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LENTZ PLASTIC SURGERY PLLC

LENTZ PLASTIC SURGERY PLLC - Florida Company Profile

Company Details

Entity Name:	LENTZ PLASTIC SURGERY PLLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Company LENTZ PLASTIC SURGERY 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. In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
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:	05 Jun 2017 (8 years ago)
Document Number:	L17000121668
FEI/EIN Number	82-1835394 Federal Employer Identification (FEI) Number assigned by the IRS.
Address:	1265 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL 32174
Mail Address:	1265 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL 32174
ZIP code:	32174
County:	Volusia
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1154851715

2017-06-15

2022-07-21

1265 W GRANADA BLVD STE 3, ORMOND BEACH, FL, 321748256, US

1265 W GRANADA BLVD STE 3, ORMOND BEACH, FL, 321748256, US

Contacts

Phone	+1 386-252-8051
Fax	3862521173

Authorized person

Name	DR. ASHLEY K LENTZ
Role	PRESIDENT
Phone	3862528051

Taxonomy

Taxonomy Code	208200000X - Plastic Surgery Physician
License Number	ME91557
State	FL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

LENTZ PLASTIC SURGERY PLLC 401(K) PROFIT SHARING PLAN

2023

821835394

2024-10-08

LENTZ PLASTIC SURGERY PLLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621111
Sponsor’s telephone number	3862525051
Plan sponsor’s address	1265 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL, 32174

LENTZ PLASTIC SURGERY PLLC 401(K) PROFIT SHARING PLAN

2022

821835394

2023-10-09

LENTZ PLASTIC SURGERY PLLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621111
Sponsor’s telephone number	3862525051
Plan sponsor’s address	1265 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL, 32174

LENTZ PLASTIC SURGERY PLLC 401(K) PROFIT SHARING PLAN

2021

821835394

2022-10-12

LENTZ PLASTIC SURGERY PLLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621111
Sponsor’s telephone number	3862525051
Plan sponsor’s address	1265 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL, 32174

LENTZ PLASTIC SURGERY PLLC 401(K) PROFIT SHARING PLAN

2020

821835394

2021-09-27

LENTZ PLASTIC SURGERY PLLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621111
Sponsor’s telephone number	3862525051
Plan sponsor’s address	1265 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL, 32174

LENTZ PLASTIC SURGERY PLLC 401(K) PROFIT SHARING PLAN

2019

821835394

2020-07-27

LENTZ PLASTIC SURGERY PLLC

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621111
Sponsor’s telephone number	3862525051
Plan sponsor’s address	1265 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL, 32174

LENTZ PLASTIC SURGERY PLLC 401(K) PROFIT SHARING PLAN

2018

821835394

2019-10-04

LENTZ PLASTIC SURGERY PLLC

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621111
Sponsor’s telephone number	3862525051
Plan sponsor’s address	1265 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL, 32174

LENTZ PLASTIC SURGERY PLLC 401(K) PROFIT SHARING PLAN

2017

821835394

2018-10-10

LENTZ PLASTIC SURGERY PLLC

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621111
Sponsor’s telephone number	3862525051
Plan sponsor’s address	1265 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL, 32174

Key Officers & Management

Name	Role	Address
LENTZ, ASHLEY K	Agent	1265 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL 32174
LENTZ, ASHLEY K	President	1265 W GRANADA BLVD SUITE 3, ORMOND BEACH 32174 UN
Lewis, Donna Jean	Manager	1265 W GRANADA BLVD, SUITE 3 ORMOND BEACH, FL 32174

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G21000006590	BLUEWATER MEDICAL SPA	ACTIVE	2021-01-13	2026-12-31	-	1265 W GRANADA BLVD STE. 3, ORMOND BEACH, FL, 32174

Documents

Name	Date
ANNUAL REPORT	2025-02-12
ANNUAL REPORT	2024-01-31
ANNUAL REPORT	2023-01-18
ANNUAL REPORT	2022-01-25
ANNUAL REPORT	2021-01-13
ANNUAL REPORT	2020-01-22
ANNUAL REPORT	2019-02-07
ANNUAL REPORT	2018-04-16
Florida Limited Liability	2017-06-05

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

1353987104

2020-04-10

0491

PPP

1265 W GRANADA BLVD Ste 3, ORMOND BEACH, FL, 32174-8111

Loan Status Date	2021-01-21
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	234600
Loan Approval Amount (current)	115000
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	225134
Servicing Lender Name	Truist Bank
Servicing Lender Address	214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	ORMOND BEACH, VOLUSIA, FL, 32174-8111
Project Congressional District	FL-06
Number of Employees	10
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	225134
Originating Lender Name	Truist Bank
Originating Lender Address	CHARLOTTE, NC
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	115737.92
Forgiveness Paid Date	2020-12-08

Date of last update: 18 Feb 2025

Sources: Florida Department of State