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PEDIATRIC SMILES, INC.

PEDIATRIC SMILES, INC. - Florida Company Profile

Company Details

Entity Name:	PEDIATRIC SMILES, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit PEDIATRIC SMILES, 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:	20 May 2004 (21 years ago)
Last Event:	REINSTATEMENT
Event Date Filed:	17 Oct 2016 (9 years ago)
Document Number:	P04000081199
FEI/EIN Number	201005924 Federal Employer Identification (FEI) Number assigned by the IRS.
Address:	1651 Southside Connector, JACKSONVILLE, FL, 32225, US
Mail Address:	1651 Southside Connector, JACKSONVILLE, FL, 32225, US
ZIP code:	32225
County:	Duval
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1912014937

2006-08-24

2020-08-22

PO BOX 26701, JACKSONVILLE, FL, 322266701, US

2262 DUNN AVE, STE 4, JACKSONVILLE, FL, 32218, US

Contacts

Phone	+1 904-751-5126
Fax	9047515146

Authorized person

Name	DR. STACI SUGGS
Role	OWNER/DENTIST
Phone	9047515126

Taxonomy

Taxonomy Code	1223P0221X - Pediatric Dentist
License Number	DN 15344
State	FL
Is Primary	Yes

Other Provider Identifiers

Issuer	ADI HEALTHY KIDS
Number	70084
State	FL

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

PEDIATRIC SMILES, INC. 401(K) PROFIT SHARING PLAN

2023

201005924

2024-08-13

PEDIATRIC SMILES, INC.

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	9048213413
Plan sponsor’s address	1651 SOUTHSIDE CONNECTOR, SUITE 1, JACKSONVILLE, FL, 32225

PEDIATRIC SMILES, INC. 401(K) PROFIT SHARING PLAN

2022

201005924

2023-09-06

PEDIATRIC SMILES, INC.

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	9048213413
Plan sponsor’s address	1651 SOUTHSIDE CONNECTOR, SUITE 1, JACKSONVILLE, FL, 32225

PEDIATRIC SMILES, INC. 401(K) PROFIT SHARING PLAN

2021

201005924

2022-09-26

PEDIATRIC SMILES, INC.

17

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	9048213413
Plan sponsor’s address	1651 SOUTHSIDE CONNECTOR, SUITE 1, JACKSONVILLE, FL, 32225

PEDIATRIC SMILES, INC. 401(K) PROFIT SHARING PLAN

2020

201005924

2021-10-10

PEDIATRIC SMILES, INC.

15

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	9047515126
Plan sponsor’s address	2255 DUNN AVENUE, BUILDING 700, JACKSONVILLE, FL, 32218

PEDIATRIC SMILES, INC. 401(K) PROFIT SHARING PLAN

2019

201005924

2020-07-14

PEDIATRIC SMILES, INC.

18

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	9047515126
Plan sponsor’s address	2255 DUNN AVENUE, BUILDING 700, JACKSONVILLE, FL, 32218

PEDIATRIC SMILES, INC. 401(K) PROFIT SHARING PLAN

2018

201005924

2019-07-22

PEDIATRIC SMILES, INC.

19

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	9047515126
Plan sponsor’s address	2255 DUNN AVENUE, BUILDING 700, JACKSONVILLE, FL, 32218

PEDIATRIC SMILES, INC. 401(K) PROFIT SHARING PLAN

2017

201005924

2018-10-16

PEDIATRIC SMILES, INC.

18

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	9047515126
Plan sponsor’s address	2255 DUNN AVENUE, BUILDING 700, JACKSONVILLE, FL, 32218

PEDIATRIC SMILES, INC. 401(K) PROFIT SHARING PLAN

2017

201005924

2018-10-15

PEDIATRIC SMILES, INC.

18

Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	9047515126
Plan sponsor’s address	2255 DUNN AVENUE, BUILDING 700, JACKSONVILLE, FL, 32218

PEDIATRIC SMILES, INC. 401(K) PROFIT SHARING PLAN

2016

201005924

2017-10-12

PEDIATRIC SMILES, INC.

17

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	9047515126
Plan sponsor’s address	2255 DUNN AVENUE, BUILDING 700, JACKSONVILLE, FL, 32218

PEDIATRIC SMILES, INC. 401(K) PROFIT SHARING PLAN

2015

201005924

2016-07-13

PEDIATRIC SMILES, INC.

