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  5. PETERSON DENTAL LABORATORY, INC.

PETERSON DENTAL LABORATORY, INC. - Florida Company Profile

Company Details

Entity Name: PETERSON DENTAL LABORATORY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PETERSON DENTAL LABORATORY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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: 27 Jun 1984 (41 years ago)
Last Event: AMENDMENT
Event Date Filed: 18 Jul 2019 (6 years ago)
Document Number: M02153
FEI/EIN Number 592418460

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 601 N CONGRESS AVE, 111, DELRAY BCH., FL, 33445
Mail Address: 601 N CONGRESS AVE, 111, DELRAY BCH., FL, 33445
ZIP code: 33445
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE OPEN 401K MEP PETERSON DENTAL LABORATORY, INC. 2021 592418460 2023-10-14 PETERSON DENTAL LABORATORY, INC. 49
File View Page
Three-digit plan number (PN) 338
Effective date of plan 2020-12-11
Business code 621210
Sponsor’s telephone number 5612726662
Plan sponsor’s address 601 N CONGRESS AVENUE, SUITE 111, DELRAY BEACH, FL, 33445

Plan administrator’s name and address
Administrator’s EIN 813799174
Plan administrator’s name FIDUCIARY WISE, LLC
Plan administrator’s address 2487 SOUTH GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295
Administrator’s telephone number 4808554017

Signature of
Role Plan administrator
Date 2023-10-14
Name of individual signing KRISTI DALLEY
Valid signature Filed with authorized/valid electronic signature
THE OPEN 401K MEP PETERSON DENTAL LABORATORY, INC. 2021 592418460 2022-07-29 PETERSON DENTAL LABORATORY, INC. 49
Three-digit plan number (PN) 338
Effective date of plan 2020-12-11
Business code 621210
Sponsor’s telephone number 5612726662
Plan sponsor’s address 601 N CONGRESS AVENUE, SUITE 111, DELRAY BEACH, FL, 33445

Plan administrator’s name and address
Administrator’s EIN 813799174
Plan administrator’s name FIDUCIARY WISE, LLC
Plan administrator’s address 2487 SOUTH GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295
Administrator’s telephone number 4808554017

Signature of
Role Plan administrator
Date 2022-07-29
Name of individual signing KRISTI DALLEY
Valid signature Filed with authorized/valid electronic signature
THE OPEN 401K MEP PETERSON DENTAL LABORATORY, INC. 2020 592418460 2021-07-21 PETERSON DENTAL LABORATORY, INC. 34
File View Page
Three-digit plan number (PN) 338
Effective date of plan 2020-12-11
Business code 621210
Sponsor’s telephone number 5612726662
Plan sponsor’s address 601 N CONGRESS AVENUE, SUITE 111, DELRAY BEACH, FL, 33445

Plan administrator’s name and address
Administrator’s EIN 813799174
Plan administrator’s name FIDUCIARY WISE, LLC
Plan administrator’s address 2487 SOUTH GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295
Administrator’s telephone number 4808554017

Signature of
Role Plan administrator
Date 2021-07-21
Name of individual signing KRISTI DALLEY
Valid signature Filed with authorized/valid electronic signature
WEALTHY & WISE 401K PLAN 2020 592418460 2021-07-22 PETERSON DENTAL LABORATORY, INC. 51
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5612726662
Plan sponsor’s address 601 N CONGRESS AVENUE, SUITE 111A, DELRAY BEACH, FL, 33445

Plan administrator’s name and address
Administrator’s EIN 452945096
Plan administrator’s name ERISA WISE, LLC
Plan administrator’s address P.O. BOX 1002, MACKINAW, IL, 61755
Administrator’s telephone number 9253376069

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing STEPHANIE BANISTER
Valid signature Filed with authorized/valid electronic signature
WEALTHY & WISE 401K PLAN 2019 592418460 2020-10-05 PETERSON DENTAL LABORATORY, INC. 50
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5612726662
Plan sponsor’s address 601 N CONGRESS AVENUE, SUITE 111A, DELRAY BEACH, FL, 33445

Plan administrator’s name and address
Administrator’s EIN 452945096
Plan administrator’s name ERISA WISE, LLC
Plan administrator’s address P.O. BOX 1002, MACKINAW, IL, 61755
Administrator’s telephone number 9253376069

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing STEPHANIE BANISTER
Valid signature Filed with authorized/valid electronic signature
WEALTHY & WISE 401K PLAN 2018 592418460 2019-09-12 PETERSON DENTAL LABORATORY, INC. 35
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 5612726662
Plan sponsor’s address 601 N CONGRESS AVENUE, SUITE 111A, DELRAY BEACH, FL, 33445

Plan administrator’s name and address
Administrator’s EIN 452945096
Plan administrator’s name ERISA WISE, LLC
Plan administrator’s address P.O. BOX 1002, MACKINAW, IL, 61755
Administrator’s telephone number 9253376069

Signature of
Role Plan administrator
Date 2019-09-12
Name of individual signing STEPHANIE BANISTER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
PETERSON, MICHAEL J. President 1004 NW 3RD AVE., DELRAY BEACH, FL, 33444
van Eyk JENNY Treasurer 601 N. CONGRESS AVENUE #111, DELRAY BEACH, FL, 33445
Peterson Christopher Vp Agent 601 N CONGRESS AVE, DELRAY BCH., FL, 33445

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-02-03 Peterson, Christopher, CEO -
AMENDMENT 2019-07-18 - -
CHANGE OF PRINCIPAL ADDRESS 2012-05-01 601 N CONGRESS AVE, 111, DELRAY BCH., FL 33445 -
CHANGE OF MAILING ADDRESS 2012-05-01 601 N CONGRESS AVE, 111, DELRAY BCH., FL 33445 -
REGISTERED AGENT ADDRESS CHANGED 2012-05-01 601 N CONGRESS AVE, 111, DELRAY BCH., FL 33445 -
REINSTATEMENT 2011-05-27 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -

Documents

Name Date
ANNUAL REPORT 2025-02-03
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-01-16
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-17
Amendment 2019-07-18
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-04-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6713618407 2021-02-10 0455 PPS 601 N Congress Ave Ste 111, Delray Beach, FL, 33445-4626
Loan Status Date 2022-02-24
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 442720
Loan Approval Amount (current) 442720
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Delray Beach, PALM BEACH, FL, 33445-4626
Project Congressional District FL-22
Number of Employees 38
NAICS code 339116
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 458637
Originating Lender Name Seacoast National Bank
Originating Lender Address Coral Gables, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 444712.24
Forgiveness Paid Date 2021-07-29
1721727308 2020-04-28 0455 PPP 601 N Congress Ave, Delray Beach, FL, 33445-4621
Loan Status Date 2020-12-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 406300
Loan Approval Amount (current) 406300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Delray Beach, PALM BEACH, FL, 33445-4621
Project Congressional District FL-22
Number of Employees 33
NAICS code 339116
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 458637
Originating Lender Name Seacoast National Bank
Originating Lender Address Coral Gables, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 408342.79
Forgiveness Paid Date 2020-11-03

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Companies related by address

No other companies in our directory share the same address as PETERSON DENTAL LABORATORY, INC.

Date of last update: 01 Mar 2025

Sources: Florida Department of State

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