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  5. SHAH DENTAL SERVICES, P.A.

SHAH DENTAL SERVICES, P.A. - Florida Company Profile

Company Details

Entity Name: SHAH DENTAL SERVICES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SHAH DENTAL SERVICES, 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: 10 Aug 1981 (44 years ago)
Document Number: 698203
FEI/EIN Number 592123701

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 123 S. INDUSTRIAL DRIVE, ORANGE CITY, FL, 32763
Mail Address: 123 S. INDUSTRIAL DRIVE, ORANGE CITY, FL, 32763, US
ZIP code: 32763
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHAH DENTAL SERVICES, P.A. PENSION PLAN 2011 592123701 2012-02-16 SHAH DENTAL SERVICES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 3867758737
Plan sponsor’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 592123701
Plan administrator’s name SHAH DENTAL SERVICES, P.A.
Plan administrator’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763
Administrator’s telephone number 3867758737

Signature of
Role Plan administrator
Date 2012-02-16
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-16
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
SHAH DENTAL SERVICES, P.A. PENSION PLAN 2011 592123701 2012-02-14 SHAH DENTAL SERVICES, P.A. 4
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 3867758737
Plan sponsor’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 592123701
Plan administrator’s name SHAH DENTAL SERVICES, P.A.
Plan administrator’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763
Administrator’s telephone number 3867758737

Signature of
Role Plan administrator
Date 2012-02-14
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-14
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
SHAH DENTAL SERVICES, P.A. PENSION PLAN 2010 592123701 2011-06-15 SHAH DENTAL SERVICES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 3867758737
Plan sponsor’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 592123701
Plan administrator’s name SHAH DENTAL SERVICES, P.A.
Plan administrator’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763
Administrator’s telephone number 3867758737

Signature of
Role Plan administrator
Date 2011-06-15
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-15
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
SHAH DENTAL SERVICES, P.A. PENSION PLAN 2009 592123701 2010-07-01 SHAH DENTAL SERVICES, P.A. 4
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 3867758737
Plan sponsor’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 592123701
Plan administrator’s name SHAH DENTAL SERVICES, P.A.
Plan administrator’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763
Administrator’s telephone number 3867758737

Signature of
Role Plan administrator
Date 2010-07-01
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-07-01
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with incorrect/unrecognized electronic signature
SHAH DENTAL SERVICES, P.A. PENSION PLAN 2009 592123701 2010-07-01 SHAH DENTAL SERVICES, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 3867758737
Plan sponsor’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 592123701
Plan administrator’s name SHAH DENTAL SERVICES, P.A.
Plan administrator’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763
Administrator’s telephone number 3867758737

Signature of
Role Plan administrator
Date 2010-07-01
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-01
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with authorized/valid electronic signature
SHAH DENTAL SERVICES, P.A. PENSION PLAN 2009 592123701 2010-06-30 SHAH DENTAL SERVICES, P.A. 4
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 3867758737
Plan sponsor’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 592123701
Plan administrator’s name SHAH DENTAL SERVICES, P.A.
Plan administrator’s address 123 SOUTH INDUSTRIAL DRIVE, SUITE 101, ORANGE CITY, FL, 32763
Administrator’s telephone number 3867758737

Signature of
Role Plan administrator
Date 2010-06-30
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-06-30
Name of individual signing SHASHIKANT SHAH
Valid signature Filed with incorrect/unrecognized electronic signature

Key Officers & Management

Name Role Address
SHASHIKANT SHAH President 724 SILVERWOOD DR., LAKE MARY, FL, 32746
SHASHIKANT SHAH Secretary 724 SILVERWOOD DR., LAKE MARY, FL, 32746
SHASHIKANT SHAH Treasurer 724 SILVERWOOD DR., LAKE MARY, FL, 32746
SHASHIKANT SHAH Agent 123 S. INDUSTRIAL DRIVE, ORANGE CITY, FL, 32763

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000076996 SHAH DENTAL SERVICES P.A. ACTIVE 2017-07-18 2027-12-31 - 123 S. INDUSTRIAL DR. #101, ORANGE CITY, FL, 32763

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2009-02-10 SHASHIKANT SHAH -
CHANGE OF MAILING ADDRESS 1993-02-24 123 S. INDUSTRIAL DRIVE, ORANGE CITY, FL 32763 -
CHANGE OF PRINCIPAL ADDRESS 1985-05-17 123 S. INDUSTRIAL DRIVE, ORANGE CITY, FL 32763 -
REGISTERED AGENT ADDRESS CHANGED 1985-05-17 123 S. INDUSTRIAL DRIVE, ORANGE CITY, FL 32763 -

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-13
ANNUAL REPORT 2022-01-18
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5915168505 2021-03-02 0491 PPS 123 S Industrial Dr, Orange City, FL, 32763-7421
Loan Status Date 2021-09-25
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 30000
Loan Approval Amount (current) 30000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 456756
Servicing Lender Name Cross River Bank
Servicing Lender Address 885 Teaneck Rd, TEANECK, NJ, 07666-4546
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Orange City, VOLUSIA, FL, 32763-7421
Project Congressional District FL-07
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 456756
Originating Lender Name Cross River Bank
Originating Lender Address TEANECK, NJ
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 30145.48
Forgiveness Paid Date 2021-08-30

Companies related by officers

No other companies in our directory share the same officers as SHAH DENTAL SERVICES, P.A.

Companies related by address

No other companies in our directory share the same address as SHAH DENTAL SERVICES, P.A.

Date of last update: 02 May 2025

Sources: Florida Department of State

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