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  5. CROWN DENTAL, INC.

CROWN DENTAL, INC.

Company Details

Entity Name: CROWN DENTAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Nov 1991 (33 years ago)
Document Number: S94511
FEI/EIN Number 593094219
Address: 4812 N HABANA AVENUE, TAMPA, FL, 33614, US
Mail Address: 4812 N HABANA AVENUE, TAMPA, FL, 33614, US
ZIP code: 33614
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CROWN DENTAL, INC. 401(K) PROFIT SHARING PLAN 2011 593094219 2012-04-02 CROWN DENTAL, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8138730271
Plan sponsor’s address 4812 N. HABANA AVE., TAMPA, FL, 336146871

Plan administrator’s name and address
Administrator’s EIN 593094219
Plan administrator’s name CROWN DENTAL, INC.
Plan administrator’s address 4812 N. HABANA AVE., TAMPA, FL, 336146871
Administrator’s telephone number 8138730271

Signature of
Role Plan administrator
Date 2012-03-30
Name of individual signing HUGO RUIZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-30
Name of individual signing HUGO RUIZ
Valid signature Filed with authorized/valid electronic signature
CROWN DENTAL, INC. 401(K) PROFIT SHARING PLAN 2011 593094219 2012-08-22 CROWN DENTAL, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8138730271
Plan sponsor’s address 4812 N. HABANA AVE., TAMPA, FL, 336146871

Plan administrator’s name and address
Administrator’s EIN 593094219
Plan administrator’s name CROWN DENTAL, INC.
Plan administrator’s address 4812 N. HABANA AVE., TAMPA, FL, 336146871
Administrator’s telephone number 8138730271

Signature of
Role Plan administrator
Date 2012-08-22
Name of individual signing HUGO RUIZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-22
Name of individual signing HUGO RUIZ
Valid signature Filed with authorized/valid electronic signature
CROWN DENTAL, INC. 401(K) PROFIT SHARING PLAN 2010 593094219 2011-06-09 CROWN DENTAL, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8138730271
Plan sponsor’s address 4812 N. HABANA AVE., TAMPA, FL, 336146871

Plan administrator’s name and address
Administrator’s EIN 593094219
Plan administrator’s name CROWN DENTAL, INC.
Plan administrator’s address 4812 N. HABANA AVE., TAMPA, FL, 336146871
Administrator’s telephone number 8138730271

Signature of
Role Plan administrator
Date 2011-06-09
Name of individual signing HUGO RUIZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-09
Name of individual signing HUGO RUIZ
Valid signature Filed with authorized/valid electronic signature
CROWN DENTAL, INC. 401(K) PROFIT SHARING PLAN 2009 593094219 2010-06-30 CROWN DENTAL, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8138730271
Plan sponsor’s address 4812 N. HABANA AVE., TAMPA, FL, 336146871

Plan administrator’s name and address
Administrator’s EIN 593094219
Plan administrator’s name CROWN DENTAL, INC.
Plan administrator’s address 4812 N. HABANA AVE., TAMPA, FL, 336146871
Administrator’s telephone number 8138730271

Signature of
Role Plan administrator
Date 2010-06-30
Name of individual signing HUGO RUIZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-30
Name of individual signing HUGO RUIZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RUIZ, HUGO Agent 4812 N HABANA AVENUE, TAMPA, FL, 33614

Secretary

Name Role Address
RUIZ, HUGO Secretary 4812 N HABANA AVENUE, TAMPA, FL, 33614

Treasurer

Name Role Address
RUIZ, HUGO Treasurer 4812 N HABANA AVENUE, TAMPA, FL, 33614

President

Name Role Address
RUIZ, HUGO President 4812 N HABANA AVENUE, TAMPA, FL, 33614

Director

Name Role Address
RUIZ, HUGO Director 4812 N HABANA AVENUE, TAMPA, FL, 33614
RUIZ AMY Director 4812 N HABANA AVENUE, TAMPA, FL, 33614

Events

Event Type Filed Date Value Description
REINSTATEMENT 2018-10-18 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
NAME CHANGE AMENDMENT 2000-08-16 CROWN DENTAL, INC. No data

Related by officers

RUIZ, HUGO

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Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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