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  5. WINTER HAVEN ORAL SURGERY, P.A.

WINTER HAVEN ORAL SURGERY, P.A. - Florida Company Profile

Company Details

Entity Name: WINTER HAVEN ORAL SURGERY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

WINTER HAVEN ORAL SURGERY, 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: 29 Feb 1980 (45 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 08 May 2009 (16 years ago)
Document Number: 657665
FEI/EIN Number 591971577

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 400 AVENUE K.,S.E. STE 14A, WINTER HAVEN, FL, 33880, US
Mail Address: 400 AVENUE K.,S.E. STE 14A, WINTER HAVEN, FL, 33880, US
ZIP code: 33880
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WINTER HAVEN ORAL SURGERY, P.A. CASH BALANCE PLAN 2023 591971577 2024-02-28 WINTER HAVEN ORAL SURGERY, P.A. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-03-01
Business code 621210
Sponsor’s telephone number 8632947648
Plan sponsor’s address 400 AVE. K SE STE 14A, WINTER HAVEN, FL, 33880
WINTER HAVEN ORAL SURGERY, P.A. EMPLOYEES PROFIT SHARING PLAN & TRUST 2023 591971577 2024-09-27 WINTER HAVEN ORAL SURGERY, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-03-01
Business code 621210
Sponsor’s telephone number 8632947648
Plan sponsor’s address 400 AVE. K SE SUITE 14A, WINTER HAVEN, FL, 33880

Signature of
Role Plan administrator
Date 2024-09-27
Name of individual signing RIGOBERTO CORNEJO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-27
Name of individual signing RIGOBERTO CORNEJO
Valid signature Filed with authorized/valid electronic signature
WINTER HAVEN ORAL SURGERY, P.A. CASH BALANCE PLAN 2023 591971577 2024-02-27 WINTER HAVEN ORAL SURGERY, P.A. 15
Three-digit plan number (PN) 003
Effective date of plan 2011-03-01
Business code 621210
Sponsor’s telephone number 8632947648
Plan sponsor’s address 400 AVE. K SE STE 14A, WINTER HAVEN, FL, 33880
WINTER HAVEN ORAL SURGERY, P.A. EMPLOYEES PROFIT SHARING PLAN & TRUST 2022 591971577 2023-10-02 WINTER HAVEN ORAL SURGERY, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-03-01
Business code 621210
Sponsor’s telephone number 8632947648
Plan sponsor’s address 400 AVE. K SE SUITE 14A, WINTER HAVEN, FL, 33880

Signature of
Role Plan administrator
Date 2023-10-02
Name of individual signing RIGOBERTO CORNEJO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-02
Name of individual signing RIGOBERTO CORNEJO
Valid signature Filed with authorized/valid electronic signature
WINTER HAVEN ORAL SURGERY, P.A. CASH BALANCE PLAN 2022 591971577 2024-02-23 WINTER HAVEN ORAL SURGERY, P.A. 17
Three-digit plan number (PN) 003
Effective date of plan 2011-03-01
Business code 621210
Sponsor’s telephone number 8632947648
Plan sponsor’s address 400 AVE. K SE STE 14A, WINTER HAVEN, FL, 33880
WINTER HAVEN ORAL SURGERY, P.A. CASH BALANCE PLAN 2022 591971577 2023-03-21 WINTER HAVEN ORAL SURGERY, P.A. 17
Three-digit plan number (PN) 003
Effective date of plan 2011-03-01
Business code 621210
Sponsor’s telephone number 8632947648
Plan sponsor’s address 400 AVE. K SE STE 14A, WINTER HAVEN, FL, 33880
WINTER HAVEN ORAL SURGERY, P.A. CASH BALANCE PLAN 2022 591971577 2024-02-23 WINTER HAVEN ORAL SURGERY, P.A. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-03-01
Business code 621210
Sponsor’s telephone number 8632947648
Plan sponsor’s address 400 AVE. K SE STE 14A, WINTER HAVEN, FL, 33880
WINTER HAVEN ORAL SURGERY, P.A. EMPLOYEES PROFIT SHARING PLAN & TRUST 2021 591971577 2022-09-18 WINTER HAVEN ORAL SURGERY, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-03-01
Business code 621210
Sponsor’s telephone number 8632947648
Plan sponsor’s address 400 AVE. K SE SUITE 14A, WINTER HAVEN, FL, 33880

Signature of
Role Plan administrator
Date 2022-09-18
Name of individual signing RIGOBERTO CORNEJO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-18
Name of individual signing RIGOBERTO CORNEJO
Valid signature Filed with authorized/valid electronic signature
WINTER HAVEN ORAL SURGERY, P.A. CASH BALANCE PLAN 2021 591971577 2022-08-19 WINTER HAVEN ORAL SURGERY, P.A. 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-03-01
Business code 621210
Sponsor’s telephone number 8632947648
Plan sponsor’s address 400 AVE. K SE STE 14A, WINTER HAVEN, FL, 33880
WINTER HAVEN ORAL SURGERY, P.A. CASH BALANCE PLAN 2020 591971577 2021-07-19 WINTER HAVEN ORAL SURGERY, P.A. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-03-01
Business code 621210
Sponsor’s telephone number 8632947648
Plan sponsor’s address 400 AVE. K SE STE 14A, WINTER HAVEN, FL, 33880

Key Officers & Management

Name Role Address
CORNEJO RIGOBERTO President 400 AVENUE K.,S.E. STE 14A, WINTER HAVEN, FL, 33880
CORNEJO RIGOBERTO Director 400 AVENUE K.,S.E. STE 14A, WINTER HAVEN, FL, 33880
RIGOBERTO CORNEJO Agent 400 AVENUE K.,S.E. STE 14A, WINTER HAVEN, FL, 33880

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-03-20 400 AVENUE K.,S.E. STE 14A, WINTER HAVEN, FL 33880 -
CHANGE OF MAILING ADDRESS 2015-03-20 400 AVENUE K.,S.E. STE 14A, WINTER HAVEN, FL 33880 -
REGISTERED AGENT ADDRESS CHANGED 2015-03-20 400 AVENUE K.,S.E. STE 14A, WINTER HAVEN, FL 33880 -
REGISTERED AGENT NAME CHANGED 2011-06-03 RIGOBERTO CORNEJO -
NAME CHANGE AMENDMENT 2009-05-08 WINTER HAVEN ORAL SURGERY, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-02-12
ANNUAL REPORT 2020-02-21
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-02-12
ANNUAL REPORT 2015-03-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3589397110 2020-04-11 0455 PPP 400 Avenue K Southeast Suite 14A, WINTER HAVEN, FL, 33880
Loan Status Date 2021-04-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 266500
Loan Approval Amount (current) 266500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address WINTER HAVEN, POLK, FL, 33880-0001
Project Congressional District FL-09
Number of Employees 17
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 268957.72
Forgiveness Paid Date 2021-03-31

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Companies related by address

No other companies in our directory share the same address as WINTER HAVEN ORAL SURGERY, P.A.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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