| Entity Name: | JEFFREY DENTAL CLINIC, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
JEFFREY DENTAL CLINIC, 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. |
| 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: | 11 May 2015 (10 years ago) |
| Last Event: | LC AMENDED/RESTATED ARTICLE/NAME CHANGE |
| Event Date Filed: | 29 Jun 2015 (10 years ago) |
| Document Number: | L15000082960 |
| FEI/EIN Number |
47-4171699
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 304 GLEN AVE, VALAPARAISO, FL, 32580 |
| Mail Address: | 304 GLEN AVE, VALAPARAISO, FL, 32580 |
| ZIP code: | 32580 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528441003 | 2015-07-02 | 2024-07-30 | 304 GLEN AVE, VALPARAISO, FL, 325801233, US | 304 GLEN AVE, VALPARAISO, FL, 325801233, US | |||||||||||||||||
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| Phone | +1 850-678-4151 |
Authorized person
| Name | MCKINZIE DAWN JEFFREY |
| Role | OWNER |
| Phone | 8506784151 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY DENTAL CLINIC, PLLC 401K PLAN | 2023 | 474171699 | 2024-04-29 | JEFFREY DENTAL CLINIC, PLLC | 12 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-04-29 |
| Name of individual signing | MCKINZIE JEFFREY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8505027000 |
| Plan sponsor’s address | 304 GLEN AVE, VALAPARAISO, FL, 32580 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-25 |
| Name of individual signing | MCKINZIE JEFFREY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8505027000 |
| Plan sponsor’s address | 304 GLEN AVE, VALAPARAISO, FL, 32580 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-06 |
| Name of individual signing | MCKINZIE JEFFREY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8505027000 |
| Plan sponsor’s address | 304 GLEN AVE, VALAPARAISO, FL, 32580 |
Signature of
| Role | Plan administrator |
| Date | 2023-02-22 |
| Name of individual signing | MCKINZIE JEFFREY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JEFFREY ALEX J | Manager | 304 GLEN AVE, VALPARAISO, FL, 32580 |
| Jeffrey McKinzie D | Mgr | 304 GLEN AVE, VALAPARAISO, FL, 32580 |
| JEFFREY ALEX J | Agent | 304 GLEN AVE, VALPARAISO, FL, 32580 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDED/RESTATED ARTICLE/NAME CHANGE | 2015-06-29 | JEFFREY DENTAL CLINIC, PLLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-07-21 |
| ANNUAL REPORT | 2019-01-17 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-04-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9437858307 | 2021-01-30 | 0491 | PPS | 304 Glen Ave, Valparaiso, FL, 32580-1233 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6510187108 | 2020-04-14 | 0491 | PPP | 304 GLEN AVE, VALPARAISO, FL, 32580-1233 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
