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  5. FAMILY ORTHODONTICS, LLC

FAMILY ORTHODONTICS, LLC - Florida Company Profile

Company Details

Entity Name: FAMILY ORTHODONTICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company

FAMILY ORTHODONTICS, LLC 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: 02 Dec 2011 (13 years ago)
Document Number: L11000136586
FEI/EIN Number 80-0791471

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 12797 West Forest Hill Boulevard, Suite 6A, WELLINGTON, FL 33414
Mail Address: 12797 West Forest Hill Boulevard, Suite 6A, WELLINGTON, FL 33414
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY ORTHODONTICS 401(K) P/S PLAN 2023 800791471 2024-06-11 FAMILY ORTHODONTICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5613131918
Plan sponsor’s address 12797 FOREST HILL BLVD STE 6A, WELLINGTON, FL, 33414

Signature of
Role Plan administrator
Date 2024-06-11
Name of individual signing PATRICK JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-11
Name of individual signing PATRICK JOHNSON
Valid signature Filed with authorized/valid electronic signature
FAMILY ORTHODONTICS 401(K) P/S PLAN 2022 800791471 2023-05-30 FAMILY ORTHODONTICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5617791123
Plan sponsor’s address 12797 FOREST HILL BLVD STE 6A, WELLINGTON, FL, 33414

Plan administrator’s name and address
Administrator’s EIN 800791471
Plan administrator’s name FAMILY ORTHODONTICS
Plan administrator’s address 12797 FOREST HILL BLVD STE 6A, WELLINGTON, FL, 33414
Administrator’s telephone number 5617791123

Signature of
Role Plan administrator
Date 2023-05-30
Name of individual signing KELLY BASS
Valid signature Filed with authorized/valid electronic signature
FAMILY ORTHODONTICS 401(K) P/S PLAN 2021 800791471 2022-05-05 FAMILY ORTHODONTICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5617791123
Plan sponsor’s address 12797 FOREST HILL BLVD STE 6A, WELLINGTON, FL, 33414

Plan administrator’s name and address
Administrator’s EIN 800791471
Plan administrator’s name FAMILY ORTHODONTICS
Plan administrator’s address 12797 FOREST HILL BLVD STE 6A, WELLINGTON, FL, 33414
Administrator’s telephone number 5617791123

Signature of
Role Plan administrator
Date 2022-05-05
Name of individual signing PATRICK JOHNSON
Valid signature Filed with authorized/valid electronic signature
FAMILY ORTHODONTICS 401(K) P/S PLAN 2020 800791471 2021-06-10 FAMILY ORTHODONTICS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5617791123
Plan sponsor’s address 12797 FOREST HILL BLVD STE 6A, WELLINGTON, FL, 33414

Plan administrator’s name and address
Administrator’s EIN 800791471
Plan administrator’s name FAMILY ORTHODONTICS
Plan administrator’s address 12797 FOREST HILL BLVD STE 6A, WELLINGTON, FL, 33414
Administrator’s telephone number 5617791123

Signature of
Role Plan administrator
Date 2021-06-10
Name of individual signing PATRICK JOHNSON
Valid signature Filed with authorized/valid electronic signature
FAMILY ORTHODONTICS 401(K) P/S PLAN 2019 800791471 2020-05-12 FAMILY ORTHODONTICS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5617791123
Plan sponsor’s address 12797 FOREST HILL BLVD STE 6A, WELLINGTON, FL, 33414

Plan administrator’s name and address
Administrator’s EIN 800791471
Plan administrator’s name FAMILY ORTHODONTICS
Plan administrator’s address 12797 FOREST HILL BLVD STE 6A, WELLINGTON, FL, 33414
Administrator’s telephone number 5617791123

Signature of
Role Plan administrator
Date 2020-05-12
Name of individual signing PATRICK JOHNSON
Valid signature Filed with authorized/valid electronic signature
FAMILY ORTHODONTICS 401(K) P/S PLAN 2018 800791471 2019-03-06 FAMILY ORTHODONTICS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5617791123
Plan sponsor’s address 12797 FOREST HILL BLVD STE 6A, WELLINGTON, FL, 33414

Plan administrator’s name and address
Administrator’s EIN 800791471
Plan administrator’s name FAMILY ORTHODONTICS
Plan administrator’s address 12797 FOREST HILL BLVD STE 6A, WELLINGTON, FL, 33414
Administrator’s telephone number 5617791123

Signature of
Role Plan administrator
Date 2019-03-06
Name of individual signing PATRICK JOHNSON
Valid signature Filed with authorized/valid electronic signature
FAMILY ORTHODONTICS 401(K) P/S PLAN 2017 800791471 2018-11-08 FAMILY ORTHODONTICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5617791123
Plan sponsor’s address 12797 FOREST HILL BLVD, WELLINGTON, FL, 33414

