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MARTIN ORTHODONTICS OF LAKE CITY, P.A.

Company Details

Entity Name: MARTIN ORTHODONTICS OF LAKE CITY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Oct 1999 (25 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 16 Oct 2006 (18 years ago)
Document Number: P99000091109
FEI/EIN Number 593595353
Address: 973 SW State Road 47, LAKE CITY, FL, 32025, US
Mail Address: 973 SW STATE ROAD HWY 47, LAKE CITY, FL, 32025, US
ZIP code: 32025
County: Columbia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARTIN ORTHODONTICS OF LAKE CITY, P.A. RETIREMENT PLAN 2017 593595353 2018-07-10 MARTIN ORTHODONTICS OF LAKE CITY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 9047550546
Plan sponsor’s address 701 SW STATE ROAD 47, LAKE CITY, FL, 320250453

Signature of

Role Plan administrator
Date 2018-07-10
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-10
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
MARTIN ORTHODONTICS OF LAKE CITY PENSION PLAN 2017 593595353 2018-07-10 MARTIN ORTHODONTICS OF LAKE CITY, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3867550546
Plan sponsor’s address 701 SW STATE ROAD 47, LAKE CITY, FL, 320250453

Signature of

Role Plan administrator
Date 2018-07-10
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-10
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
MARTIN ORTHODONTICS OF LAKE CITY PENSION PLAN 2016 593595353 2018-01-31 MARTIN ORTHODONTICS OF LAKE CITY, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3867550546
Plan sponsor’s address 701 SW STATE ROAD 47, LAKE CITY, FL, 320250453

Signature of

Role Plan administrator
Date 2018-01-31
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-31
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
MARTIN ORTHODONTICS OF LAKE CITY, P.A. RETIREMENT PLAN 2016 593595353 2017-07-27 MARTIN ORTHODONTICS OF LAKE CITY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 9047550546
Plan sponsor’s address 701 SW STATE ROAD 47, LAKE CITY, FL, 320250453

Signature of

Role Plan administrator
Date 2017-07-27
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-27
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
MARTIN ORTHODONTICS OF LAKE CITY PENSION PLAN 2015 593595353 2016-10-17 MARTIN ORTHODONTICS OF LAKE CITY, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3867550546
Plan sponsor’s address 701 SW STATE ROAD 47, LAKE CITY, FL, 320250453

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-17
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
MARTIN ORTHODONTICS OF LAKE CITY, P.A. RETIREMENT PLAN 2015 593595353 2016-08-22 MARTIN ORTHODONTICS OF LAKE CITY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 9047550546
Plan sponsor’s address 701 SW STATE ROAD 47, LAKE CITY, FL, 320250453

Signature of

Role Plan administrator
Date 2016-08-22
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-22
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
MARTIN ORTHODONTICS OF LAKE CITY PENSION PLAN 2014 593595353 2015-10-16 MARTIN ORTHODONTICS OF LAKE CITY, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3867550546
Plan sponsor’s address 701 SW STATE ROAD 47, LAKE CITY, FL, 320250453

Signature of

Role Plan administrator
Date 2015-10-16
Name of individual signing CELIA MARTIN
Valid signature Filed with authorized/valid electronic signature
MARTIN ORTHODONTICS OF LAKE CITY, P.A. RETIREMENT PLAN 2014 593595353 2016-08-22 MARTIN ORTHODONTICS OF LAKE CITY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 9047550546
Plan sponsor’s address 701 SW STATE ROAD 47, LAKE CITY, FL, 320250453

Signature of

Role Plan administrator
Date 2016-08-22
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-22
Name of individual signing NEIL ROSIN
Valid signature Filed with authorized/valid electronic signature
MARTIN ORTHODONTICS OF LAKE CITY, P.A. RETIREMENT PLAN 2014 593595353 2015-10-16 MARTIN ORTHODONTICS OF LAKE CITY, P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 9047550546
Plan sponsor’s address 701 SW STATE ROAD 47, LAKE CITY, FL, 320250453

Signature of

Role Plan administrator
Date 2015-10-16
Name of individual signing CELIA MARTIN
Valid signature Filed with authorized/valid electronic signature
MARTIN ORTHODONTICS OF LAKE CITY PENSION PLAN 2013 593595353 2014-10-13 MARTIN ORTHODONTICS OF LAKE CITY, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3867550546
Plan sponsor’s address 701 SW STATE ROAD 47, LAKE CITY, FL, 320250453

Signature of

Role Plan administrator
Date 2014-10-13
Name of individual signing CELIA MARTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARTIN CELIA S Agent 973 SW STATE ROAD HWY 47, LAKE CITY, FL, 32025

Director

Name Role Address
MARTIN CELIA S Director 973 SW STATE ROAD HWY 47, LAKE CITY, FL, 32025

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-03-11 973 SW State Road 47, LAKE CITY, FL 32025 No data
CHANGE OF MAILING ADDRESS 2019-03-11 973 SW State Road 47, LAKE CITY, FL 32025 No data
REGISTERED AGENT ADDRESS CHANGED 2019-03-11 973 SW STATE ROAD HWY 47, LAKE CITY, FL 32025 No data
CANCEL ADM DISS/REV 2006-10-16 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-02-20
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-02-06
ANNUAL REPORT 2017-02-10
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-02-25

Date of last update: 03 Feb 2025

Sources: Florida Department of State