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  5. KLEMENT FAMILY DENTAL, P.A.

KLEMENT FAMILY DENTAL, P.A. - Florida Company Profile

Company Details

Entity Name: KLEMENT FAMILY DENTAL, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

KLEMENT FAMILY DENTAL, 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 Nov 1982 (42 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 07 Oct 2014 (11 years ago)
Document Number: G08573
FEI/EIN Number 592248461

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 7650 38TH AVENUE NORTH, ST PETERSBURG, FL, 33710, US
Mail Address: 7650 38TH AVENUE NORTH, ST PETERSBURG, FL, 33710, US
ZIP code: 33710
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952932816 2020-01-30 2020-01-30 425 22ND AVENUE NORTH, SAINT PETERSBURG, FL, 33704, US 425 22ND AVENUE NORTH, SAINT PETERSBURG, FL, 33704, US

Contacts
Phone +1 727-498-7581

Authorized person
Name MR. STEPHEN MATTHEW KLEMENT
Role DENTIST/OWNER
Phone 7274987581

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KLEMENT FAMILY DENTAL, P.A. 401K PROFIT SHARING PLAN AND TRUST 2023 592248461 2024-10-23 KLEMENT FAMILY DENTAL P.A. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7273438831
Plan sponsor’s address 7650 38TH AVE. NORTH, ST. PETERSBURG, FL, 33710
KLEMENT FAMILY DENTAL, P.A. 401K PROFIT SHARING PLAN AND TRUST 2022 592248461 2023-10-10 KLEMENT FAMILY DENTAL P.A. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7273438831
Plan sponsor’s address 7650 38TH AVE. NORTH, ST. PETERSBURG, FL, 33710
KLEMENT FAMILY DENTAL, P.A. 401K PROFIT SHARING PLAN AND TRUST 2021 592248461 2022-09-19 KLEMENT FAMILY DENTAL P.A. 54
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7273438831
Plan sponsor’s address 7650 38TH AVE. NORTH, ST. PETERSBURG, FL, 33710
KLEMENT FAMILY DENTAL, P.A. 401K PROFIT SHARING PLAN AND TRUST 2021 592248461 2023-10-09 KLEMENT FAMILY DENTAL P.A. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7273438831
Plan sponsor’s address 7650 38TH AVE. NORTH, ST. PETERSBURG, FL, 33710
KLEMENT FAMILY DENTAL, P.A. 401K PROFIT SHARING PLAN AND TRUST 2020 592248461 2021-10-11 KLEMENT FAMILY DENTAL P.A. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7273438831
Plan sponsor’s address 7650 38TH AVE. NORTH, ST. PETERSBURG, FL, 33710
KLEMENT FAMILY DENTAL, P.A. 401K PROFIT SHARING PLAN AND TRUST 2019 592248461 2020-07-28 KLEMENT FAMILY DENTAL P.A. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7273438831
Plan sponsor’s address 7650 38TH AVE. NORTH, ST. PETERSBURG, FL, 33710
KLEMENT FAMILY DENTAL, P.A. 401K PROFIT SHARING PLAN AND TRUST 2018 592248461 2019-06-21 KLEMENT FAMILY DENTAL P.A. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7273438831
Plan sponsor’s address 7650 38TH AVE. NORTH, ST. PETERSBURG, FL, 33710
KLEMENT FAMILY DENTAL, P.A. 401K PROFIT SHARING PLAN AND TRUST 2017 592248461 2018-10-14 KLEMENT FAMILY DENTAL P.A. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7273438831
Plan sponsor’s address 7650 38TH AVE. NORTH, ST. PETERSBURG, FL, 33710
KLEMENT FAMILY DENTAL CARE, P.A. 401K PROFIT SHARING PLAN AND TRUST 2016 592248461 2017-06-28 KLEMENT FAMILY DENTAL P.A. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7273438831
Plan sponsor’s address 7650 38TH AVE. NORTH, ST. PETERSBURG, FL, 33710

Signature of
Role Plan administrator
Date 2017-06-28
Name of individual signing E.C. KLEMENT
Valid signature Filed with authorized/valid electronic signature
KLEMENT FAMILY DENTAL CARE, P.A. 401K PROFIT SHARING PLAN AND TRUST 2015 592248461 2016-05-02 KLEMENT FAMILY DENTAL P.A. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7273438831
Plan sponsor’s address 7650 38TH AVE. NORTH, ST. PETERSBURG, FL, 33710

Signature of
Role Plan administrator
Date 2016-05-02
Name of individual signing E.C. KLEMENT
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CHESTNUT BUSINESS SERVICES, LLC Agent -
KLEMENT STEPHEN MD.M.D. President 7650 38TH AVENUE NORTH, ST PETERSBURG, FL, 33710
Klement Elizabeth CPhd Chief Executive Officer 7650 38TH AVENUE NORTH, ST PETERSBURG, FL, 33710

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000124780 KLEMENT FAMILY DENTAL ACTIVE 2014-12-12 2029-12-31 - 7650 38TH AVENUE NORTH, ST. PETERSBURG, FL, 33710
G09000110583 KLEMENT FAMILY DENTAL CARE EXPIRED 2009-05-26 2024-12-31 - 7650 38TH AVENUE NORTH, ST PETERSBURG, FL, 33710

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-11-26 CHESTNUT BUSINESS SERVICES, LLC -
REGISTERED AGENT ADDRESS CHANGED 2019-11-26 333 3rd Avenue North, Suite 200, St. Petersburg, FL 33701 -
NAME CHANGE AMENDMENT 2014-10-07 KLEMENT FAMILY DENTAL, P.A. -
NAME CHANGE AMENDMENT 2009-03-16 KLEMENT FAMILY DENTAL CARE, P.A. -
NAME CHANGE AMENDMENT 2003-10-13 KLEMENT DENTAL EXCELLENCE, P.A. -
CHANGE OF PRINCIPAL ADDRESS 1996-08-05 7650 38TH AVENUE NORTH, ST PETERSBURG, FL 33710 -
CHANGE OF MAILING ADDRESS 1996-08-05 7650 38TH AVENUE NORTH, ST PETERSBURG, FL 33710 -
NAME CHANGE AMENDMENT 1996-08-05 KLEMENT DENTAL ASSOCIATES, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-05-02
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-06-17
AMENDED ANNUAL REPORT 2019-11-26
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-03-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8746617210 2020-04-28 0455 PPP 7650 38th Ave N, Saint Petersburg, FL, 33710-1233
Loan Status Date 2021-02-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 142100
Loan Approval Amount (current) 142100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27542
Servicing Lender Name Republic Bank & Trust Company
Servicing Lender Address 601 W Market St Republic Corporate Center, LOUISVILLE, KY, 40202
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Saint Petersburg, PINELLAS, FL, 33710-1233
Project Congressional District FL-13
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 27542
Originating Lender Name Republic Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 143130.23
Forgiveness Paid Date 2021-01-25
3459238607 2021-03-17 0455 PPS 7650 38th Ave N, St Petersburg, FL, 33710-1233
Loan Status Date 2021-10-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 150500
Loan Approval Amount (current) 150500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27542
Servicing Lender Name Republic Bank & Trust Company
Servicing Lender Address 601 W Market St Republic Corporate Center, LOUISVILLE, KY, 40202
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address St Petersburg, PINELLAS, FL, 33710-1233
Project Congressional District FL-13
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 27542
Originating Lender Name Republic Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 151290.12
Forgiveness Paid Date 2021-09-27

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Companies related by address

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

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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