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  5. RICHARD W. KAPLAN, D.D.S., M.D., P.A.

RICHARD W. KAPLAN, D.D.S., M.D., P.A.

Company Details

Entity Name: RICHARD W. KAPLAN, D.D.S., M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 08 Aug 1991 (34 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 22 Apr 2009 (16 years ago)
Document Number: S71782
FEI/EIN Number 65-0281828
Address: 1951 Bomar Dr., palm beach gardens, FL 33408
Mail Address: 1951 Bomar Dr., Palm Beach Gardens, FL 33408
ZIP code: 33408
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861839714 2013-06-03 2013-06-03 1951 BOMAR DR, PALM BEACH GARDENS, FL, 334083006, US 1951 BOMAR DR, PALM BEACH GARDENS, FL, 334083006, US

Contacts
Phone +1 561-848-0553
Fax 5614200151

Authorized person
Name DR. RICHARD KAPLAN
Role OWNER
Phone 5618480553

Taxonomy
Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
License Number 11625
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 073664301
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD W. KAPLAN, D.D.S., M.D., P.A., 401(K) PROFIT SHARING PLAN 2019 650281828 2020-10-02 RICHARD W. KAPLAN, D.D.S., M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5618480553
Plan sponsor’s address 1951 BOMAR DRIVE, PALM BEACH GARDENS, FL, 334080000

Signature of
Role Plan administrator
Date 2020-10-02
Name of individual signing RICHARD W. KAPLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-02
Name of individual signing RICHARD W. KAPLAN
Valid signature Filed with authorized/valid electronic signature
RICHARD W. KAPLAN, D.D.S., M.D., P.A., CASH BALANCE PLAN 2019 650281828 2020-10-02 RICHARD W. KAPLAN, D.D.S., M.D., P.A., 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5618480553
Plan sponsor’s address 1951 BOMAR DRIVE, PALM BEACH GARDENS, FL, 334080000

Signature of
Role Plan administrator
Date 2020-10-02
Name of individual signing RICHARD W. KAPLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-02
Name of individual signing RICHARD W. KAPLAN
Valid signature Filed with authorized/valid electronic signature
RICHARD W. KAPLAN, D.D.S., M.D., P.A., 401(K) PROFIT SHARING PLAN 2018 650281828 2019-09-17 RICHARD W. KAPLAN, D.D.S., M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5618480553
Plan sponsor’s address 1951 BOMAR DRIVE, PALM BEACH GARDENS, FL, 334080000

Signature of
Role Plan administrator
Date 2019-09-17
Name of individual signing RICHARD W. KAPLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-17
Name of individual signing RICHARD W. KAPLAN
Valid signature Filed with authorized/valid electronic signature
RICHARD W. KAPLAN, D.D.S., M.D., P.A., CASH BALANCE PLAN 2018 650281828 2019-09-17 RICHARD W. KAPLAN, D.D.S., M.D., P.A., 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5618480553
Plan sponsor’s address 1951 BOMAR DRIVE, PALM BEACH GARDENS, FL, 334080000

Signature of
Role Plan administrator
Date 2019-09-17
Name of individual signing RICHARD W. KAPLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-17
Name of individual signing RICHARD W. KAPLAN
Valid signature Filed with authorized/valid electronic signature
RICHARD W. KAPLAN, D.D.S., M.D., P.A., CASH BALANCE PLAN 2017 650281828 2018-10-11 RICHARD W. KAPLAN, D.D.S., M.D., P.A., 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5618480553
Plan sponsor’s address 1951 BOMAR DRIVE, PALM BEACH GARDENS, FL, 334080000

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing RICHARD W KAPLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing RICHARD W KAPLAN
Valid signature Filed with authorized/valid electronic signature
RICHARD W. KAPLAN, D.D.S., M.D., P.A., 401(K) PROFIT SHARING PLAN 2017 650281828 2018-10-11 RICHARD W. KAPLAN, D.D.S., M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5618480553
Plan sponsor’s address 1951 BOMAR DRIVE, PALM BEACH GARDENS, FL, 334080000

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing RICHARD W KAPLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing RICHARD W KAPLAN
Valid signature Filed with authorized/valid electronic signature
RICHARD W. KAPLAN, D.D.S., M.D., P.A., 401(K) PROFIT SHARING PLAN 2016 650281828 2017-07-17 RICHARD W. KAPLAN, D.D.S., M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5618480553
Plan sponsor’s address 1951 BOMAR DR, PALM BEACH GARDENS, FL, 334080000

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing RICHARD W. KAPLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-17
Name of individual signing RICHARD W. KAPLAN
Valid signature Filed with authorized/valid electronic signature
RICHARD W. KAPLAN, D.D.S., M.D., P.A., CASH BALANCE PLAN 2016 650281828 2017-07-20 RICHARD W. KAPLAN, D.D.S., M.D., P.A., 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5618480553
Plan sponsor’s address 1951 BOMAR DRIVE, PALM BEACH GARDENS, FL, 334080000

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing RICHARD W. KAPLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-20
Name of individual signing RICHARD W. KAPLAN
Valid signature Filed with authorized/valid electronic signature
RICHARD W. KAPLAN, D.D.S., M.D., P.A., 401(K) PROFIT SHARING PLAN 2015 650281828 2016-10-14 RICHARD W. KAPLAN, D.D.S., M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 5618480553
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 201, WEST PALM BEACH, FL, 334072448

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing RICHARD KAPLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing RICHARD KAPLAN
Valid signature Filed with authorized/valid electronic signature
RICHARD W. KAPLAN, D.D.S., M.D., P.A., CASH BALANCE PLAN 2015 650281828 2016-10-14 RICHARD W. KAPLAN, D.D.S., M.D., P.A., 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 5618480553
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 201, WEST PALM BEACH, FL, 334072448

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing RICHARD KAPLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing RICHARD KAPLAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KAPLAN, RICHARD W Agent 1951 Bomar Dr., Palm Beach Gardens, FL 33408

Director

Name Role Address
KAPLAN, RICHARD WM.D. Director 1951 Bomar Dr., Palm Beach Gardens, FL 33408

Vice President

Name Role Address
KAPLAN, SUSAN ELLEN Vice President 1951 Bomar Dr., Palm Beach Gardens, FL 33408

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2013-03-25 1951 Bomar Dr., palm beach gardens, FL 33408 No data
REGISTERED AGENT ADDRESS CHANGED 2013-03-25 1951 Bomar Dr., Palm Beach Gardens, FL 33408 No data
CHANGE OF MAILING ADDRESS 2013-03-25 1951 Bomar Dr., palm beach gardens, FL 33408 No data
CANCEL ADM DISS/REV 2009-04-22 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data
CANCEL ADM DISS/REV 2006-02-28 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data
CANCEL ADM DISS/REV 2004-10-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 No data No data
REGISTERED AGENT NAME CHANGED 1996-03-14 KAPLAN, RICHARD W No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-03-07
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-03-27
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-03-23

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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