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  5. DENTAL OFFICE OF DUNEDIN, INC.

DENTAL OFFICE OF DUNEDIN, INC. - Florida Company Profile

Company Details

Entity Name: DENTAL OFFICE OF DUNEDIN, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

DENTAL OFFICE OF DUNEDIN, 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: 07 Jun 2000 (25 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 26 Dec 2012 (12 years ago)
Document Number: P00000055382
FEI/EIN Number 593653140

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1044 BELCHER ROAD, DUNEDIN, FL, 34698, US
Mail Address: 1044 BELCHER ROAD, DUNEDIN, FL, 34698, US
ZIP code: 34698
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144796293 2018-10-16 2018-10-16 1044 BELCHER RD, DUNEDIN, FL, 346985680, US 1044 BELCHER RD, DUNEDIN, FL, 34698, US

Contacts
Phone +1 727-738-8845
Fax 7277381466

Authorized person
Name NIKKI BLANTON
Role OFFICE ADMINSTRATOR
Phone 7277388845

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTAL OFFICE OF DUNEDIN INC 401(K) PROFIT SHARING PLAN & TRUST 2023 593653140 2024-05-06 DENTAL OFFICE OF DUNEDIN INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 541990
Sponsor’s telephone number 7277388845
Plan sponsor’s address 1044 BELCHER ROAD, DUNEDIN, FL, 34698

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2024-05-06
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
DENTAL OFFICE OF DUNEDIN INC 401(K) PROFIT SHARING PLAN & TRUST 2022 593653140 2023-04-08 DENTAL OFFICE OF DUNEDIN INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 541990
Sponsor’s telephone number 7277388845
Plan sponsor’s address 1044 BELCHER ROAD, DUNEDIN, FL, 34698

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2023-04-08
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
DENTAL OFFICE OF DUNEDIN INC 401(K) PROFIT SHARING PLAN & TRUST 2021 593653140 2022-06-14 DENTAL OFFICE OF DUNEDIN INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 541990
Sponsor’s telephone number 7277388845
Plan sponsor’s address 1044 BELCHER ROAD, DUNEDIN, FL, 34698

Plan administrator’s name and address
Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of
Role Plan administrator
Date 2022-06-14
Name of individual signing ERISA FIDUCIARY SERVICES
Valid signature Filed with authorized/valid electronic signature
DENTAL OFFICE OF DUNEDIN 401(K) PLAN & TRUST 2010 593653140 2011-03-28 DENTAL OFFICE OF DUNEDIN, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7277339163
Plan sponsor’s mailing address 1044 BELCHER ROAD, DUNEDIN, FL, 34698
Plan sponsor’s address 1044 BELCHER ROAD, DUNEDIN, FL, 34698

Plan administrator’s name and address
Administrator’s EIN 593653140
Plan administrator’s name DENTAL OFFICE OF DUNEDIN, INC.
Plan administrator’s address 1044 BELCHER ROAD, DUNEDIN, FL, 34698
Administrator’s telephone number 7277339163

Number of participants as of the end of the plan year
Active participants 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-03-28
Name of individual signing KENNETH SCHERER
Valid signature Filed with authorized/valid electronic signature
DENTAL OFFICE OF DUNEDIN 401(K) PLAN & TRUST 2010 593653140 2011-03-28 DENTAL OFFICE OF DUNEDIN, INC. 5
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7277388845
Plan sponsor’s mailing address 1044 BELCHER ROAD, DUNEDIN, FL, 34698
Plan sponsor’s address 1044 BELCHER ROAD, DUNEDIN, FL, 34698

Plan administrator’s name and address
Administrator’s EIN 593653140
Plan administrator’s name DENTAL OFFICE OF DUNEDIN, INC.
Plan administrator’s address 1044 BELCHER ROAD, DUNEDIN, FL, 34698
Administrator’s telephone number 7277388845

Number of participants as of the end of the plan year
Active participants 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2011-03-28
Name of individual signing KENNETH SCHERER
Valid signature Filed with authorized/valid electronic signature
DENTAL OFFICE OF DUNEDIN 401(K) PLAN & TRUST 2010 593653140 2011-03-28 DENTAL OFFICE OF DUNEDIN, INC. 5
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7277339163
Plan sponsor’s mailing address 1044 BELCHER ROAD, DUNEDIN, FL, 34698
Plan sponsor’s address 1044 BELCHER ROAD, DUNEDIN, FL, 34698

