| Entity Name: | FREEPORT FAMILY DENTISTRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FREEPORT FAMILY DENTISTRY, LLC 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: | 09 Mar 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Oct 2019 (6 years ago) |
| Document Number: | L17000054624 |
| FEI/EIN Number |
36-4862478
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1361 Windward Ln, NICEVILLE, FL, 32578, US |
| Mail Address: | 1361 Windward Ln, NICEVILLE, FL, 32579, US |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790291425 | 2017-12-18 | 2017-12-18 | 30 BLUEBERRY RD, FREEPORT, FL, 324393016, US | 30 BLUEBERRY RD, FREEPORT, FL, 324393016, US | |||||||||||||
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| Phone | +1 850-835-4127 |
Authorized person
| Name | DR. JAMES J SHIRLEY |
| Role | DENTIST |
| Phone | 8508656703 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FREEPORT FAMILY DENTISTRY RETIREMENT PLAN & TRUST | 2023 | 364862478 | 2024-08-01 | FREEPORT FAMILY DENTISTRY, LLC | 9 | |||||||||||||
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| FREEPORT FAMILY DENTISTRY RETIREMENT PLAN & TRUST | 2022 | 364862478 | 2023-09-25 | FREEPORT FAMILY DENTISTRY, LLC | 7 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| SHIRLEY JUSTIN D.M.D. | Authorized Member | 1361 Windward Ln, NICEVILLE, FL, 32578 |
| Shirley Lindsay LD.D.S. | Member | 1361 Windward Ln, NICEVILLE, FL, 32578 |
| Barker Farrar J | Agent | 60 Clayton Ln Ste B, Santa Rosa Beach, FL, 324598822 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-01 | 1361 Windward Ln, NICEVILLE, FL 32578 | - |
| REGISTERED AGENT NAME CHANGED | 2019-10-01 | Barker, Farrar J | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-01 | 60 Clayton Ln Ste B, Santa Rosa Beach, FL 32459-8822 | - |
| REINSTATEMENT | 2019-10-01 | - | - |
| CHANGE OF MAILING ADDRESS | 2019-10-01 | 1361 Windward Ln, NICEVILLE, FL 32578 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| LC AMENDMENT | 2017-03-28 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-22 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-01-05 |
| ANNUAL REPORT | 2020-04-17 |
| REINSTATEMENT | 2019-10-01 |
| ANNUAL REPORT | 2018-03-15 |
| LC Amendment | 2017-03-28 |
| Florida Limited Liability | 2017-03-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2128488406 | 2021-02-03 | 0491 | PPS | 30 Blueberry Rd, Freeport, FL, 32439-3016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8740557204 | 2020-04-28 | 0491 | PPP | 30 BLUEBERRY RD, FREEPORT, FL, 32439-3016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
