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  5. RICHARD J. STALLER, D.D.S., P.A.

RICHARD J. STALLER, D.D.S., P.A.

Company Details

Entity Name: RICHARD J. STALLER, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 23 Jan 1997 (28 years ago)
Date of dissolution: 29 Jan 2024 (a year ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 29 Jan 2024 (a year ago)
Document Number: P97000007140
FEI/EIN Number 65-0731200
Address: 15340 Jog Road, Suite 100, DELRAY BEACH, FL 33487
Mail Address: 15340 Jog Road, Suite 100, DELRAY BEACH, FL 33446
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED DENTISTRY SOUTH FLORIDA PROFIT SHARING PLAN 2021 650731200 2023-02-14 RICHARD J. STALLER, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 5614952099
Plan sponsor’s address 15340 S JOG ROAD, SUITE 100, DELRAY BEACH, FL, 33446
RICHARD J. STALLER, D.D.S., P.A. 2015 650731200 2016-04-26 RICHARD J. STALLER, D.D.S., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 5614952099
Plan sponsor’s address 15340 JOG RD, SUITE 100, DELRAY BEACH, FL, 33446

Signature of
Role Plan administrator
Date 2016-04-26
Name of individual signing RICHARD STALLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-26
Name of individual signing RICHARD STALLER
Valid signature Filed with authorized/valid electronic signature
RICHARD J. STALLER, D.D.S., P.A. 2014 650731200 2015-05-28 RICHARD J. STALLER, D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 5614952099
Plan sponsor’s address 5210 LINTON BLVD., SUITE 207, DELRAY BEACH, FL, 33484

Signature of
Role Plan administrator
Date 2015-05-28
Name of individual signing RICHARD STALLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-28
Name of individual signing RICHARD STALLER
Valid signature Filed with authorized/valid electronic signature
RICHARD J. STALLER, D.D.S., P.A. 2013 650731200 2014-07-11 RICHARD J. STALLER, D.D.S., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 5614952099
Plan sponsor’s address 5210 LINTON BLVD., SUITE 207, DELRAY BEACH, FL, 33484

Signature of
Role Plan administrator
Date 2014-07-11
Name of individual signing RICHARD STALLER
Valid signature Filed with authorized/valid electronic signature
RICHARD J. STALLER, D.D.S., P.A. 401K PROFIT SHARING PLAN 2012 650731200 2013-08-31 RICHARD J. STALLER, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 5614952099
Plan sponsor’s address 5210 LINTON BLVD., SUITE 207, DELRAY BEACH, FL, 334846537

Plan administrator’s name and address
Administrator’s EIN 650731200
Plan administrator’s name RICHARD J. STALLER, D.D.S., P.A.
Plan administrator’s address 5210 LINTON BLVD., SUITE 207, DELRAY BEACH, FL, 334846537
Administrator’s telephone number 5614952099

Signature of
Role Plan administrator
Date 2013-08-31
Name of individual signing RICHARD J. STALLER
Valid signature Filed with authorized/valid electronic signature
RICHARD J. STALLER, D.D.S., P.A. 401K PROFIT SHARING PLAN 2011 650731200 2012-05-18 RICHARD J. STALLER, D.D.S., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Plan sponsor’s address 5210 LINTON BLVD., SUITE 207, DELRAY BEACH, FL, 334846537

Plan administrator’s name and address
Administrator’s EIN 650731200
Plan administrator’s name RICHARD J. STALLER, D.D.S., P.A.
Plan administrator’s address 5210 LINTON BLVD., SUITE 207, DELRAY BEACH, FL, 334846537
Administrator’s telephone number 5614952099

Signature of
Role Plan administrator
Date 2012-05-18
Name of individual signing RICHARD J. STALLER
Valid signature Filed with authorized/valid electronic signature
RICHARD J. STALLER, D.D.S., P.A. 401K PROFIT SHARING PLAN 2010 650731200 2011-09-14 RICHARD J. STALLER, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 5614952099
Plan sponsor’s address 5210 LINTON BLVD., SUITE 207, DELRAY BEACH, FL, 334846537

Plan administrator’s name and address
Administrator’s EIN 650731200
Plan administrator’s name RICHARD J. STALLER, D.D.S., P.A.
Plan administrator’s address 5210 LINTON BLVD., SUITE 207, DELRAY BEACH, FL, 334846537
Administrator’s telephone number 5614952099

Signature of
Role Plan administrator
Date 2011-09-14
Name of individual signing RICHARD J. STALLER
Valid signature Filed with authorized/valid electronic signature
RICHARD J. STALLER, D.D.S., P.A. 401K PROFIT SHARING PLAN 2009 650731200 2010-10-14 RICHARD J. STALLER, D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 5614952099
Plan sponsor’s address 5210 LINTON BLVD., SUITE 207, DELRAY BEACH, FL, 334846537

Plan administrator’s name and address
Administrator’s EIN 650731200
Plan administrator’s name RICHARD J. STALLER, D.D.S., P.A.
Plan administrator’s address 5210 LINTON BLVD., SUITE 207, DELRAY BEACH, FL, 334846537
Administrator’s telephone number 5614952099

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing RICHARD J. STALLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STALLER, RICHARD JDDS Agent 15340 Jog Road, Suite 100, DELRAY BEACH, FL 33446

Director

Name Role Address
STALLER, RICHARD J Director 15340 Jog Road Suite, DELRAY BEACH, FL 33446

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000020631 ADVANCED DENTISTRY SOUTH FLORIDA EXPIRED 2019-02-11 2024-12-31 No data 15340 JOG ROAD STE 100, DELRAY BEACH, FL, 33446
G13000081876 ADVANCED DENTISTRY SOUTH FLORIDA EXPIRED 2013-08-16 2018-12-31 No data 5210 LINTON BLVD, SUITE 207, DELRAY BEACH, FL, 33484

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-01-29 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-01-23 15340 Jog Road, Suite 100, DELRAY BEACH, FL 33487 No data
CHANGE OF MAILING ADDRESS 2015-01-23 15340 Jog Road, Suite 100, DELRAY BEACH, FL 33487 No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-23 15340 Jog Road, Suite 100, DELRAY BEACH, FL 33446 No data
REGISTERED AGENT NAME CHANGED 2010-02-22 STALLER, RICHARD JDDS No data
REINSTATEMENT 2000-12-18 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-01-29
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-02-09
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-01-23

Related by officers

STALLER, RICHARD J

THE DENTAL TEAM OF CORAL SPRINGS, INC. PALM BEACH DENTAL SERVICE INC. THE DENTAL TEAM OF BOCA RATON, INC. THE DENTAL TEAM OF DELRAY BEACH, INC. DENTAL LASER CENTER OF THE PALM BEACHES, INC. THE DENTAL TEAM OF BOYNTON BEACH, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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