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JOHN I. PARK, D.M.D., P.A.

Company Details

Entity Name: JOHN I. PARK, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 12 Feb 1999 (26 years ago)
Document Number: P99000013920
FEI/EIN Number 59-3555785
Address: 400 AVE.K,SE,, STE 12, WINTER HAVEN, FL 33880
Mail Address: 400 AVE.K,SE,, STE 12, WINTER HAVEN, FL 33880
ZIP code: 33880
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOHN I. PARK, D.M.D., P.A. PROFIT SHARING 401(K) PLAN 2014 593555785 2015-03-24 JOHN I. PARK, D.M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8630600023
Plan sponsor’s address 400 AVENUE K, S.E., SUITE 12, WINTER HAVEN, FL, 338804145
JOHN I. PARK, D.M.D., P.A. PROFIT SHARING 401(K) PLAN 2013 593555785 2014-01-20 JOHN I. PARK, D.M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8632930023
Plan sponsor’s address 400 AVENUE K, S.E., SUITE 12, WINTER HAVEN, FL, 338804145

Signature of

Role Plan administrator
Date 2014-01-20
Name of individual signing JOHN PARK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-20
Name of individual signing JOHN PARK
Valid signature Filed with authorized/valid electronic signature
JOHN I. PARK, D.M.D., P.A. PROFIT SHARING 401(K) PLAN 2012 593555785 2013-04-23 JOHN I. PARK, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8632930023
Plan sponsor’s address 400 AVENUE K, S.E., SUITE 12, WINTER HAVEN, FL, 338804145

Signature of

Role Plan administrator
Date 2013-04-23
Name of individual signing JOHN PARK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-23
Name of individual signing JOHN PARK
Valid signature Filed with authorized/valid electronic signature
JOHN I. PARK, D.M.D., P.A. PROFIT SHARING 401(K) PLAN 2011 593555785 2012-04-19 JOHN I. PARK, D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 8632930023
Plan sponsor’s address 400 AVENUE K, S.E., SUITE 12, WINTER HAVEN, FL, 338804145

Plan administrator’s name and address

Administrator’s EIN 593555785
Plan administrator’s name JOHN I. PARK, D.M.D., P.A.
Plan administrator’s address 400 AVENUE K, S.E., SUITE 12, WINTER HAVEN, FL, 338804145
Administrator’s telephone number 8632930023

Signature of

Role Plan administrator
Date 2012-04-19
Name of individual signing JOHN PARK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-19
Name of individual signing JOHN PARK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PARK, JOHN I Agent 400 AVE.K,SE,, SUITE 12, WINTER HAVEN, FL 33880

President

Name Role Address
PARK, JOHN President 400 AVE. K SE STE. 12, WINTER HAVEN, FL 33880

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2005-06-28 400 AVE.K,SE,, SUITE 12, WINTER HAVEN, FL 33880 No data
CHANGE OF PRINCIPAL ADDRESS 2002-07-18 400 AVE.K,SE,, STE 12, WINTER HAVEN, FL 33880 No data
CHANGE OF MAILING ADDRESS 2002-07-18 400 AVE.K,SE,, STE 12, WINTER HAVEN, FL 33880 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-01-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State