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  5. HAEUSSNER DENTAL GROUP, LLC

HAEUSSNER DENTAL GROUP, LLC - Florida Company Profile

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Company Details

Entity Name: HAEUSSNER DENTAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Dec 2003 (22 years ago)
Document Number: L03000055984
FEI/EIN Number 200479448
Address: 1409 KINGSLEY AVENUE BUILDING#11, ORANGE PARK, FL, 32073
Mail Address: 1409 KINGSLEY AVENUE BUILDING#11, ORANGE PARK, FL, 32073
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HAEUSSNER BRIAN Managing Member 1409 KINGSLEY AVENUE BUILDING#11, ORANGE PARK, FL, 32073
HAEUSSNER BRIAN Agent 1409 KINGSLEY AVENUE BUILDING#11, ORANGE PARK, FL, 32073

National Provider Identifier

NPI Number:
1174642375
Link:
View on NPI website

Authorized Person:

Name:
DR. THEODORE ADRIAN HAEUSSNER
Role:
PRESIDENT
Phone:
9042642483

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Phone:
+1 904-264-2483
Fax:
9042640474

Form 5500 Series

Employer Identification Number (EIN):
200479448
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
9042642483
File:
View File
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
9042642483
File:
View File
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
9042642483
File:
View File
Plan Year:
2020
Number Of Participants:
9
Sponsors Telephone Number:
9042642483
File:
View File
Plan Year:
2019
Number Of Participants:
9
Sponsors Telephone Number:
9042642483
File:
View File

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2014-08-06 HAEUSSNER, BRIAN -

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-03-31
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-04-24
ANNUAL REPORT 2020-03-26
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-20
ANNUAL REPORT 2015-04-29

USAspending Awards / Financial Assistance

Date:
2021-01-28
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
58000.00
Total Face Value Of Loan:
58000.00
Date:
2020-04-30
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
58000.00
Total Face Value Of Loan:
58000.00
Date:
2020-04-30
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
58000.00
Total Face Value Of Loan:
58000.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$58,000
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$58,000
Race:
American Indian or Alaska Native
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$58,545.04
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $58,000
Jobs Reported:
6
Initial Approval Amount:
$58,000
Date Approved:
2021-01-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$58,000
Race:
American Indian or Alaska Native
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$58,421.1
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $58,000

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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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