Plan administrator’s name and address
Administrator’s EIN 593653140
Plan administrator’s name DENTAL OFFICE OF DUNEDIN, INC.
Plan administrator’s address 1044 BELCHER ROAD, DUNEDIN, FL, 34698
Administrator’s telephone number 7277339163

Number of participants as of the end of the plan year
Active participants 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-03-28
Name of individual signing KENNETH SCHERER
Valid signature Filed with authorized/valid electronic signature
DENTAL OFFICE OF DUNEDIN, INC. 2009 593653140 2010-09-20 DENTAL OFFICE OF DUNEDIN, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7277388845
Plan sponsor’s DBA name DENTAL OFFICE OF DUNEDIN
Plan sponsor’s mailing address 1044 BELCHER ROAD, DUNEDIN, FL, 34698
Plan sponsor’s address 1044 BELCHER ROAD, DUNEDIN, FL, 34698

Plan administrator’s name and address
Administrator’s EIN 593653140
Plan administrator’s name DENTAL OFFICE OF DUNEDIN, INC.
Plan administrator’s address 1044 BELCHER ROAD, DUNEDIN, FL, 34698
Administrator’s telephone number 7277388845

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-09-20
Name of individual signing KENNETH SCHERER
Valid signature Filed with authorized/valid electronic signature
DENTAL OFFICE OF DUNEDIN, INC. 2009 593653140 2010-09-20 DENTAL OFFICE OF DUNEDIN, INC. 8
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 7277388845
Plan sponsor’s DBA name DENTAL OFFICE OF DUNEDIN
Plan sponsor’s mailing address 1044 BELCHER ROAD, DUNEDIN, FL, 34698
Plan sponsor’s address 1044 BELCHER ROAD, DUNEDIN, FL, 34698

Plan administrator’s name and address
Administrator’s EIN 593653140
Plan administrator’s name DENTAL OFFICE OF DUNEDIN, INC.
Plan administrator’s address 1044 BELCHER ROAD, DUNEDIN, FL, 34698
Administrator’s telephone number 7277388845

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-09-20
Name of individual signing KENNETH SCHERER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-20
Name of individual signing KENNETH SCHERER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
JACKSON SANJIE Dr. President 1044 Belcher Rd, Dunedin, FL, 34698
Jackson Sanjie Dr. Agent 12111 Rustic River Way, Tampa, FL, 33635

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-02-07 12111 Rustic River Way, Tampa, FL 33635 -
REGISTERED AGENT NAME CHANGED 2018-01-26 Jackson, Sanjie, Dr. -
AMENDMENT AND NAME CHANGE 2012-12-26 DENTAL OFFICE OF DUNEDIN, INC. -
CHANGE OF PRINCIPAL ADDRESS 2004-01-27 1044 BELCHER ROAD, DUNEDIN, FL 34698 -
CHANGE OF MAILING ADDRESS 2004-01-27 1044 BELCHER ROAD, DUNEDIN, FL 34698 -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-02-07
ANNUAL REPORT 2021-02-13
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-03-10
ANNUAL REPORT 2018-01-26
ANNUAL REPORT 2017-02-12
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-02-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1103887803 2020-05-01 0455 PPP 1044 BELCHER RD, DUNEDIN, FL, 34698
Loan Status Date 2022-03-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 150000
Loan Approval Amount (current) 150000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 58036
Servicing Lender Name Fifth Third Bank
Servicing Lender Address 38 Fountain Sq Plz, CINCINNATI, OH, 45263
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address DUNEDIN, PINELLAS, FL, 34698-0001
Project Congressional District FL-13
Number of Employees 16
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 58036
Originating Lender Name Fifth Third Bank
Originating Lender Address CINCINNATI, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 127635.38
Forgiveness Paid Date 2021-03-25

Companies related by officers

Jackson Sanjie Dr.

UPPER PINELLAS COUNTY DENTAL SOCIETY, INC. - Active
Domestic Non-Profit (1976 )

Companies related by address

No other companies in our directory share the same address as DENTAL OFFICE OF DUNEDIN, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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