Home Page
Counties
Palm Beach
33411
LBS PERIODONTICS, INC.

LBS PERIODONTICS, INC. - Florida Company Profile

Company Details

Entity Name:	LBS PERIODONTICS, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit LBS PERIODONTICS, 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:	18 Aug 2000 (25 years ago)
Last Event:	REINSTATEMENT
Event Date Filed:	16 Oct 2024 (6 months ago)
Document Number:	P00000078216
FEI/EIN Number	651038008 Federal Employer Identification (FEI) Number assigned by the IRS.
Address:	685 ROYAL PALM BEACH BLVD, SUITE 203, ROYAL PALM BEACH, FL, 33411, US
Mail Address:	685 ROYAL PALM BEACH BLVD, SUITE 203, ROYAL PALM BEACH, FL, 33411, US
ZIP code:	33411
County:	Palm Beach
Place of Formation:	FLORIDA

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

LBS PERIODONTICS, INC. RETIREMENT PLAN

2023

651038008

2024-10-15

LBS PERIODONTICS, INC.

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621210
Sponsor’s telephone number	5617921212
Plan sponsor’s address	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

LBS PERIODONTICS, INC. RETIREMENT PLAN

2023

651038008

2024-02-05

LBS PERIODONTICS, INC.

4

Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621210
Sponsor’s telephone number	5617921212
Plan sponsor’s address	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

LBS PERIODONTICS, INC. RETIREMENT PLAN

2022

651038008

2023-03-08

LBS PERIODONTICS, INC.

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621210
Sponsor’s telephone number	5617921212
Plan sponsor’s address	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

LBS PERIODONTICS, INC. RETIREMENT PLAN

2021

651038008

2022-07-18

LBS PERIODONTICS, INC.

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621210
Sponsor’s telephone number	5617921212
Plan sponsor’s address	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

LBS PERIODONTICS, INC. RETIREMENT PLAN

2020

651038008

2021-05-25

LBS PERIODONTICS, INC.

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621210
Sponsor’s telephone number	5617921212
Plan sponsor’s address	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

LBS PERIODONTICS, INC. RETIREMENT PLAN

2019

651038008

2020-09-16

LBS PERIODONTICS, INC.

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621210
Sponsor’s telephone number	5617921212
Plan sponsor’s address	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

LBS PERIODONTICS, INC. RETIREMENT PLAN

2018

651038008

2019-10-07

LBS PERIODONTICS, INC.

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621210
Sponsor’s telephone number	5617921212
Plan sponsor’s address	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

LBS PERIODONTICS, INC. RETIREMENT PLAN

2017

651038008

2018-10-02

LBS PERIODONTICS, INC.

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621210
Sponsor’s telephone number	5617921212
Plan sponsor’s address	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

LBS PERIODONTICS, INC. RETIREMENT PLAN

2016

651038008

2017-10-16

LBS PERIODONTICS, INC.

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621210
Sponsor’s telephone number	5617921212
Plan sponsor’s address	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

Key Officers & Management

Name	Role	Address
SHACK LAUREN B	President	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473
SHACK LAUREN B	Treasurer	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473
SHACK LAUREN B	Director	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473
SHACK WAYNE	Vice President	8680 WOODGROVE HARBOR LN, BOYNTON BEACH, FL, 33473
SHACK WAYNE	Secretary	8680 WOODGROVE HARBOR LN, BOYNTON BEACH, FL, 33473
SHACK WAYNE	Director	8680 WOODGROVE HARBOR LN, BOYNTON BEACH, FL, 33473
SHACK LAUREN	Agent	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL, 33473

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G04043900213	PALMS WEST PERIODONTAL	ACTIVE	2004-02-12	2029-12-31	-	685 ROYAL PALM BEACH BLVD., SUITE 203, ROYAL PALM BEACH, FL, 33411

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2024-10-16	SHACK, LAUREN	-
REINSTATEMENT	2024-10-16	-	-
ADMIN DISSOLUTION FOR ANNUAL REPORT	2024-09-27	-	-
AMENDMENT	2018-05-18	-	-
CHANGE OF PRINCIPAL ADDRESS	2012-01-07	685 ROYAL PALM BEACH BLVD, SUITE 203, ROYAL PALM BEACH, FL 33411	-
CHANGE OF MAILING ADDRESS	2010-01-10	685 ROYAL PALM BEACH BLVD, SUITE 203, ROYAL PALM BEACH, FL 33411	-
REGISTERED AGENT ADDRESS CHANGED	2009-04-01	8680 WOODGROVE HARBOR LANE, BOYNTON BEACH, FL 33473	-

Documents

Name	Date
REINSTATEMENT	2024-10-16
ANNUAL REPORT	2023-01-31
ANNUAL REPORT	2022-01-17
ANNUAL REPORT	2021-01-25
ANNUAL REPORT	2020-01-15
ANNUAL REPORT	2019-01-29
Amendment	2018-05-18
ANNUAL REPORT	2018-01-14
ANNUAL REPORT	2017-02-26
ANNUAL REPORT	2016-01-25
ANNUAL REPORT	2015-01-17
ANNUAL REPORT	2014-01-12
ANNUAL REPORT	2013-02-06
ANNUAL REPORT	2012-01-07
ANNUAL REPORT	2011-01-12
ANNUAL REPORT	2010-01-10
ANNUAL REPORT	2009-04-01
ANNUAL REPORT	2008-02-11
ANNUAL REPORT	2007-01-28
ANNUAL REPORT	2006-07-25

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

2968917302

2020-04-29

0455

PPP

685 Royal Palm Beach Blvd., Royal Palm Beach, FL, 33411

Loan Status Date	2021-03-13
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	36453
Loan Approval Amount (current)	36453
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	426479
Servicing Lender Name	T Bank, National Association
Servicing Lender Address	16200 Dallas Pkwy, Ste 190, DALLAS, TX, 75248-2637
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Royal Palm Beach, PALM BEACH, FL, 33411-1000
Project Congressional District	FL-20
Number of Employees	4
NAICS code	621210
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	426479
Originating Lender Name	T Bank, National Association
Originating Lender Address	DALLAS, TX
Gender	Female Owned
Veteran	Unanswered
Forgiveness Amount	36740.63
Forgiveness Paid Date	2021-02-19

1667078308

2021-01-19

0455

PPS

685 Royal Palm Beach Blvd Ste 203, Royal Palm Beach, FL, 33411-7642

Loan Status Date	2021-08-06
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	36453
Loan Approval Amount (current)	36453
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	426479
Servicing Lender Name	T Bank, National Association
Servicing Lender Address	16200 Dallas Pkwy, Ste 190, DALLAS, TX, 75248-2637
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Royal Palm Beach, PALM BEACH, FL, 33411-7642
Project Congressional District	FL-20
Number of Employees	4
NAICS code	621210
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	426479
Originating Lender Name	T Bank, National Association
Originating Lender Address	DALLAS, TX
Gender	Female Owned
Veteran	Unanswered
Forgiveness Amount	36631.77
Forgiveness Paid Date	2021-07-21

Date of last update: 02 Apr 2025

Sources: Florida Department of State