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KISSIMMEE FAMILY DENTISTRY, PLLC - Florida Company Profile

Company Details

Entity Name: KISSIMMEE FAMILY DENTISTRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

KISSIMMEE FAMILY DENTISTRY, PLLC 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: 25 Jun 2013 (12 years ago)
Last Event: LC AMENDED/RESTATED ARTICLE/NAME CHANGE
Event Date Filed: 23 Dec 2013 (11 years ago)
Document Number: L13000092045
FEI/EIN Number 46-2934606

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

Address: 1111 PERSON STREET, KISSIMMEE, FL, 34741, US
Mail Address: 1111 PERSON STREET, KISSIMMEE, FL, 34741, US
ZIP code: 34741
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407257561 2014-09-09 2019-12-04 1111 PERSON ST, KISSIMMEE, FL, 347414146, US 1111 PERSON ST, KISSIMMEE, FL, 347414146, US

Contacts

Phone +1 407-870-7404
Fax 4078709960

Authorized person

Name DR. PATRICK J MOKRIS
Role OWNER
Phone 4078707404

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN 18060
State FL
Is Primary Yes
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN 2023 462934606 2024-08-15 KISSIMMEE FAMILY DENTISTRY PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 4078707404
Plan sponsor’s address 1111 PERSON STREET, KISSIMMEE, FL, 347414146

Signature of

Role Plan administrator
Date 2024-08-15
Name of individual signing HOLLY LANCE
Valid signature Filed with authorized/valid electronic signature
KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN 2022 462934606 2023-04-24 KISSIMMEE FAMILY DENTISTRY PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 4078707404
Plan sponsor’s address 1111 PERSON STREET, KISSIMMEE, FL, 347414146

Signature of

Role Plan administrator
Date 2023-04-24
Name of individual signing HOLLY LANCE
Valid signature Filed with authorized/valid electronic signature
KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN 2022 462934606 2023-02-06 KISSIMMEE FAMILY DENTISTRY PLLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 4078707404
Plan sponsor’s address 1111 PERSON STREET, KISSIMMEE, FL, 347414146

Signature of

Role Plan administrator
Date 2023-02-06
Name of individual signing HOLLY LANCE
Valid signature Filed with authorized/valid electronic signature
KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN 2021 462934606 2022-03-29 KISSIMMEE FAMILY DENTISTRY PLLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 4078707404
Plan sponsor’s address 1111 PERSON STREET, KISSIMMEE, FL, 347414146

Signature of

Role Plan administrator
Date 2022-03-29
Name of individual signing HOLLY LANCE
Valid signature Filed with authorized/valid electronic signature
KISSIMMEE FAMILY DENTISTRY PLLC 401K PROFIT SHARING PLAN 2020 462934606 2022-03-29 KISSIMMEE FAMILY DENTISTRY 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 4078707404
Plan sponsor’s DBA name KISSIMMEE FAMILY DENTISTRY
Plan sponsor’s address 1111 PERSON ST, KISSIMMEE, FL, 347414146

Signature of

Role Plan administrator
Date 2022-03-29
Name of individual signing HOLLY STREMPEL
Valid signature Filed with authorized/valid electronic signature
KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN 2020 462934606 2022-12-22 KISSIMMEE FAMILY DENTISTRY PLLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 4078707404
Plan sponsor’s address 1111 PERSON STREET, KISSIMMEE, FL, 347414146

Signature of

Role Plan administrator
Date 2022-12-22
Name of individual signing HOLLY LANCE
Valid signature Filed with authorized/valid electronic signature
KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN 2018 462934606 2019-05-14 KISSIMMEE FAMILY DENTISTRY PLLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 4078707404
Plan sponsor’s address 1111 PERSON STREET, KISSIMMEE, FL, 347414146

Signature of

Role Plan administrator
Date 2019-05-14
Name of individual signing HOLLY STREMPEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-14
Name of individual signing HOLLY LANCE
Valid signature Filed with authorized/valid electronic signature
KISSIMMEE FAMILY DENTISTRY PLLC 401(K) PROFIT SHARING PLAN 2017 462934606 2018-08-17 KISSIMMEE FAMILY DENTISTRY PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 4078707404
Plan sponsor’s address 1111 PERSON STREET, KISSIMMEE, FL, 347414146

Signature of

Role Plan administrator
Date 2018-08-17
Name of individual signing PATRICK MOKRIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-17
Name of individual signing PATRICK MOKRIS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MOKRIS PATRICK Agent 1111 Person St., Kissimmee, FL, 34741
PATRICK J. MOKRIS, DMD, P.A. Managing Member 1111 PERSON STREET, KISSIMMEE, FL, 34741

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2017-03-24 1111 Person St., Kissimmee, FL 34741 -
REGISTERED AGENT NAME CHANGED 2016-04-08 MOKRIS, PATRICK -
CHANGE OF PRINCIPAL ADDRESS 2014-01-07 1111 PERSON STREET, KISSIMMEE, FL 34741 -
CHANGE OF MAILING ADDRESS 2014-01-07 1111 PERSON STREET, KISSIMMEE, FL 34741 -
LC AMENDED/RESTATED ARTICLE/NAME CHANGE 2013-12-23 KISSIMMEE FAMILY DENTISTRY, PLLC -
CONVERSION 2013-06-25 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P13000048626. CONVERSION NUMBER 900000132669

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-03-31
ANNUAL REPORT 2021-03-02
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-03-24
ANNUAL REPORT 2016-04-08
ANNUAL REPORT 2015-04-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1507728303 2021-01-17 0455 PPS 1111 Person St, Kissimmee, FL, 34741-4146
Loan Status Date 2021-02-10
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 260000
Loan Approval Amount (current) 260000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 516066
Servicing Lender Name Winter Park National Bank
Servicing Lender Address 201 N New York Ave, Ste 100, WINTER PARK, FL, 32789-3163
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Kissimmee, OSCEOLA, FL, 34741-4146
Project Congressional District FL-09
Number of Employees 23
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 516066
Originating Lender Name Winter Park National Bank
Originating Lender Address WINTER PARK, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 263452.22
Forgiveness Paid Date 2022-05-23
7601767203 2020-04-28 0455 PPP 1111 Person Street, Kissimmee, FL, 34741-4146
Loan Status Date 2021-09-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 259852
Loan Approval Amount (current) 259852
Undisbursed Amount 0
Franchise Name -
Lender Location ID 516066
Servicing Lender Name Winter Park National Bank
Servicing Lender Address 201 N New York Ave, Ste 100, WINTER PARK, FL, 32789-3163
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Kissimmee, OSCEOLA, FL, 34741-4146
Project Congressional District FL-09
Number of Employees 24
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 516066
Originating Lender Name Winter Park National Bank
Originating Lender Address WINTER PARK, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 263302.26
Forgiveness Paid Date 2021-08-26

Date of last update: 02 May 2025

Sources: Florida Department of State