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  5. KENNETH B. ROGERS, D.M.D., P.A.

KENNETH B. ROGERS, D.M.D., P.A.

Company Details

Entity Name: KENNETH B. ROGERS, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 30 Dec 1996 (28 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: P97000000769
FEI/EIN Number 593421523
Address: 1550 1ST STREET SOUTH, WINTER HAVEN, FL, 33880, UN
Mail Address: 1550 1ST STREET SOUTH, WINTER HAVEN, FL, 33880, UN
ZIP code: 33880
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENNETH B. ROGERS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2019 593421523 2020-03-04 KENNETH B. ROGERS, D.M.D, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8632930636
Plan sponsor’s address 1550 FIRST STREET SOUTH, WINTER HAVEN, FL, 33880
KENNETH B. ROGERS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2018 593421523 2019-05-10 KENNETH B. ROGERS, D.M.D, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8632930636
Plan sponsor’s address 1550 FIRST STREET SOUTH, WINTER HAVEN, FL, 33880
KENNETH B. ROGERS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2017 593421523 2018-05-31 KENNETH B. ROGERS, D.M.D, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8632930636
Plan sponsor’s address 1550 FIRST STREET SOUTH, WINTER HAVEN, FL, 33880
KENNETH B. ROGERS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 593421523 2017-03-30 KENNETH B. ROGERS, D.M.D, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8632930636
Plan sponsor’s address 1550 FIRST STREET SOUTH, WINTER HAVEN, FL, 33880

Signature of
Role Plan administrator
Date 2017-03-30
Name of individual signing KENNETH ROGERS
Valid signature Filed with authorized/valid electronic signature
KENNETH B. ROGERS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2015 593421523 2016-07-06 KENNETH B. ROGERS, D.M.D, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8632930636
Plan sponsor’s address 1550 FIRST STREET SOUTH, WINTER HAVEN, FL, 33880

Signature of
Role Plan administrator
Date 2016-07-06
Name of individual signing KENNETH ROGERS
Valid signature Filed with authorized/valid electronic signature
KENNETH B. ROGERS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 593421523 2015-07-10 KENNETH B. ROGERS, D.M.D, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8632930636
Plan sponsor’s address 1550 FIRST STREET SOUTH, WINTER HAVEN, FL, 33880

Signature of
Role Plan administrator
Date 2015-07-10
Name of individual signing KENNETH ROGERS
Valid signature Filed with authorized/valid electronic signature
KENNETH B. ROGERS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2013 593421523 2014-07-14 KENNETH B. ROGERS, D.M.D, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8632930636
Plan sponsor’s address 1550 FIRST STREET SOUTH, WINTER HAVEN, FL, 33880

Signature of
Role Plan administrator
Date 2014-07-14
Name of individual signing KENNETH ROGERS
Valid signature Filed with authorized/valid electronic signature
KENNETH B. ROGERS, D.M.D., P.A. CASH BALANCE PLAN 2012 593421523 2013-09-10 KENNETH B. ROGERS, 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 8632930636
Plan sponsor’s address 1550 FIRST STREET SOUTH, WINTER HAVEN, FL, 33880

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing KENNETH ROGERS
Valid signature Filed with authorized/valid electronic signature
KENNETH B. ROGERS, D.M.D., P.A. CASH BALANCE PLAN 2012 593421523 2013-09-10 KENNETH B. ROGERS, 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 8632930636
Plan sponsor’s address 1550 FIRST STREET SOUTH, WINTER HAVEN, FL, 33880

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing KENNETH ROGERS
Valid signature Filed with authorized/valid electronic signature
KENNETH B. ROGERS, D.M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 593421523 2013-04-16 KENNETH B. ROGERS, D.M.D, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8632930636
Plan sponsor’s address 1550 FIRST STREET SOUTH, WINTER HAVEN, FL, 33880

Signature of
Role Plan administrator
Date 2013-04-16
Name of individual signing KENNETH ROGERS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CRUZ, D.D.S. JOSE G Agent 1550 1ST STREET SOUTH, WINTER HAVEN, FL, 33880

Director

Name Role Address
CRUZ JOSE GDr. Director 1550 1ST STREET SOUTH, WINTER HAVEN, FL, 33880

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-01-01 1550 1ST STREET SOUTH, WINTER HAVEN, FLORIDA 33880 UN No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-02-26 1550 1ST STREET SOUTH, WINTER HAVEN, FLORIDA 33880 UN No data
REGISTERED AGENT NAME CHANGED 2020-05-05 CRUZ, D.D.S., JOSE G. No data
REGISTERED AGENT ADDRESS CHANGED 2000-03-04 1550 1ST STREET SOUTH, WINTER HAVEN, FL 33880 No data

Documents

Name Date
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-05-05
AMENDED ANNUAL REPORT 2019-10-15
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-03-29
ANNUAL REPORT 2017-04-04
ANNUAL REPORT 2016-03-25
ANNUAL REPORT 2015-04-10
ANNUAL REPORT 2014-03-25
ANNUAL REPORT 2013-03-26

Related by officers

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Date of last update: 03 Feb 2025

Sources: Florida Department of State

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