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AZ DENTAL CARE, LLC

Company Details

Entity Name: AZ DENTAL CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 23 Feb 2017 (8 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 04 May 2019 (6 years ago)
Document Number: L17000043716
FEI/EIN Number 82-0668531
Address: 3135 Thomas Drive, Panama City Beach, FL 32408
Mail Address: 3135 Thomas Drive, Panama City Beach, FL 32408
ZIP code: 32408
County: Bay
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AZ DENTAL CARE LLC 401(K) PLAN 2023 820668531 2024-09-16 AZ DENTAL CARE LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-07-01
Business code 541990
Sponsor’s telephone number 8505885256
Plan sponsor’s address 3135 THOMAS DR, PANAMA CITY BEACH, FL, 324086256

Signature of

Role Plan administrator
Date 2024-09-16
Name of individual signing SHABANA AZAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
White Sand Dental Studio Agent 3135 Thomas Drive, Panama City Beach, FL 32408

Ms.

Name Role Address
Azam, Shabana Ms. 3135 Thomas Drive, Panama City Beach, FL 32408

President

Name Role Address
Azam, Shabana, Dr. President 215 South Shoreview Drive, Panama City, FL 32404-5787

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000098145 WHITE SAND DENTAL STUDIO ACTIVE 2024-08-18 2029-12-31 No data 3135 THOMAS DRIVE, PANAMA CITY BEACH, FL, 32408
G17000043863 WHITE SAND DENTAL STUDIO EXPIRED 2017-04-24 2022-12-31 No data 3135 THOMAS DRIVE, PANAMA CITY BEACH, FL, 32408

Events

Event Type Filed Date Value Description
REINSTATEMENT 2019-05-04 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-05-04 3135 Thomas Drive, Panama City Beach, FL 32408 No data
CHANGE OF MAILING ADDRESS 2019-05-04 3135 Thomas Drive, Panama City Beach, FL 32408 No data
REGISTERED AGENT NAME CHANGED 2019-05-04 White Sand Dental Studio No data
REGISTERED AGENT ADDRESS CHANGED 2019-05-04 3135 Thomas Drive, Panama City Beach, FL 32408 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-03-23
ANNUAL REPORT 2020-04-10
REINSTATEMENT 2019-05-04
Florida Limited Liability 2017-02-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8920657207 2020-04-28 0491 PPP 3135 THOMAS DR, PANAMA CITY, FL, 32408
Loan Status Date 2021-07-07
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 16885
Loan Approval Amount (current) 16885
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39232
Servicing Lender Name Hancock Whitney Bank
Servicing Lender Address 2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PANAMA CITY, BAY, FL, 32408-0200
Project Congressional District FL-02
Number of Employees 5
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39232
Originating Lender Name Hancock Whitney Bank
Originating Lender Address GULFPORT, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 17074.96
Forgiveness Paid Date 2021-06-10
9235538601 2021-03-25 0491 PPS 3135 Thomas Dr, Panama City, FL, 32408-6256
Loan Status Date 2021-12-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 19367
Loan Approval Amount (current) 19367
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39232
Servicing Lender Name Hancock Whitney Bank
Servicing Lender Address 2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Panama City, BAY, FL, 32408-6256
Project Congressional District FL-02
Number of Employees 5
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39232
Originating Lender Name Hancock Whitney Bank
Originating Lender Address GULFPORT, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 19490.2
Forgiveness Paid Date 2021-11-16

Date of last update: 18 Feb 2025

Sources: Florida Department of State