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  5. JOHN R. PELTON, P.A.

JOHN R. PELTON, P.A.

Company Details

Entity Name: JOHN R. PELTON, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Jan 1998 (27 years ago)
Date of dissolution: 25 Aug 2016 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 25 Aug 2016 (8 years ago)
Document Number: P98000003564
FEI/EIN Number 650808840
Address: 482 ORISKANY COURT, SARASOTA, FL, 34229, US
Mail Address: 482 ORISKANY COURT, SARASOTA, FL, 34229, US
ZIP code: 34229
County: Sarasota
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOHN R. PELTON, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2016 650808840 2018-01-31 JOHN R. PELTON, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 9419517711
Plan sponsor’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093

Signature of
Role Plan administrator
Date 2018-01-31
Name of individual signing SUSAN L. PELTON
Valid signature Filed with authorized/valid electronic signature
JOHN R. PELTON, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2015 650808840 2016-05-03 JOHN R. PELTON, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 9419517711
Plan sponsor’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093

Signature of
Role Plan administrator
Date 2016-05-03
Name of individual signing SUSAN L. PELTON
Valid signature Filed with authorized/valid electronic signature
JOHN R. PELTON, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2014 650808840 2015-03-27 JOHN R. PELTON, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 9419517711
Plan sponsor’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093

Signature of
Role Plan administrator
Date 2015-03-27
Name of individual signing JOHN R. PELTON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JOHN R. PELTON, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2013 650808840 2014-10-15 JOHN R. PELTON, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 9419517711
Plan sponsor’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing JOHN R. PELTON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JOHN R. PELTON, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2012 650808840 2013-10-13 JOHN R. PELTON, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 9419517711
Plan sponsor’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093

Signature of
Role Plan administrator
Date 2013-10-13
Name of individual signing JOHN R. PELTON, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JOHN R. PELTON, P.A. 401K PROFIT SHARING PLAN AND TRUST 2011 650808840 2012-01-25 JOHN R. PELTON, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-02
Business code 621210
Sponsor’s telephone number 9419517711
Plan sponsor’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093

Plan administrator’s name and address
Administrator’s EIN 650808840
Plan administrator’s name JOHN R. PELTON, P.A.
Plan administrator’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093
Administrator’s telephone number 9419517711

Signature of
Role Plan administrator
Date 2012-01-25
Name of individual signing JACQUELINE WILLIAMS
Valid signature Filed with authorized/valid electronic signature
JOHN R. PELTON, P.A. 401K PROFIT SHARING PLAN AND TRUST 2010 650808840 2011-05-12 JOHN R. PELTON, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-02
Business code 621210
Sponsor’s telephone number 9419517711
Plan sponsor’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093

Plan administrator’s name and address
Administrator’s EIN 650808840
Plan administrator’s name JOHN R. PELTON, P.A.
Plan administrator’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093
Administrator’s telephone number 9419517711

Signature of
Role Plan administrator
Date 2011-05-12
Name of individual signing JACQUELINE WILLIAMS
Valid signature Filed with authorized/valid electronic signature
JOHN R. PELTON, P.A. 401K PROFIT SHARING PLAN AND TRUST 2009 650808840 2011-01-10 JOHN R. PELTON, P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 1998-01-02
Business code 621210
Sponsor’s telephone number 9419517711
Plan sponsor’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093

Plan administrator’s name and address
Administrator’s EIN 650808840
Plan administrator’s name JOHN R. PELTON, P.A.
Plan administrator’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093
Administrator’s telephone number 9419517711

Signature of
Role Plan administrator
Date 2011-01-10
Name of individual signing JACQUELINE WILLIAMS
Valid signature Filed with authorized/valid electronic signature
JOHN R. PELTON, P.A. 401K PROFIT SHARING PLAN AND TRUST 2009 650808840 2011-01-11 JOHN R. PELTON, P.A. 7
Three-digit plan number (PN) 002
Effective date of plan 1998-01-02
Business code 621210
Sponsor’s telephone number 9419517711
Plan sponsor’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093

Plan administrator’s name and address
Administrator’s EIN 650808840
Plan administrator’s name JOHN R. PELTON, P.A.
Plan administrator’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093
Administrator’s telephone number 9419517711

Signature of
Role Plan administrator
Date 2011-01-11
Name of individual signing JACQUELINE WILLIAMS
Valid signature Filed with authorized/valid electronic signature
JOHN R. PELTON, P.A. 401K PROFIT SHARING PLAN AND TRUST 2009 650808840 2011-01-10 JOHN R. PELTON, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-02
Business code 621210
Sponsor’s telephone number 9419517711
Plan sponsor’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093

Plan administrator’s name and address
Administrator’s EIN 650808840
Plan administrator’s name JOHN R. PELTON, P.A.
Plan administrator’s address 3400 S. TAMIAMI TRAIL, SUITE 301, SARASOTA, FL, 342396093
Administrator’s telephone number 9419517711

Signature of
Role Plan administrator
Date 2011-01-10
Name of individual signing JACQUELINE WILLIAMS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PELTON SUSAN L Agent 482 ORISKANY CT, OSPREY, FL, 34229

President

Name Role Address
PELTON SUSAN L President 482 ORISKANY COURT, SARASOTA, FL, 34229

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-08-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2016-05-25 482 ORISKANY COURT, SARASOTA, FL 34229 No data
REGISTERED AGENT NAME CHANGED 2016-05-25 PELTON, SUSAN L No data
CHANGE OF MAILING ADDRESS 2016-05-25 482 ORISKANY COURT, SARASOTA, FL 34229 No data
CANCEL ADM DISS/REV 2008-06-09 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data
REGISTERED AGENT ADDRESS CHANGED 2003-04-24 482 ORISKANY CT, OSPREY, FL 34229 No data
REINSTATEMENT 2001-12-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2001-09-21 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2016-08-25
ANNUAL REPORT 2016-05-25
ANNUAL REPORT 2015-02-11
ANNUAL REPORT 2014-03-26
ANNUAL REPORT 2013-01-30
ANNUAL REPORT 2012-02-14
ANNUAL REPORT 2011-02-15
ANNUAL REPORT 2010-03-17
ANNUAL REPORT 2009-07-09
REINSTATEMENT 2008-06-09

Related by officers

PELTON SUSAN L

SUSAN LYNN PELTON, P.L.L.C.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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