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  5. DEREK H. WALL D.D.S., P.A.

DEREK H. WALL D.D.S., P.A.

Company Details

Entity Name: DEREK H. WALL D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 10 Jun 1998 (27 years ago)
Document Number: P98000052051
FEI/EIN Number 59-3518027
Address: 801 OHIO AVENUE, LYNN HAVEN, FL 32444
Mail Address: 801 OHIO AVENUE, LYNN HAVEN, FL 32444
ZIP code: 32444
County: Bay
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DEREK H. WALL, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2023 593518027 2024-08-06 DEREK H. WALL, 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 8502653696
Plan sponsor’s address 801 OHIO AVENUE, LYNN HAVEN, FL, 32444
DEREK H. WALL, D.D.S., P.A. 401(K) PROFIT SHARING PLAN 2022 593518027 2023-10-10 DEREK H. WALL, D.D.S., P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 8502653696
Plan sponsor’s address 801 OHIO AVENUE, LYNN HAVEN, FL, 32444
DEREK H. WALL, D.D.S., P.A. 401K PROFIT SHARING PLAN 2021 593518027 2022-09-26 DEREK H. WALL, 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 8502653696
Plan sponsor’s address 801 OHIO AVENUE, LYNN HAVEN, FL, 32444
DEREK H. WALL, D.D.S., P.A. 401K PROFIT SHARING PLAN 2020 593518027 2021-06-30 DEREK H. WALL, 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 8502653696
Plan sponsor’s address 801 OHIO AVENUE, LYNN HAVEN, FL, 32444
DEREK H. WALL, D.D.S., P.A. 401K PROFIT SHARING PLAN 2019 593518027 2020-08-27 DEREK H. WALL, 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 8502653696
Plan sponsor’s address 801 OHIO AVENUE, LYNN HAVEN, FL, 32444
DEREK H. WALL, D.D.S., P.A. 401K PROFIT SHARING PLAN 2015 593518027 2016-10-13 DEREK H. WALL, D.D.S., P.A. 10
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 8502653696
Plan sponsor’s address 801 OHIO AVENUE, LYNN HAVEN, FL, 32444
DEREK H. WALL, D.D.S., P.A. 401K PROFIT SHARING PLAN 2015 593518027 2016-12-06 DEREK H. WALL, 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 8502653696
Plan sponsor’s address 801 OHIO AVENUE, LYNN HAVEN, FL, 32444
DEREK H. WALL, D.D.S., P.A.401K PROFIT SHARING PLAN 2014 593518027 2015-09-22 DEREK H. WALL, D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8502653696
Plan sponsor’s address 801 OHIO AVENUE, LYNN HAVEN, FL, 32444
DEREK H. WALL, D.D.S., P.A.401K PROFIT SHARING PLAN 2013 593518027 2014-07-09 DEREK H. WALL, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8502653696
Plan sponsor’s address 801 OHIO AVENUE, LYNN HAVEN, FL, 32444
DEREK H. WALL, D.D.S., P.A.401K PROFIT SHARING PLAN 2012 593518027 2013-07-23 DEREK H. WALL, D.D.S., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8502653696
Plan sponsor’s address 801 OHIO AVENUE, LYNN HAVEN, FL, 32444

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing DEREK H WALL, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-23
Name of individual signing DEREK H WALL, DDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WALL, DEREK H. Agent 801 OHIO AVENUE, LYNN HAVEN, FL 32444

President

Name Role Address
WALL, DEREK H., DDS President 801 OHIO AVENUE, LYNN HAVEN, FL 32444

Director

Name Role
LYNN HAVEN SMILE CENTER, L.L.C. Director

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-02-25 801 OHIO AVENUE, LYNN HAVEN, FL 32444 No data
CHANGE OF MAILING ADDRESS 2021-02-25 801 OHIO AVENUE, LYNN HAVEN, FL 32444 No data
REGISTERED AGENT NAME CHANGED 2021-02-25 WALL, DEREK H. No data
REGISTERED AGENT ADDRESS CHANGED 2021-02-25 801 OHIO AVENUE, LYNN HAVEN, FL 32444 No data

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-02-25
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-02-23

Related by officers

No related officers

Related by address

801 OHIO AVENUE, LYNN HAVEN, FL 32444

PHOENIX MILL SPECIALTIES, INC.

801 OHIO AVENUE, LYNN HAVEN, FL 32444

PHOENIX MILL SPECIALTIES, INC.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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