| Entity Name: | TAMPA BAY PERIODONTICS AND IMPLANT DENTISTRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Jun 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 31 Jan 2020 (5 years ago) |
| Document Number: | L19000151348 |
| FEI/EIN Number | 84-2139606 |
| Address: | 1104 N. Howard Ave., Second Floor, TAMPA, FL 33607 |
| Mail Address: | 1104 N Howard Ave., Second Floor, TAMPA, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAMPA BAY PERIODONTICS AND IMPLANT DENTISTRY 401(K) PROFIT SHARING PLAN | 2023 | 842139606 | 2024-07-24 | TAMPA BAY PERIODONTICS AND IMPLANT DENTISTRY, LLC | 31 | |||||||||||||
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| TAMPA BAY PERIODONTICS AND IMPLANT DENTISTRY 401(K) PROFIT SHARING PLAN | 2022 | 842139606 | 2023-07-19 | TAMPA BAY PERIODONTICS AND IMPLANT DENTISTRY, LLC | 24 | |||||||||||||
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| TAMPA BAY PERIODONTICS AND IMPLANT DENTISTRY 401(K) PROFIT SHARING PLAN | 2021 | 842139606 | 2022-09-16 | TAMPA BAY PERIODONTICS AND IMPLANT DENTISTRY, LLC | 26 | |||||||||||||
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| TAMPA BAY PERIODONTICS AND IMPLANT DENTISTRY 401(K) PROFIT SHARING PLAN | 2020 | 842139606 | 2021-10-14 | TAMPA BAY PERIODONTICS AND IMPLANT DENTISTRY, LLC | 22 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| ROTHBURD C, RAIG E | Agent | 320 W. KENNEDY BLVD., 700, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| JAMES G WILSON, DMD, PA | Authorized Member | 3105 W SANRAFAEL ST, TAMPA, FL 33629 |
| MATTHEW T. WAITE DDS, MS, PA | Authorized Member | 17 DAVIS BLVD, SUITE 305 TAMPA, FL 33606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000001639 | TAMPA BAY PERIODONTICS | ACTIVE | 2020-01-05 | 2025-12-31 | No data | 17 DAVIS BLVD. #305, TAMPA, FL, 33606 |
| G20000001640 | TAMPA PERIODONTICS | ACTIVE | 2020-01-05 | 2030-12-31 | No data | 1104 N. HOWARD AVE., 2ND FLOOR, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-06 | 1104 N. Howard Ave., Second Floor, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-06 | 1104 N. Howard Ave., Second Floor, TAMPA, FL 33607 | No data |
| LC AMENDMENT | 2020-01-31 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-28 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-03-30 |
| LC Amendment | 2020-01-31 |
| Florida Limited Liability | 2019-06-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2536027204 | 2020-04-16 | 0455 | PPP | 17 Davis Blvd #305, TAMPA, FL, 33606-3438 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 16 Feb 2025
Sources: Florida Department of State
