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  5. SIMPLE SOLUTIONS ENDODONTICS, LLC

SIMPLE SOLUTIONS ENDODONTICS, LLC

Company Details

Entity Name: SIMPLE SOLUTIONS ENDODONTICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 30 Jul 2013 (12 years ago)
Date of dissolution: 08 Dec 2023 (a year ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 08 Dec 2023 (a year ago)
Document Number: L13000107330
FEI/EIN Number 30-0797525
Address: 660 Executive Park Court, Suite 1600, Apopka, FL 32703
Mail Address: 660 Executive Park Court, Suite 1600, Apopka, FL 32703
ZIP code: 32703
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083091342 2015-05-06 2020-07-01 660 EXECUTIVE PARK CT STE 1600, APOPKA, FL, 327036080, US 660 EXECUTIVE PARK CT STE 1600, APOPKA, FL, 327036080, US

Contacts
Phone +1 407-930-4496
Fax 4079304497

Authorized person
Name DR. ERICKA FERGUSON
Role OWNER
Phone 4079304496

Taxonomy
Taxonomy Code 1223E0200X - Endodontist
License Number DN17256
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 023026500
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SIMPLE SOLUTIONS ENDODONTICS RETIREMENT PLAN 2022 300797525 2023-08-28 SIMPLE SOLUTIONS ENDODONTICS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-30
Business code 621210
Sponsor’s telephone number 4079304496
Plan sponsor’s address 660 EXECUTIVE PARK COURT, APOPKA, FL, 32703

Signature of
Role Plan administrator
Date 2023-08-28
Name of individual signing DR. ERICKA LOWE
Valid signature Filed with authorized/valid electronic signature
SIMPLE SOLUTIONS ENDODONTICS RETIREMENT PLAN 2022 300797525 2023-06-02 SIMPLE SOLUTIONS ENDODONTICS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-30
Business code 621210
Sponsor’s telephone number 4079304496
Plan sponsor’s address 660 EXECUTIVE PARK COURT, APOPKA, FL, 32703

Signature of
Role Plan administrator
Date 2023-06-02
Name of individual signing DR. ERICKA LOWE
Valid signature Filed with authorized/valid electronic signature
SIMPLE SOLUTIONS ENDODONTICS RETIREMENT PLAN 2021 300797525 2022-10-09 SIMPLE SOLUTIONS ENDODONTICS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-30
Business code 621210
Sponsor’s telephone number 4079304496
Plan sponsor’s address 660 EXECUTIVE PARK COURT, SUITE 1600, APOPKA, FL, 32703

Signature of
Role Plan administrator
Date 2022-10-09
Name of individual signing DR. ERICKA LOWE
Valid signature Filed with authorized/valid electronic signature
SIMPLE SOLUTIONS ENDODONTICS RETIREMENT PLAN 2020 300797525 2021-09-09 SIMPLE SOLUTIONS ENDODONTICS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-30
Business code 621210
Sponsor’s telephone number 4079304496
Plan sponsor’s address SUITE 1600, APOPKA, FL, 32703
SIMPLE SOLUTIONS ENDODONTICS RETIREMENT PLAN 2019 300797525 2020-10-14 SIMPLE SOLUTIONS ENDODONTICS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-30
Business code 621210
Sponsor’s telephone number 4079304496
Plan sponsor’s address 660 EXECUTIVE PARK COURT, SUITE 1600, APOPKA, FL, 32703
SIMPLE SOLUTIONS ENDODONTICS RETIREMENT PLAN 2018 300797525 2019-06-28 SIMPLE SOLUTIONS ENDODONTICS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-30
Business code 621210
Sponsor’s telephone number 4079304496
Plan sponsor’s address 2438 E. SEMORAN BOULEVARD, APOPKA, FL, 32703
SIMPLE SOLUTIONS ENDODONTICS RETIREMENT PLAN 2017 300797525 2018-07-16 SIMPLE SOLUTIONS ENDODONTICS, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-30
Business code 621210
Sponsor’s telephone number 4079304496
Plan sponsor’s address 2438 E. SEMORAN BOULEVARD, APOPKA, FL, 32703

Agent

Name Role Address
Lowe, Ericka Agent 1632 Sweetwater West Cir, Apopka, FL 32712

Managing Member

Name Role Address
Lowe, Ericka Managing Member 660 Executive Park Court, ste 1600 apopka, FL 32703

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000006213 APOPKA ENDODONTICS ACTIVE 2015-01-17 2025-12-31 No data 660 EXECUTIVE PARK COURT, APOPKA, FL, 32703

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-12-08 No data No data
REGISTERED AGENT NAME CHANGED 2022-04-21 Lowe, Ericka No data
CHANGE OF PRINCIPAL ADDRESS 2020-02-12 660 Executive Park Court, Suite 1600, Apopka, FL 32703 No data
CHANGE OF MAILING ADDRESS 2020-02-12 660 Executive Park Court, Suite 1600, Apopka, FL 32703 No data
REGISTERED AGENT ADDRESS CHANGED 2016-04-14 1632 Sweetwater West Cir, Apopka, FL 32712 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-12-08
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-03-11
ANNUAL REPORT 2020-02-12
ANNUAL REPORT 2019-06-19
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-03-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1648548508 2021-02-19 0491 PPS 660 Executive Park Ct Ste 1600, Apopka, FL, 32703-6080
Loan Status Date 2021-10-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 47764
Loan Approval Amount (current) 47764
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 Apopka, SEMINOLE, FL, 32703-6080
Project Congressional District FL-07
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 456756
Originating Lender Name Cross River Bank
Originating Lender Address TEANECK, NJ
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 48020.49
Forgiveness Paid Date 2021-09-08
6810597300 2020-04-30 0491 PPP 660 Executive Park Court Suite 1600, Apopka, FL, 32703
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 45658
Loan Approval Amount (current) 45658
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 Unanswered
Project Address Apopka, ORANGE, FL, 32703-0001
Project Congressional District FL-07
Number of Employees 5
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 456756
Originating Lender Name Cross River Bank
Originating Lender Address TEANECK, NJ
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 46270.94
Forgiveness Paid Date 2021-09-09

Related by officers

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Date of last update: 21 Feb 2025

Sources: Florida Department of State

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