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SALT RUN FAMILY DENTISTRY, LLC - Florida Company Profile

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Company Details

Entity Name: SALT RUN FAMILY DENTISTRY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Jun 2015 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 10 Jan 2017 (9 years ago)
Document Number: L15000095692
FEI/EIN Number 47-4234142
Address: 700 ANASTASIA BLVD, SAINT AUGUSTINE, FL, 32080
Mail Address: 700 ANASTASIA BLVD, SAINT AUGUSTINE, FL, 32080, US
ZIP code: 32080
City: Saint Augustine
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LETH VINCENT MJR Authorized Member 1684 CASTILE ST, SAINT AUGUSTINE, FL, 32080
LETH LAUREN P Authorized Member 1684 CASTILE ST, SAINT AUGUSTINE, FL, 32080
LETH VINCENT MJR Agent 1684 CASTILE ST, SAINT AUGUSTINE, FL, 32080

National Provider Identifier

NPI Number:
1720463714

Authorized Person:

Name:
DR. VINCENT MICHAEL LETH II
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
9048243541

Form 5500 Series

Employer Identification Number (EIN):
474234142
Plan Year:
2024
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
11
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2018-01-04 700 ANASTASIA BLVD, SAINT AUGUSTINE, FL 32080 -
REINSTATEMENT 2017-01-10 - -
REGISTERED AGENT NAME CHANGED 2017-01-10 LETH, VINCENT M, JR -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -

Documents

Name Date
ANNUAL REPORT 2024-03-01
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-23
ANNUAL REPORT 2018-01-04
REINSTATEMENT 2017-01-10
Florida Limited Liability 2015-06-01

USAspending Awards / Financial Assistance

Date:
2021-02-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
120545.00
Total Face Value Of Loan:
120545.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
126544.00
Total Face Value Of Loan:
126544.00

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$126,544
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$126,544
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$128,003.59
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $126,544
Jobs Reported:
15
Initial Approval Amount:
$120,545
Date Approved:
2021-02-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$120,545
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$121,644.77
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $120,543
Utilities: $1

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Date of last update: 01 Aug 2025

Sources: Florida Department of State