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EAST DELRAY DENTAL, PLLC

Company Details

Entity Name: EAST DELRAY DENTAL, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 29 Sep 2015 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 01 Oct 2016 (8 years ago)
Document Number: L15000165402
FEI/EIN Number 47-5193095
Address: 715 NE 3RD AVE., DELRAY BEACH, FL 33444
Mail Address: 715 NE 3rd Ave, DELRAY BEACH, FL 33444
ZIP code: 33444
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770028243 2016-12-19 2016-12-19 715 NE 3RD AVE, DELRAY BEACH, FL, 334443822, US 715 NE 3RD AVE, DELRAY BEACH, FL, 334443822, US

Contacts

Phone +1 561-276-2020
Fax 5612764713

Authorized person

Name DR. LAUREN O'HAGAN
Role MANAGER
Phone 5612762020

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN21073
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST DELRAY DENTAL 401(K) PLAN 2023 475193095 2024-10-02 EAST DELRAY DENTAL, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 5612762020
Plan sponsor’s address 715 NE 3RD AVE, DELRAY BEACH, FL, 33444

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
O'HAGAN, LAUREN, D.M.D. Agent 715 NE 3RD AVE., DELRAY BEACH, FL 33444

Manager

Name Role Address
OHagan, Lauren, D.M.D. Manager 715 NE 3RD AVE, DELRAY BEACH, FL 334443822

Authorized Member

Name Role Address
O'Hagan, Andrea Authorized Member 715 NE 3RD AVE., DELRAY BEACH, FL 33444

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2017-01-08 715 NE 3RD AVE., DELRAY BEACH, FL 33444 No data
REINSTATEMENT 2016-10-01 No data No data
REGISTERED AGENT NAME CHANGED 2016-10-01 O'HAGAN, LAUREN, D.M.D. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
LC AMENDMENT AND NAME CHANGE 2016-08-08 EAST DELRAY DENTAL, PLLC No data
CHANGE OF PRINCIPAL ADDRESS 2016-08-08 715 NE 3RD AVE., DELRAY BEACH, FL 33444 No data

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-08
REINSTATEMENT 2016-10-01
LC Amendment and Name Change 2016-08-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4938497305 2020-04-30 0455 PPP 715 NE 3rd Ave, Delray Beach, FL, 33444
Loan Status Date 2021-01-07
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 55165
Loan Approval Amount (current) 55166
Undisbursed Amount 0
Franchise Name -
Lender Location ID 426479
Servicing Lender Name T Bank, National Association
Servicing Lender Address 16200 Dallas Pkwy, Ste 190, DALLAS, TX, 75248-2637
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Delray Beach, PALM BEACH, FL, 33444-1000
Project Congressional District FL-22
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 426479
Originating Lender Name T Bank, National Association
Originating Lender Address DALLAS, TX
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 55475.03
Forgiveness Paid Date 2021-02-12
6540658300 2021-01-27 0455 PPS 715 NE 3rd Ave, Delray Beach, FL, 33444-3822
Loan Status Date 2022-05-05
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 55166
Loan Approval Amount (current) 55166
Undisbursed Amount 0
Franchise Name -
Lender Location ID 426479
Servicing Lender Name T Bank, National Association
Servicing Lender Address 16200 Dallas Pkwy, Ste 190, DALLAS, TX, 75248-2637
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Delray Beach, PALM BEACH, FL, 33444-3822
Project Congressional District FL-22
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 426479
Originating Lender Name T Bank, National Association
Originating Lender Address DALLAS, TX
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 55815.9
Forgiveness Paid Date 2022-04-05

Date of last update: 19 Feb 2025

Sources: Florida Department of State