19

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621210
Sponsor’s telephone number	9047515126
Plan sponsor’s address	2255 DUNN AVENUE, BUILDING 700, JACKSONVILLE, FL, 32218

Key Officers & Management

Name	Role	Address
SUGGS STACI MDr.	President	1651 Southside Connector, JACKSONVILLE, FL, 32225
SUGGS STACI MDr.	Agent	1651 Southside Connector, JACKSONVILLE, FL, 32225

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2021-11-05	1651 Southside Connector, Suite 1, JACKSONVILLE, FL 32225	-
CHANGE OF MAILING ADDRESS	2021-11-05	1651 Southside Connector, Suite 1, JACKSONVILLE, FL 32225	-
REGISTERED AGENT NAME CHANGED	2021-11-05	SUGGS, STACI M, Dr.	-
REGISTERED AGENT ADDRESS CHANGED	2021-11-05	1651 Southside Connector, Suite 1, JACKSONVILLE, FL 32225	-
REINSTATEMENT	2016-10-17	-	-
ADMIN DISSOLUTION FOR ANNUAL REPORT	2016-09-23	-	-

Documents

Name	Date
ANNUAL REPORT	2025-01-23
ANNUAL REPORT	2024-02-07
ANNUAL REPORT	2023-01-23
ANNUAL REPORT	2022-01-28
AMENDED ANNUAL REPORT	2021-11-05
ANNUAL REPORT	2021-02-01
ANNUAL REPORT	2020-05-06
ANNUAL REPORT	2019-03-13
ANNUAL REPORT	2018-08-03
ANNUAL REPORT	2017-01-25
REINSTATEMENT	2016-10-17
ANNUAL REPORT	2015-01-09
ANNUAL REPORT	2014-02-27
ANNUAL REPORT	2013-01-17
ANNUAL REPORT	2012-02-08
ANNUAL REPORT	2011-05-20
ANNUAL REPORT	2010-02-18
ANNUAL REPORT	2009-06-16
ANNUAL REPORT	2008-07-18
ANNUAL REPORT	2007-01-05

USAspending Awards. Financial Assistance

FAIN

Awarding Agency

Assistance Listings

Start Date

End Date

Description

4273025001

Small Business Administration

59.041 - 504 CERTIFIED DEVELOPMENT LOANS

-

-

TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR

Recipient	PEDIATRIC SMILES INC.
Recipient Name Raw	PEDIATRIC SMILES INC.
Recipient Address	2255 DUNN AVENUE UNIT 700., JACKSONVILLE, DUVAL, FLORIDA, 32218-0000, UNITED STATES
Obligated Amount	0.00
Non-Federal Funding	0.00
Original Subsidy Cost	17220.00
Face Value of Direct Loan	840000.00
Link	View Page

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

2647138310

2021-01-21

0491

PPS

2255 Dunn Ave Ste 700, Jacksonville, FL, 32218-4742

Loan Status Date	2022-01-20
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	202895
Loan Approval Amount (current)	172705.95
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	94425
Servicing Lender Name	VyStar CU
Servicing Lender Address	76 S Laura St, JACKSONVILLE, FL, 32202
Rural or Urban Indicator	U
Hubzone	N
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	Jacksonville, DUVAL, FL, 32218-4742
Project Congressional District	FL-04
Number of Employees	21
NAICS code	621210
Borrower Race	Unanswered
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Subchapter S Corporation
Originating Lender ID	94425
Originating Lender Name	VyStar CU
Originating Lender Address	JACKSONVILLE, FL
Gender	Female Owned
Veteran	Non-Veteran
Forgiveness Amount	174191.69
Forgiveness Paid Date	2021-12-07

1685537301

2020-04-28

0491

PPP

2255 Dunn Avenue STE 700, Jacksonville, FL, 32218-4742

Loan Status Date	2021-10-16
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	202895
Loan Approval Amount (current)	202895
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	94425
Servicing Lender Name	VyStar CU
Servicing Lender Address	76 S Laura St, JACKSONVILLE, FL, 32202
Rural or Urban Indicator	U
Hubzone	N
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	Jacksonville, DUVAL, FL, 32218-4742
Project Congressional District	FL-04
Number of Employees	15
NAICS code	621210
Borrower Race	Unanswered
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Subchapter S Corporation
Originating Lender ID	94425
Originating Lender Name	VyStar CU
Originating Lender Address	JACKSONVILLE, FL
Gender	Female Owned
Veteran	Non-Veteran
Forgiveness Amount	205646.59
Forgiveness Paid Date	2021-09-09

Date of last update: 03 May 2025

Sources: Florida Department of State