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JAMES G. WILSON, DMD, P.A. - Florida Company Profile

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Company Details

Entity Name: JAMES G. WILSON, DMD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Jan 2001 (25 years ago)
Last Event: AMENDMENT
Event Date Filed: 21 Nov 2022 (3 years ago)
Document Number: P01000008115
FEI/EIN Number 593699396
Address: 1104 N Howard Ave., Second Floor, Tampa, FL, 33607, US
Mail Address: 2303 S Bendelow Trl., Tampa, FL, 33629, US
ZIP code: 33607
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WILSON JAMES G President 1104 N Howard Ave., Tampa, FL, 33607
BISCHOFF NICHOLAS Treasurer 2303 S. Bendelow Trail, Tampa, FL, 33629
Wilson Chancellor E Secretary 2303 S. Bendelow Trail, Tampa, FL, 33629
ROTHBURD CRAIG E Agent 320 W. Kennedy Boulevard, TAMPA, FL, 33606
Wilson Justice P Director 2303 S Bendelow Trl., Tampa, FL, 33629

National Provider Identifier

NPI Number:
1679564405

Authorized Person:

Name:
DR. JAMES G WILSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
Yes

Contacts:

Fax:
8132510771

Form 5500 Series

Employer Identification Number (EIN):
593699396
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
7
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000109897 TAMPA PERIODONTICS EXPIRED 2016-10-08 2021-12-31 - 1810 S. MACDILL AVENUE, TAMPA, FL, 33629
G01024900117 TAMPA BAY PERIODONTICS AND IMPLANT DENTISTRY ACTIVE 2001-01-24 2026-12-31 - 1810 S. MACDILL AVE., SUITE 2, TAMPA, FL, 33629

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-01-28 1104 N Howard Ave., Second Floor, Tampa, FL 33607 -
CHANGE OF PRINCIPAL ADDRESS 2024-02-06 1104 N Howard Ave., Second Floor, Tampa, FL 33607 -
AMENDMENT 2022-11-21 - -
AMENDMENT 2021-01-04 - -
REGISTERED AGENT ADDRESS CHANGED 2015-01-09 320 W. Kennedy Boulevard, Suite 700, TAMPA, FL 33606 -

Documents

Name Date
ANNUAL REPORT 2025-01-28
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-19
Amendment 2022-11-21
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-20
Amendment 2021-01-04
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-01-15

USAspending Awards / Financial Assistance

Date:
2021-01-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
123575.44
Total Face Value Of Loan:
123575.44
Date:
2020-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
51772.00
Total Face Value Of Loan:
51772.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$123,575.44
Date Approved:
2021-01-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$123,575.44
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$124,283.04
Servicing Lender:
The Bank of Tampa
Use of Proceeds:
Payroll: $123,573.44
Utilities: $1
Jobs Reported:
6
Initial Approval Amount:
$51,772
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$51,772
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$52,379.08
Servicing Lender:
The Bank of Tampa
Use of Proceeds:
Payroll: $51,772

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Date of last update: 02 Jul 2025

Sources: Florida Department of State