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RICHARD W. BLAKE, D.D.S., P.A. - Florida Company Profile

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Company Details

Entity Name: RICHARD W. BLAKE, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

RICHARD W. BLAKE, D.D.S., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 07 Mar 1979 (46 years ago)
Last Event: AMENDMENT
Event Date Filed: 11 Apr 2011 (14 years ago)
Document Number: 611967
FEI/EIN Number 591882745

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3006 Hargett Ln, Safery Harbor, FL, 34695, US
Mail Address: 3006 Hargett Ln, Safery Harbor, FL, 34695, US
ZIP code: 34695
City: Safety Harbor
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BLAKE RICHARD W President 3006 HARGETT LANE, Safety Harbor, FL, 34695
BLAKE RICHARD W Director 3006 HARGETT LANE, Safety Harbor, FL, 34695
BLAKE SABRINA M Assistant Treasurer 3006 HARGETT LANE, SAFETY HARBOR, FL, 34695
BLAKE, RICHARD II Secretary 3006 HARGETT LANE, SAFETY HARBOR, FL, 34695
BLAKE, RICHARD W Agent 3006 HARGETT LANE, Safety Harbor, FL, 34695

National Provider Identifier

NPI Number:
1558701177

Authorized Person:

Name:
DR. RICHARD WAYNE BLAKE
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Fax:
9047440598

Form 5500 Series

Employer Identification Number (EIN):
591882745
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
14
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-26 3006 Hargett Ln, Safery Harbor, FL 34695 -
CHANGE OF MAILING ADDRESS 2022-04-26 3006 Hargett Ln, Safery Harbor, FL 34695 -
REGISTERED AGENT ADDRESS CHANGED 2021-02-02 3006 HARGETT LANE, Safety Harbor, FL 34695 -
AMENDMENT 2011-04-11 - -

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-26
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-01-29
ANNUAL REPORT 2016-01-11
ANNUAL REPORT 2015-01-11

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$82,000
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$82,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$82,837.97
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $82,000

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Date of last update: 03 Jul 2025

Sources: Florida Department of State