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  5. T. GREGORY JACOBS, D.D.S., P.A.

T. GREGORY JACOBS, D.D.S., P.A.

Company Details

Entity Name: T. GREGORY JACOBS, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 29 May 1998 (27 years ago)
Date of dissolution: 05 Nov 2019 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 05 Nov 2019 (5 years ago)
Document Number: P98000048159
FEI/EIN Number 593516603
Address: 4208 Bay to Bay Boulevard, Tampa, FL, 33629, US
Mail Address: 4210 W. Morrison Ave., TAMPA, FL, 33629, US
ZIP code: 33629
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTISTRY FOR SUN CITY CENTER DEFINED BENEFIT CASH BALANCE PLAN 2019 593516603 2020-09-29 T. GREGORY JACOBS, D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573
DENTISTRY FOR SUN CITY CENTER DEFINED BENEFIT 2019 593516603 2020-12-08 T. GREGORY JACOBS, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573
DENTISTRY FOR SUN CITY CENTER DEFINED BENEFIT CASH BALANCE PLAN 2018 593516603 2019-09-20 T. GREGORY JACOBS, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573
DENTISTRY FOR SUN CITY CENTER DEFINED BENEFIT CASH BALANCE PLAN 2017 593516603 2018-09-14 T. GREGORY JACOBS, D.D.S., P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573
DENTISTRY FOR SUN CITY CENTER DEFINED BENEFIT CASH BALANCE PLAN 2016 593516603 2017-09-07 T. GREGORY JACOBS, D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573

Signature of
Role Plan administrator
Date 2017-09-07
Name of individual signing T. GREGORY JACOBS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DENTISTRY FOR SUN CITY CENTER DEFINED BENEFIT CASH BALANCE PLAN 2015 593516603 2016-10-05 T. GREGORY JACOBS, D.D.S., P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing T. GREGORY JACOBS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
T. GREGORY JACOBS, D. D. S. , P. A. 401(K) & PROFIT SHARING PLAN 2014 593516603 2015-09-21 T. GREGORY JACOBS, D. D. S. , P. A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573

Signature of
Role Plan administrator
Date 2015-09-21
Name of individual signing T. GREGORY JACOBS, D.D.S., P.A.
Valid signature Filed with authorized/valid electronic signature
DENTISTRY FOR SUN CITY CENTER DEFINED BENEFIT CASH BALANCE PLAN 2014 593516603 2015-10-11 T. GREGORY JACOBS, D.D.S., P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8136341932
Plan sponsor’s address 1601 RICKENBACKER DRIVE, SUITE #7, SUN CITY CENTER, FL, 33573

Signature of
Role Plan administrator
Date 2015-10-11
Name of individual signing T. GREGORY JACOBS, D.D.S.
Valid signature Filed with authorized/valid electronic signature
T. GREGORY JACOBS, D.D.S., P.A. 401(K) & PROFIT SHARING PLAN 2013 593516603 2014-05-12 T. GREGORY JACOBS, D.D.S., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621210
Sponsor’s telephone number 8132535379
Plan sponsor’s address 33 DAVIS BLVD., TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2014-05-12
Name of individual signing GAY G. JACOBS
Valid signature Filed with authorized/valid electronic signature
T. GREGORY JACOBS, D.D.S., P.A. 401(K) & PROFIT SHARING PLAN 2012 593516603 2013-06-06 T. GREGORY JACOBS, D.D.S., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621210
Sponsor’s telephone number 8132535379
Plan sponsor’s address 33 DAVIS BLVD., TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2013-06-06
Name of individual signing GAY G. JACOBS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JACOBS T. GREGORY Agent 4210 W. Morrison Ave., TAMPA, FL, 33629

Director

Name Role Address
JACOBS T. GREGORY Director 4210 W. Morrison Ave., TAMPA, FL, 33629

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-11-05 No data No data
CHANGE OF MAILING ADDRESS 2019-03-28 4208 Bay to Bay Boulevard, Tampa, FL 33629 No data
REGISTERED AGENT ADDRESS CHANGED 2019-03-28 4210 W. Morrison Ave., TAMPA, FL 33629 No data
CHANGE OF PRINCIPAL ADDRESS 2016-03-28 4208 Bay to Bay Boulevard, Tampa, FL 33629 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2019-11-05
ANNUAL REPORT 2019-03-28
ANNUAL REPORT 2018-03-18
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-02-25
ANNUAL REPORT 2014-04-21
ANNUAL REPORT 2013-02-27
ANNUAL REPORT 2012-02-02
ANNUAL REPORT 2011-01-17

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Date of last update: 03 Feb 2025

Sources: Florida Department of State

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