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  5. PAUL W. JAKUBOWSKI, D.D.S., P.A.

PAUL W. JAKUBOWSKI, D.D.S., P.A.

Company Details

Entity Name: PAUL W. JAKUBOWSKI, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Dec 1998 (26 years ago)
Document Number: P98000105266
FEI/EIN Number 593549383
Address: 235 HATTERAS AVENUE, SUITE 300, CLERMONT, FL, 34711
Mail Address: 235 HATTERAS AVENUE, SUITE 300, CLERMONT, FL, 34711
ZIP code: 34711
County: Lake
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAUL W. JAKUBOWSKI, D.D.S., P.A. RETIREMENT PLAN 2015 593549383 2016-06-30 PAUL W. JAKUBOWSKI, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3522432323
Plan sponsor’s address 16745 BAY CLUB DRIVE, CLERMONT, FL, 34711
PAUL W. JAKUBOWSKI, D.D.S., P.A. RETIREMENT PLAN 2014 593549383 2015-10-15 PAUL W. JAKUBOWSKI, D.D.S., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3522432323
Plan sponsor’s address 16745 BAY CLUB DRIVE, CLERMONT, FL, 34711
PAUL W. JAKUBOWSKI, D.D.S., P.A. RETIREMENT PLAN 2013 593549383 2014-10-15 PAUL W. JAKUBOWSKI, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3522432323
Plan sponsor’s address 16745 BAY CLUB DRIVE, CLERMONT, FL, 34711
PAUL W. JAKUBOWSKI, D.D.S., P.A. RETIREMENT PLAN 2012 593549383 2013-10-08 PAUL W. JAKUBOWSKI, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3522432323
Plan sponsor’s address 16745 BAY CLUB DRIVE, CLERMONT, FL, 34711

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing PAUL W. JAKUBOWSKI
Valid signature Filed with authorized/valid electronic signature
PAUL W. JAKUBOWSKI, D.D.S., P.A. RETIREMENT PLAN 2011 593549383 2012-09-24 PAUL W. JAKUBOWSKI, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3522432323
Plan sponsor’s address 16745 BAY CLUB DRIVE, CLERMONT, FL, 34711

Plan administrator’s name and address
Administrator’s EIN 593549383
Plan administrator’s name PAUL W. JAKUBOWSKI, D.D.S., P.A.
Plan administrator’s address 16745 BAY CLUB DRIVE, CLERMONT, FL, 34711
Administrator’s telephone number 3522432323

Signature of
Role Plan administrator
Date 2012-09-24
Name of individual signing PAUL W. JAKUBOWSKI
Valid signature Filed with authorized/valid electronic signature
PAUL W. JAKUBOWSKI, D.D.S., P.A. RETIREMENT PLAN 2010 593549383 2011-10-06 PAUL W. JAKUBOWSKI, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3522432323
Plan sponsor’s address 235 HATTERAS AVENUE, SUITE 300, CLERMONT, FL, 34715

Plan administrator’s name and address
Administrator’s EIN 593549383
Plan administrator’s name PAUL W. JAKUBOWSKI, D.D.S., P.A.
Plan administrator’s address 235 HATTERAS AVENUE, SUITE 300, CLERMONT, FL, 34715
Administrator’s telephone number 3522432323

Signature of
Role Plan administrator
Date 2011-10-06
Name of individual signing PAUL W. JAKUBOWSKI
Valid signature Filed with authorized/valid electronic signature
PAUL W. JAKUBOWSKI, D.D.S., P.A. RETIREMENT PLAN 2009 593549383 2010-09-26 PAUL W. JAKUBOWSKI, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3522432323
Plan sponsor’s address 235 HATTERAS AVENUE, SUITE 300, CLERMONT, FL, 34715

Plan administrator’s name and address
Administrator’s EIN 593549383
Plan administrator’s name PAUL W. JAKUBOWSKI, D.D.S., P.A.
Plan administrator’s address 235 HATTERAS AVENUE, SUITE 300, CLERMONT, FL, 34715
Administrator’s telephone number 3522432323

Signature of
Role Plan administrator
Date 2010-09-26
Name of individual signing PAUL W. JAKUBOWSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAKUBOWSKI PAUL W Agent 235 HATTERAS AVENUE, CLERMONT, FL, 34711

DDS

Name Role Address
JAKUBOWSKI PAUL W DDS 235 HATTERAS AVENUE, SUITE 300, CLERMONT, FL, 34711

President

Name Role Address
JAKUBOWSKI PAUL W President 235 HATTERAS AVE, STE 300, CLERMONT, FL, 34711

Treasurer

Name Role Address
JAKUBOWSKI PAUL W Treasurer 235 HATTERAS AVE, STE 300, CLERMONT, FL, 34711

Vice President

Name Role Address
JAKUBOWSKI OLGA N Vice President 235 HATTERAS AVE STE 300, CLERMONT, FL, 34711

Events

Event Type Filed Date Value Description
AMENDMENT 2009-10-23 No data No data

Related by officers

JAKUBOWSKI OLGA N

MAGNOLIA BAY PROPERTY OWNERS ASSOCIATION, INC.

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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