| Entity Name: | RONALD J. FAGAN, D.D.S., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Dec 1990 (34 years ago) |
| Document Number: | S20399 |
| FEI/EIN Number | 593040860 |
| Address: | 1128 W. MAIN ST., INVERNESS, FL, 34450 |
| Mail Address: | 1128 W. MAIN ST., INVERNESS, FL, 34450 |
| ZIP code: | 34450 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONALD J. FAGAN, DDS, PA | 2010 | 593040860 | 2011-04-22 | RONALD J. FAGAN, D.D.S., P.A. | 7 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 593040860 |
| Plan administrator’s name | RONALD J. FAGAN, D.D.S., P.A. |
| Plan administrator’s address | 1128 WEST MAIN STREET, INVERNESS, FL, 34450 |
| Administrator’s telephone number | 3523442275 |
Signature of
| Role | Plan administrator |
| Date | 2011-04-20 |
| Name of individual signing | RONALD FAGAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1992-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3523442275 |
| Plan sponsor’s address | 1128 WEST MAIN STREET, INVERNESS, FL, 344504636 |
Plan administrator’s name and address
| Administrator’s EIN | 593040860 |
| Plan administrator’s name | RONALD J. FAGAN, D.D.S., P.A. |
| Plan administrator’s address | 1128 WEST MAIN STREET, INVERNESS, FL, 344504636 |
| Administrator’s telephone number | 3523442275 |
Signature of
| Role | Plan administrator |
| Date | 2010-05-07 |
| Name of individual signing | RONALD J. FAGAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-05-07 |
| Name of individual signing | RONALD J. FAGAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GASSMAN ALAN S | Agent | 1245 COURT STREET, SUITE 102, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| FAGAN RONALD J | Director | 1128 W MAIN ST., INVERNESS, FL, 34450 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2011-02-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