Plan administrator’s name and address
Administrator’s EIN 800791471
Plan administrator’s name FAMILY ORTHODONTICS
Plan administrator’s address 12797 FOREST HILL BLVD, WELLINGTON, FL, 33414
Administrator’s telephone number 5617791123

Signature of
Role Plan administrator
Date 2018-11-08
Name of individual signing KELLY BASS
Valid signature Filed with authorized/valid electronic signature
FAMILY ORTHODONTICS 401(K) P/S PLAN 2016 800791471 2017-05-09 FAMILY ORTHODONTICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5617791123
Plan sponsor’s address 12797 FOREST HILL BLVD, WELLINGTON, FL, 33414

Plan administrator’s name and address
Administrator’s EIN 800791471
Plan administrator’s name FAMILY ORTHODONTICS
Plan administrator’s address 12797 FOREST HILL BLVD, WELLINGTON, FL, 33414
Administrator’s telephone number 5617791123

Signature of
Role Plan administrator
Date 2017-05-09
Name of individual signing KELLY BASS
Valid signature Filed with authorized/valid electronic signature
FAMILY ORTHODONTICS 401(K) P/S PLAN 2015 800791471 2016-03-29 FAMILY ORTHODONTICS 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5617791123
Plan sponsor’s address 12797 FOREST HILL BLVD, WELLINGTON, FL, 33414

Plan administrator’s name and address
Administrator’s EIN 800791471
Plan administrator’s name FAMILY ORTHODONTICS
Plan administrator’s address 12797 FOREST HILL BLVD, WELLINGTON, FL, 33414
Administrator’s telephone number 5617791123

Signature of
Role Plan administrator
Date 2016-03-29
Name of individual signing KELLY BASS
Valid signature Filed with authorized/valid electronic signature
FAMILY ORTHODONTICS 401(K) P/S PLAN 2014 800791471 2015-03-30 FAMILY ORTHODONTICS 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5617791123
Plan sponsor’s address 12797 FOREST HILL BLVD, WELLINGTON, FL, 33414

Plan administrator’s name and address
Administrator’s EIN 800791471
Plan administrator’s name FAMILY ORTHODONTICS
Plan administrator’s address 12797 FOREST HILL BLVD, WELLINGTON, FL, 33414
Administrator’s telephone number 5617791123

Signature of
Role Plan administrator
Date 2015-03-30
Name of individual signing KELLY BASS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BASS, KELLY B Agent 12797 West Forest Hill Boulevard, Suite 6A, WELLINGTON, FL 33414
BASS, DANIEL C Managing Member 12797 West Forest Hill Boulevard, Suite 6A WELLINGTON, FL 33414

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000106390 FAMILY ORTHODONTICS OF WELLINGTON ACTIVE 2012-11-02 2027-12-31 - 12797 FOREST HILL BLVD, SUITE 6A, SUITE 6A, WELLINGTON, FL, 33414

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2015-01-12 12797 West Forest Hill Boulevard, Suite 6A, WELLINGTON, FL 33414 -
CHANGE OF PRINCIPAL ADDRESS 2013-04-01 12797 West Forest Hill Boulevard, Suite 6A, WELLINGTON, FL 33414 -
CHANGE OF MAILING ADDRESS 2013-04-01 12797 West Forest Hill Boulevard, Suite 6A, WELLINGTON, FL 33414 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-07
ANNUAL REPORT 2021-02-16
ANNUAL REPORT 2020-02-11
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-03-29
ANNUAL REPORT 2016-03-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7180217704 2020-05-01 0455 PPP 12797 FOREST HILL BLVD SUITE 6A, WELLINGTON, FL, 33414
Loan Status Date 2021-11-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 98233
Loan Approval Amount (current) 98233
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address WELLINGTON, PALM BEACH, FL, 33414-1000
Project Congressional District FL-22
Number of Employees 10
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 83732.97
Forgiveness Paid Date 2021-10-15
9354888408 2021-02-16 0455 PPS 12797 Forest Hill Blvd Ste 6A, Wellington, FL, 33414-4763
Loan Status Date 2021-12-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 82540
Loan Approval Amount (current) 82540
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Wellington, PALM BEACH, FL, 33414-4763
Project Congressional District FL-22
Number of Employees 9
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 83125.69
Forgiveness Paid Date 2021-11-03

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Companies related by address

No other companies in our directory share the same address as FAMILY ORTHODONTICS, LLC

Date of last update: 22 Feb 2025

Sources: Florida Department of State

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