRAVEL, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2017 593398940 2018-10-04 W.K. FRAVEL, D.M.D., P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 4076560001
Plan sponsor’s address 1291 BLACKWOOD AVENUE, OCOEE, FL, 347614521

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature
W.K. FRAVEL, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2016 593398940 2017-10-10 W.K. FRAVEL, D.M.D., P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 4076560001
Plan sponsor’s address 1291 BLACKWOOD AVENUE, OCOEE, FL, 347614521

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature
W.K. FRAVEL, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2015 593398940 2016-09-28 W.K. FRAVEL, D.M.D., P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 4076560001
Plan sponsor’s address 1291 BLACKWOOD AVENUE, OCOEE, FL, 347614521

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature
W.K. FRAVEL, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2014 593398940 2015-10-13 W.K. FRAVEL, D.M.D., P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 4076560001
Plan sponsor’s address 1291 BLACKWOOD AVENUE, OCOEE, FL, 347614521

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature
W.K. FRAVEL, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2013 593398940 2014-06-27 W.K. FRAVEL, D.M.D., P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 4076560001
Plan sponsor’s address 1291 BLACKWOOD AVENUE, OCOEE, FL, 347614521

Signature of
Role Plan administrator
Date 2014-06-27
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-27
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature
W.K. FRAVEL, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2012 593398940 2013-07-16 W.K. FRAVEL, D.M.D., P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 4076560001
Plan sponsor’s address 1291 BLACKWOOD AVENUE, OCOEE, FL, 347614521

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-16
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature
W.K. FRAVEL, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2011 593398940 2012-07-24 W.K. FRAVEL, D.M.D., P.A. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 4076560001
Plan sponsor’s address 1291 BLACKWOOD AVENUE, OCOEE, FL, 347614521

Plan administrator’s name and address
Administrator’s EIN 593398940
Plan administrator’s name W.K. FRAVEL, D.M.D., P.A.
Plan administrator’s address 1291 BLACKWOOD AVENUE, OCOEE, FL, 347614521
Administrator’s telephone number 4076560001

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-24
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature
W.K. FRAVEL, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2010 593398940 2011-08-04 W.K. FRAVEL, D.M.D., P.A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 4076560001
Plan sponsor’s address 1291 BLACKWOOD AVENUE, OCOEE, FL, 347614521

Plan administrator’s name and address
Administrator’s EIN 593398940
Plan administrator’s name W.K. FRAVEL, D.M.D., P.A.
Plan administrator’s address 1291 BLACKWOOD AVENUE, OCOEE, FL, 347614521
Administrator’s telephone number 4076560001

Signature of
Role Plan administrator
Date 2011-08-04
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-04
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature
W.K. FRAVEL, D.M.D., P.A., 401(K) PROFIT SHARING PLAN 2009 593398940 2010-09-13 W.K. FRAVEL, D.M.D., P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 4076560001
Plan sponsor’s address 1291 BLACKWOOD AVENUE, OCOEE, FL, 347614521

Plan administrator’s name and address
Administrator’s EIN 593398940
Plan administrator’s name W.K. FRAVEL, D.M.D., P.A.
Plan administrator’s address 1291 BLACKWOOD AVENUE, OCOEE, FL, 347614521
Administrator’s telephone number 4076560001

Signature of
Role Plan administrator
Date 2010-09-13
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-13
Name of individual signing WILLIAM FRAVEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
FRAVEL WILLIAM K Agent 2515 KISSAM COURT, Belle Isle, FL, 32809

President

Name Role Address
FRAVEL WILLIAM K President 2515 KISSAM CT, ORLANDO, FL, 32809

Secretary

Name Role Address
FRAVEL WILLIAM K Secretary 2515 KISSAM CT, ORLANDO, FL, 32809

Treasurer

Name Role Address
FRAVEL WILLIAM K Treasurer 2515 KISSAM CT, ORLANDO, FL, 32809

Director

Name Role Address
FRAVEL WILLIAM K Director 2515 KISSAM CT, ORLANDO, FL, 32809

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-27 2515 KISSAM COURT, Belle Isle, FL 32809 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-27 2515 KISSAM COURT, Belle Isle, FL 32809 No data
CHANGE OF MAILING ADDRESS 2019-02-04 2515 KISSAM COURT, Belle Isle, FL 32809 No data
REGISTERED AGENT NAME CHANGED 1996-09-24 FRAVEL, WILLIAM K No data

Documents

Name Date
ANNUAL REPORT 2025-01-15
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-04
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-26

Related by officers

FRAVEL WILLIAM K

CAPITAL INVESTMENT PARTNERS LLC FFVF, LLC EUROTURBO, LLC ODAYTON, LLC BFIRA, LLC B&J INVESTORS, LLC BJ&F INVESTORS, LLC WILLIAM K. FRAVEL, D.M.D., P.A.

Related by address

2515 KISSAM COURT, Belle Isle, FL, 32809, US

OCOEE BLACKWOOD PARTNERS LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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