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JC DENTAL LLC - Florida Company Profile

Company Details

Entity Name: JC DENTAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

JC DENTAL 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.
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: 28 Feb 2020 (5 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 16 Nov 2022 (2 years ago)
Document Number: L20000066827
FEI/EIN Number 84-4977764

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 390 JEFFERSON AVE, Orange Park, FL, 32065, US
Mail Address: 390 JEFFERSON AVE, Orange Park, FL, 32065, US
ZIP code: 32065
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750006938 2022-10-10 2022-11-09 390 JEFFERSON AVE, ORANGE PARK, FL, 320657717, US 390 JEFFERSON AVE, ORANGE PARK, FL, 320657717, US

Contacts

Phone +1 904-272-1588

Authorized person

Name JOSHUA CHUPP
Role OWNER DENTIST
Phone 9042721588

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JC DENTAL LLC 401(K) PLAN 2023 844977764 2024-04-30 JC DENTAL LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-10-01
Business code 621210
Sponsor’s telephone number 5613176963
Plan sponsor’s address 390 JEFFERSON AVE, ORANGE PARK, FL, 32065

Plan administrator’s name and address

Administrator’s EIN 842925395
Plan administrator’s name 401GO, INC.
Plan administrator’s address 8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088
Administrator’s telephone number 8012142125

Signature of

Role Plan administrator
Date 2024-04-30
Name of individual signing FIDUCIARY ASSISTANCE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CHUPP JOSHUA Authorized Member 5220 RED BUG LAKE ROAD, WINTER SPRINGS, FL, 32708
CHUPP JOSHUA Agent 390 JEFFERSON AVE, ORANGE PARK, FL, 32065

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000131646 LAKESIDE DENTAL CARE ACTIVE 2022-10-21 2027-12-31 - 390 JEFFERSON AVENUE, ORANGE PARK, FL, 32065

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-09 390 JEFFERSON AVE, Orange Park, FL 32065 -
CHANGE OF MAILING ADDRESS 2023-01-09 390 JEFFERSON AVE, Orange Park, FL 32065 -
LC AMENDMENT 2022-11-16 - -
REGISTERED AGENT ADDRESS CHANGED 2022-11-16 390 JEFFERSON AVE, ORANGE PARK, FL 32065 -

Documents

Name Date
ANNUAL REPORT 2025-01-30
ANNUAL REPORT 2024-01-06
ANNUAL REPORT 2023-01-09
LC Amendment 2022-11-16
ANNUAL REPORT 2022-01-09
ANNUAL REPORT 2021-02-03
Florida Limited Liability 2020-02-28

Date of last update: 02 Mar 2025

Sources: Florida Department of State