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  5. THE DENTAL EMERGENCY ROOM, P.A.

THE DENTAL EMERGENCY ROOM, P.A.

Company Details

Entity Name: THE DENTAL EMERGENCY ROOM, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 04 Sep 1997 (27 years ago)
Document Number: P97000076811
FEI/EIN Number 59-3491986
Address: 1935 DREW ST., CLEARWATER, FL 33765
Mail Address: 32919 US 19 N, Palm Harbor, FL 34684
ZIP code: 33765
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTAL EMERGENCY ROOM, PA 401(K) PROFIT SHARING PLAN 2016 593491986 2017-06-22 DENTAL EMERGENCY ROOM, P. A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7274492424
Plan sponsor’s address 4400 WINDING WILLOW DRIVE, PALM HARBOR, FL, 346835803

Signature of
Role Plan administrator
Date 2017-06-22
Name of individual signing PAUL GALBRAITH
Valid signature Filed with authorized/valid electronic signature
DENTAL EMERGENCY ROOM, PA 401(K) PROFIT SHARING PLAN 2015 593491986 2016-12-13 DENTAL EMERGENCY ROOM, P. A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7274492424
Plan sponsor’s address 4400 WINDING WILLOW DRIVE, PALM HARBOR, FL, 346835803

Signature of
Role Plan administrator
Date 2016-12-13
Name of individual signing PAUL GALBRAITH
Valid signature Filed with authorized/valid electronic signature
DENTAL EMERGENCY ROOM, PA 401(K) PROFIT SHARING PLAN 2014 593491986 2015-10-13 DENTAL EMERGENCY ROOM, P. A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7274492424
Plan sponsor’s address 4400 WINDING WILLOW DRIVE, PALM HARBOR, FL, 346835803

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing WILLIAM JARMOLYCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing WILLIAM JARMOLYCH
Valid signature Filed with authorized/valid electronic signature
DENTAL EMERGENCY ROOM, P.A. 401(K) PROFIT SHARING PLAN 2013 593491986 2014-10-13 DENTAL EMERGENCY ROOM, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7274492424
Plan sponsor’s address 4400 WINDING WILLOW DRIVE, PALM HARBOR, FL, 346835803

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing WILLIAM JARMOLYCH
Valid signature Filed with authorized/valid electronic signature
DENTAL EMERGENCY ROOM, P.A. 401(K) PROFIT SHARING PLAN 2012 593491986 2013-10-14 DENTAL EMERGENCY ROOM, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7274492424
Plan sponsor’s address 4400 WINDING WILLOW DRIVE, PALM HARBOR, FL, 346835803

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing WILLIAM JARMOLYCH
Valid signature Filed with authorized/valid electronic signature
DENTAL EMERGENCY ROOM, P.A. 401(K) PROFIT SHARING PLAN 2011 593491986 2012-10-10 DENTAL EMERGENCY ROOM, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7274492424
Plan sponsor’s address 4400 WINDING WILLOW DRIVE, PALM HARBOR, FL, 346835803

Plan administrator’s name and address
Administrator’s EIN 593491986
Plan administrator’s name DENTAL EMERGENCY ROOM, P.A.
Plan administrator’s address 4400 WINDING WILLOW DRIVE, PALM HARBOR, FL, 346835803
Administrator’s telephone number 7274492424

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing WILLIAM JARMOLYCH
Valid signature Filed with authorized/valid electronic signature
DENTAL EMERGENCY ROOM, P.A. 401(K) PROFIT SHARING PLAN 2010 593491986 2011-10-12 DENTAL EMERGENCY ROOM, P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7274492424
Plan sponsor’s address 4400 WINDING WILLOW DRIVE, PALM HARBOR, FL, 346835803

Plan administrator’s name and address
Administrator’s EIN 593491986
Plan administrator’s name DENTAL EMERGENCY ROOM, P.A.
Plan administrator’s address 4400 WINDING WILLOW DRIVE, PALM HARBOR, FL, 346835803
Administrator’s telephone number 7274492424

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing WILLIAM JARMOLYCH
Valid signature Filed with incorrect/unrecognized electronic signature
DENTAL EMERGENCY ROOM, P.A. 401(K) PROFIT SHARING PLAN 2010 593491986 2011-10-12 DENTAL EMERGENCY ROOM, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7274492424
Plan sponsor’s address 4400 WINDING WILLOW DRIVE, PALM HARBOR, FL, 346835803

Plan administrator’s name and address
Administrator’s EIN 593491986
Plan administrator’s name DENTAL EMERGENCY ROOM, P.A.
Plan administrator’s address 4400 WINDING WILLOW DRIVE, PALM HARBOR, FL, 346835803
Administrator’s telephone number 7274492424

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing WILLIAM JARMOLYCH
Valid signature Filed with authorized/valid electronic signature
DENTAL EMERGENCY ROOM, P.A. 401(K) PROFIT SHARING PLAN 2009 593491986 2010-10-13 DENTAL EMERGENCY ROOM, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 7274492424
Plan sponsor’s address 4400 WINDING WILLOW DRIVE, PALM HARBOR, FL, 346835803

Plan administrator’s name and address
Administrator’s EIN 593491986
Plan administrator’s name DENTAL EMERGENCY ROOM, P.A.
Plan administrator’s address 4400 WINDING WILLOW DRIVE, PALM HARBOR, FL, 346835803
Administrator’s telephone number 7274492424

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing WILLIAM JARMOLYCH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JARMOLYCH, WILLIAM Agent 32919 US 19 N, Palm Harbor, FL 34684

President

Name Role Address
JARMOLYCH, WILLIAM President 32919 US 19 N, Palm Harbor, FL 34684

Director

Name Role Address
JARMOLYCH, WILLIAM Director 32919 US 19 N, Palm Harbor, FL 34684

Vice President

Name Role Address
Ehring, Patricia T, Dr. Vice President 32919 US 19 N, PALM HARBOR, FL 34684

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000011335 WILLIAM JARMOLYCH, DDS EXPIRED 2013-02-01 2018-12-31 No data 1935 DREW ST, CLEARWATER, FL, 33765

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2017-03-05 1935 DREW ST., CLEARWATER, FL 33765 No data
REGISTERED AGENT ADDRESS CHANGED 2017-03-05 32919 US 19 N, Palm Harbor, FL 34684 No data

Documents

Name Date
ANNUAL REPORT 2024-01-14
ANNUAL REPORT 2023-01-15
ANNUAL REPORT 2022-03-25
ANNUAL REPORT 2021-02-26
ANNUAL REPORT 2020-03-05
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-03-25
ANNUAL REPORT 2017-03-05
ANNUAL REPORT 2016-04-20
ANNUAL REPORT 2015-02-18

Related by officers

Ehring, Patricia T, Dr.

HOLLYWOOD SMILE CENTER, 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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