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  5. LAKELAND PERIODONTICS, INC.

LAKELAND PERIODONTICS, INC. - Florida Company Profile

Company Details

Entity Name: LAKELAND PERIODONTICS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LAKELAND 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: 19 Jul 2001 (24 years ago)
Document Number: P01000071275
FEI/EIN Number 593737600

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3003 S. FLORIDA AVE., STE 201, LAKELAND, FL, 33803
Mail Address: 3003 S. FLORIDA AVE., STE 201, LAKELAND, FL, 33803
ZIP code: 33803
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508892225 2006-06-24 2020-08-22 3003 S FLORIDA AVE, SUITE 201, LAKELAND, FL, 338034050, US 3003 S FLORIDA AVE, SUITE 201, LAKELAND, FL, 338034050, US

Contacts
Phone +1 863-687-9227
Fax 8636872813

Authorized person
Name DONNA L TODD
Role INSURANCE COORDINATOR
Phone 8636879227

Taxonomy
Taxonomy Code 1223P0300X - Periodontist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKELAND PERIODONTICS, INC. EMPLOYEES PROFIT SHARING PLAN AND TRUST 2023 593737600 2024-09-05 LAKELAND PERIODONTICS, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 8636879227
Plan sponsor’s address 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 338034050
LAKELAND PERIODONTICS, INC. CASH BALANCE PLAN AND TRUST 2023 593737600 2024-09-05 LAKELAND PERIODONTICS, INC. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 8636879227
Plan sponsor’s address 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 338034050
LAKELAND PERIODONTICS, INC. EMPLOYEES PROFIT SHARING PLAN AND TRUST 2022 593737600 2023-06-29 LAKELAND PERIODONTICS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 8636879227
Plan sponsor’s address 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 338034050
LAKELAND PERIODONTICS, INC. CASH BALANCE PLAN AND TRUST 2022 593737600 2023-06-29 LAKELAND PERIODONTICS, INC. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 8636879227
Plan sponsor’s address 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 338034050
LAKELAND PERIODONTICS, INC. EMPLOYEES PROFIT SHARING PLAN AND TRUST 2021 593737600 2022-06-09 LAKELAND PERIODONTICS, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 8636879227
Plan sponsor’s address 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 338034050
LAKELAND PERIODONTICS, INC. CASH BALANCE PLAN AND TRUST 2021 593737600 2022-06-09 LAKELAND PERIODONTICS, INC. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 8636879227
Plan sponsor’s address 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 338034050
LAKELAND PERIODONTICS, INC. EMPLOYEES PROFIT SHARING PLAN AND TRUST 2020 593737600 2021-04-30 LAKELAND PERIODONTICS, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 8636879227
Plan sponsor’s address 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 338034050
LAKELAND PERIODONTICS, INC. EMPLOYEES PROFIT SHARING PLAN AND TRUST 2019 593737600 2020-05-27 LAKELAND PERIODONTICS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 8636879227
Plan sponsor’s address 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 338034050
LAKELAND PERIODONTICS, INC. EMPLOYEES PROFIT SHARING PLAN AND TRUST 2018 593737600 2019-05-17 LAKELAND PERIODONTICS, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 8636879227
Plan sponsor’s address 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 338034050
LAKELAND PERIODONTICS, INC. EMPLOYEES PROFIT SHARING PLAN AND TRUST 2017 593737600 2018-03-15 LAKELAND PERIODONTICS, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 8636879227
Plan sponsor’s address 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 338034050

Key Officers & Management

Name Role Address
CAMPBELL DAVID A Director 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 33803
CAMPBELL DAVID A President 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 33803
CAMPBELL DAVID A Secretary 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 33803
CAMPBELL DAVID A Treasurer 3003 S. FLORIDA AVE., STE. 201, LAKELAND, FL, 33803
CAMPBELL DAVID A Agent 3003 S. FLORIDA AVE., LAKELAND, FL, 33803

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000059334 LAKELAND PERIODONTICS AND IMPLANT DENTISTRY ACTIVE 2017-05-30 2027-12-31 - 232 N MASSACHUSETTS AVE, LAKELAND, FL, 33801--498

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2016-02-28 CAMPBELL, DAVID A -
CHANGE OF PRINCIPAL ADDRESS 2012-04-26 3003 S. FLORIDA AVE., STE 201, LAKELAND, FL 33803 -
CHANGE OF MAILING ADDRESS 2012-04-26 3003 S. FLORIDA AVE., STE 201, LAKELAND, FL 33803 -
REGISTERED AGENT ADDRESS CHANGED 2012-04-26 3003 S. FLORIDA AVE., STE 201, LAKELAND, FL 33803 -

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-06-28
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-02-28
ANNUAL REPORT 2015-04-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1933307204 2020-04-15 0455 PPP 3003 South Florida Ave Suite 201, Lakeland, FL, 33803
Loan Status Date 2021-02-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 180000
Loan Approval Amount (current) 180000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lakeland, POLK, FL, 33803-0100
Project Congressional District FL-18
Number of Employees 18
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 181300
Forgiveness Paid Date 2021-01-14
5110628406 2021-02-07 0455 PPS 3003 S Florida Ave, Lakeland, FL, 33803-4050
Loan Status Date 2021-12-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 180234
Loan Approval Amount (current) 180234
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lakeland, POLK, FL, 33803-4050
Project Congressional District FL-15
Number of Employees 18
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 181235.3
Forgiveness Paid Date 2021-09-09

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Companies related by address

3003 S. FLORIDA AVE., STE 201, LAKELAND, FL, 33803

DAVID A. CAMPBELL, D.M.D., P.A.

3003 S. FLORIDA AVE., STE 201, LAKELAND, FL, 33803

DAVID A. CAMPBELL, D.M.D., P.A.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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