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  5. GIBSON DENTAL, INC.

GIBSON DENTAL, INC.

Company Details

Entity Name: GIBSON DENTAL, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 06 Jul 1990 (35 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Jun 2022 (3 years ago)
Document Number: L85566
FEI/EIN Number 65-0209966
Address: 824 NE 125TH STREET, NORTH MIAMI, FL 33161
Mail Address: PO BOX 820607, Pembroke Pines, FL 33082
ZIP code: 33161
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GIBSON DENTAL 401(K) PROFIT SHARING PLAN & TRUST 2020 650209966 2021-08-01 GIBSON DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3058994100
Plan sponsor’s address 824 NE 125TH ST, NORTH MIAMI, FL, 331615712

Signature of
Role Plan administrator
Date 2021-08-01
Name of individual signing KENNETH GIBSON
Valid signature Filed with authorized/valid electronic signature
GIBSON DENTAL 401(K) PROFIT SHARING PLAN & TRUST 2019 650209966 2020-07-29 GIBSON DENTAL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3058994100
Plan sponsor’s address 824 NE 125TH ST, NORTH MIAMI, FL, 331615712

Signature of
Role Plan administrator
Date 2020-07-29
Name of individual signing KENNETH GIBSON
Valid signature Filed with authorized/valid electronic signature
GIBSON DENTAL 401 K PROFIT SHARING PLAN TRUST 2018 650209966 2019-06-18 GIBSON DENTAL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3058994100
Plan sponsor’s address 824 NE 125TH ST, NORTH MIAMI, FL, 331615712

Signature of
Role Plan administrator
Date 2019-06-18
Name of individual signing KENNETH GIBSON
Valid signature Filed with authorized/valid electronic signature
GIBSON DENTAL 401 K PROFIT SHARING PLAN TRUST 2017 650209966 2018-05-23 GIBSON DENTAL 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3058994100
Plan sponsor’s address 824 NE 125TH ST, NORTH MIAMI, FL, 331615712

Signature of
Role Plan administrator
Date 2018-05-23
Name of individual signing KENNETH GIBSON
Valid signature Filed with authorized/valid electronic signature
GIBSON DENTAL 401 K PROFIT SHARING PLAN TRUST 2016 650209966 2017-07-13 GIBSON DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3058994100
Plan sponsor’s address 824 N E 125TH ST, NORTH MIAMI, FL, 33161

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing KENNETH GIBSON
Valid signature Filed with authorized/valid electronic signature
GIBSON DENTAL 401 K PROFIT SHARING PLAN TRUST 2014 650209966 2015-07-27 GIBSON DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3058994100
Plan sponsor’s address 824 NE 125TH ST, NORTH MIAMI, FL, 331615712

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing KENNETH GIBSON
Valid signature Filed with authorized/valid electronic signature
GIBSON DENTAL 401 K PROFIT SHARING PLAN TRUST 2013 650209966 2014-07-31 GIBSON DENTAL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3058994100
Plan sponsor’s address 824 NE 125TH ST, NORTH MIAMI, FL, 331615712

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing KENNETH GIBSON
Valid signature Filed with authorized/valid electronic signature
GIBSON DENTAL 401 K PROFIT SHARING PLAN TRUST 2012 650209966 2013-07-23 GIBSON DENTAL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3058994100
Plan sponsor’s address 824 NE 125TH ST, NORTH MIAMI, FL, 331615712

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing GIBSON DENTAL
Valid signature Filed with authorized/valid electronic signature
GIBSON DENTAL 401 K PROFIT SHARING PLAN TRUST 2011 650209966 2012-06-07 GIBSON DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3058994100
Plan sponsor’s address 824 NE 125TH ST, NORTH MIAMI, FL, 331615712

Plan administrator’s name and address
Administrator’s EIN 650209966
Plan administrator’s name GIBSON DENTAL
Plan administrator’s address 824 NE 125TH ST, NORTH MIAMI, FL, 331615712
Administrator’s telephone number 3058994100

Signature of
Role Plan administrator
Date 2012-06-07
Name of individual signing GIBSON DENTAL
Valid signature Filed with authorized/valid electronic signature
GIBSON DENTAL 401 K PROFIT SHARING PLAN TRUST 2010 650209966 2011-07-21 GIBSON DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3058994100
Plan sponsor’s address 824 NE 125TH STREET, NORTH MIAMI, FL, 33161

Plan administrator’s name and address
Administrator’s EIN 650209966
Plan administrator’s name GIBSON DENTAL
Plan administrator’s address 824 NE 125TH STREET, NORTH MIAMI, FL, 33161
Administrator’s telephone number 3058994100

Signature of
Role Plan administrator
Date 2011-07-21
Name of individual signing GIBSON DENTAL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GIBSON, KENNETH Agent 824 NE 125TH STREET, NORTH MIAMI, FL 33161

Chief Executive Officer

Name Role Address
GIBSON, KENNETH P, Dr. Chief Executive Officer PO BOX 820607, Pembroke Pines, FL 33082

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-06-02 No data No data
CHANGE OF MAILING ADDRESS 2022-06-02 824 NE 125TH STREET, NORTH MIAMI, FL 33161 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REGISTERED AGENT NAME CHANGED 2015-12-11 GIBSON, KENNETH No data
REINSTATEMENT 2015-12-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
REINSTATEMENT 2013-09-12 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
REGISTERED AGENT ADDRESS CHANGED 2011-05-03 824 NE 125TH STREET, NORTH MIAMI, FL 33161 No data
PENDING REINSTATEMENT 2011-05-03 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-04-05
REINSTATEMENT 2022-06-02
ANNUAL REPORT 2020-03-23
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-08-29
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-04-20
REINSTATEMENT 2015-12-11
ANNUAL REPORT 2014-04-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6357797803 2020-06-01 0455 PPP 824 NE 125TH ST, NORTH MIAMI, FL, 33161-5712
Loan Status Date 2022-09-20
Loan Status Charged Off
Loan Maturity in Months 31
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 37408
Loan Approval Amount (current) 37408
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description New Business or 2 years or less
Project Address NORTH MIAMI, MIAMI-DADE, FL, 33161-5712
Project Congressional District FL-24
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount -
Forgiveness Paid Date -

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Date of last update: 03 Feb 2025

Sources: Florida Department of State

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