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BLUE WATER DENTAL, L.L.C. - Florida Company Profile

Company Details

Entity Name: BLUE WATER DENTAL, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BLUE WATER DENTAL, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company 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: 22 Jul 2010 (15 years ago)
Document Number: L10000077001
FEI/EIN Number 800627555

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

Address: 19651 Bruce B Downs Blvd., TAMPA, FL, 33647, US
Mail Address: 19651 Bruce B Downs Blvd., Suite A-1, TAMPA, FL, 33647, US
ZIP code: 33647
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUE WATER DENTAL 401(K) PLAN 2022 800627555 2023-08-11 BLUE WATER DENTAL 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 8139575887
Plan sponsor’s address 19651 BRUCE B. DOWNS BLVD, SUITE, TAMPA, FL, 33647
BLUE WATER DENTAL 401(K) PLAN 2021 800627555 2022-09-21 BLUE WATER DENTAL 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 8139575887
Plan sponsor’s address 19651 BRUCE B DOWNS BLVD, SUITE A1, TAMPA, FL, 33647
BLUE WATER DENTAL 401(K) PLAN 2020 800627555 2021-08-17 BLUE WATER DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 8139575887
Plan sponsor’s address 19651 BRUCE B DOWNS BLVD, SUITE A1, TAMPA, FL, 33647

Signature of

Role Plan administrator
Date 2021-08-17
Name of individual signing NICOLE MITCHELL
Valid signature Filed with authorized/valid electronic signature
BLUE WATER DENTAL 401 (K) PLAN 2019 800627555 2020-10-06 BLUE WATER DENTAL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 8139575887
Plan sponsor’s address 19651 BRUCE B DOWNS BLVD STE A1, TAMPA, FL, 336472438

Signature of

Role Plan administrator
Date 2020-10-06
Name of individual signing NICOLE MITCHELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-06
Name of individual signing NICOLE MITCHELL
Valid signature Filed with authorized/valid electronic signature
BLUE WATER DENTAL 401(K) PLAN 2018 800627555 2019-10-10 BLUE WATER DENTAL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 8139575887
Plan sponsor’s address 18043 HIGHWOODS PRESERVE PARKWAY, TAMPA, FL, 33647

Signature of

Role Plan administrator
Date 2019-10-10
Name of individual signing NICOLE MITCHELL
Valid signature Filed with authorized/valid electronic signature
BLUE WATER DENTAL 401(K) PLAN 2017 800627555 2018-09-04 BLUE WATER DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 8139575887
Plan sponsor’s address 18043 HIGHWOODS PRESERVE PARKWAY, TAMPA, FL, 33647

Signature of

Role Plan administrator
Date 2018-09-04
Name of individual signing NICOLE MITCHELL
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
The Health Law Firm Agent 1101 Douglas Avenue, Altamonte Springs, FL, 33714
MITCHELL-TOTH NICOLE Managing Member 19651 Bruce B Downs Blvd., TAMPA, FL, 33647

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000070153 NICOLE MITCHELL, D.M.D. EXPIRED 2010-07-29 2015-12-31 - 18043 HIGHWOODS PRESERVE PKWY., TAMPA, FL, 33647

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-03-23 19651 Bruce B Downs Blvd., Suite A-1, TAMPA, FL 33647 -
CHANGE OF MAILING ADDRESS 2020-03-23 19651 Bruce B Downs Blvd., Suite A-1, TAMPA, FL 33647 -
REGISTERED AGENT NAME CHANGED 2013-11-22 The Health Law Firm -
REGISTERED AGENT ADDRESS CHANGED 2013-11-22 1101 Douglas Avenue, Altamonte Springs, FL 33714 -

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-04-10
ANNUAL REPORT 2021-04-05
ANNUAL REPORT 2020-03-23
ANNUAL REPORT 2019-03-30
ANNUAL REPORT 2018-02-20
ANNUAL REPORT 2017-01-30
ANNUAL REPORT 2016-03-27
ANNUAL REPORT 2015-04-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7179538509 2021-03-05 0455 PPS 19651 Bruce B Downs Blvd Ste A1, Tampa, FL, 33647-2438
Loan Status Date 2022-03-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 83373
Loan Approval Amount (current) 83373
Undisbursed Amount 0
Franchise Name -
Lender Location ID 121536
Servicing Lender Name Customers Bank
Servicing Lender Address 40 General Warren Blvd, Malvern, PA, 19355
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33647-2438
Project Congressional District FL-15
Number of Employees 11
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 121536
Originating Lender Name Customers Bank
Originating Lender Address Malvern, PA
Gender Female Owned
Veteran Veteran
Forgiveness Amount 83691.78
Forgiveness Paid Date 2021-08-10
9431728302 2021-01-30 0491 PPS 2620 Jenks Ave, Panama City, FL, 32405-4311
Loan Status Date 2022-01-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 210341
Loan Approval Amount (current) 210341
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123118
Servicing Lender Name Transportation Alliance Bank, Inc. d/b/a TAB Bank
Servicing Lender Address 4185 Harrison Blvd, Ste 200, OGDEN, UT, 84403-6400
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Panama City, BAY, FL, 32405-4311
Project Congressional District FL-02
Number of Employees 20
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 123118
Originating Lender Name Transportation Alliance Bank, Inc. d/b/a TAB Bank
Originating Lender Address OGDEN, UT
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 212082.16
Forgiveness Paid Date 2021-12-01
9202427306 2020-05-01 0455 PPP 19651 Bruce B Downs Blvd Suite A1, Tampa, FL, 33647
Loan Status Date 2022-03-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 83373
Loan Approval Amount (current) 83373
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 N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33647-1000
Project Congressional District FL-15
Number of Employees 11
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 529113
Originating Lender Name Kabbage, Inc.
Originating Lender Address Atlanta, GA
Gender Female Owned
Veteran Veteran
Forgiveness Amount 84374.43
Forgiveness Paid Date 2021-08-11

Date of last update: 01 Apr 2025

Sources: Florida Department of State