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  5. TAMPA BAY SMILES, INC.

TAMPA BAY SMILES, INC. - Florida Company Profile

Company Details

Entity Name: TAMPA BAY SMILES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TAMPA BAY 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: 04 Aug 2004 (21 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 09 Dec 2004 (20 years ago)
Document Number: P04000114011
FEI/EIN Number 201497457

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 5438 Land O Lakes Blvd, Land O' Lakes, FL, 34639, US
Mail Address: 1307 Merry Water Drive, Lutz, FL, 33548, US
ZIP code: 34639
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609567056 2023-05-17 2023-05-17 1307 MERRY WATER DR, LUTZ, FL, 335484810, US 5438 LAND O LAKES BLVD, LAND O LAKES, FL, 346393413, US

Contacts
Phone +1 813-857-8696
Fax 8139290996
Phone +1 813-929-0996

Authorized person
Name DR. JASON M MOORE
Role PRESIDENT
Phone 8138578696

Taxonomy
Taxonomy Code 122300000X - Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAMPA BAY SMILES, INC. 401(K) PLAN 2023 201497457 2024-10-10 TAMPA BAY SMILES, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8139290996
Plan sponsor’s address 6759 LAND OLAKES BLVD., LANDO LAKES, FL, 34638

Signature of
Role Plan administrator
Date 2024-10-10
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-10
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY SMILES, INC 401(K) PLAN 2022 201497457 2023-05-12 TAMPA BAY SMILES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8139290996
Plan sponsor’s address 6759 LAND OLAKES BLVD., LAND O LAKES, FL, 34638

Signature of
Role Plan administrator
Date 2023-05-12
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-12
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY SMILES, INC 401(K) PLAN 2021 201497457 2022-09-23 TAMPA BAY SMILES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8139290996
Plan sponsor’s address 6759 LAND O'LAKES BLVD., LAND O LAKES, FL, 34638

Signature of
Role Plan administrator
Date 2022-09-23
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-23
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY SMILES, INC 401(K) PLAN 2020 201497457 2021-05-20 TAMPA BAY SMILES, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8139290996
Plan sponsor’s address 6759 LAND OLAKES BLVD., LAND OLAKES, FL, 34638

Signature of
Role Plan administrator
Date 2021-05-20
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-20
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY SMILES, INC 401(K) PLAN 2019 201497457 2020-08-27 TAMPA BAY SMILES, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8139290996
Plan sponsor’s address 6759 LAND O'LAKES BLVD., LAND O LAKES, FL, 34638

Signature of
Role Plan administrator
Date 2020-08-27
Name of individual signing JASON M MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-27
Name of individual signing JASON M MOORE
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY SMILES, INC 401(K) PLAN 2018 201497457 2019-07-17 TAMPA BAY SMILES, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8139290996
Plan sponsor’s address 6759 LAND O LAKES BLVD., LAND O LAKES, FL, 34638

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-17
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY SMILES, INC 401(K) PLAN 2017 201497457 2018-06-25 TAMPA BAY SMILES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8139290996
Plan sponsor’s address 6759 LAND O'LAKES BLVD., LAND O LAKES, FL, 34638

Signature of
Role Plan administrator
Date 2018-06-25
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-25
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY SMILES, INC 401(K) PLAN 2016 201497457 2017-07-13 TAMPA BAY SMILES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8139290996
Plan sponsor’s address 6759 LAND O'LAKES BLVD., LAND O LAKES, FL, 34638

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-13
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY SMILES, INC 401(K) PLAN 2015 201497457 2016-05-27 TAMPA BAY SMILES, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8139290996
Plan sponsor’s address 36759LAND OLAKES BLVD., LAND OLAKES, FL, 34638

Signature of
Role Plan administrator
Date 2016-05-27
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature
TAMPA BAY SMILES, INC. 401(K) PLAN 2014 201497457 2015-05-04 TAMPA BAY SMILES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 8138188054
Plan sponsor’s address 8963 RACE TRACK ROAD, TAMPA, FL, 33635

Signature of
Role Plan administrator
Date 2015-05-04
Name of individual signing JASON MOORE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MOORE JASON M Director 1307 Merry Water Drive, Lutz, FL, 33548
MOORE JASON M Agent 1307 Merry Water Drive, Lutz, FL, 33548

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-21 5438 Land O Lakes Blvd, Land O' Lakes, FL 34639 -
CHANGE OF MAILING ADDRESS 2023-02-21 5438 Land O Lakes Blvd, Land O' Lakes, FL 34639 -
REGISTERED AGENT ADDRESS CHANGED 2015-01-14 1307 Merry Water Drive, Lutz, FL 33548 -
NAME CHANGE AMENDMENT 2004-12-09 TAMPA BAY SMILES, INC. -

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-02-21
ANNUAL REPORT 2022-02-21
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-02-25
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-03-16
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-21
ANNUAL REPORT 2015-01-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6878857204 2020-04-28 0455 PPP 6759 Land O' Lakes Blvd, Land O' Lakes, FL, 34638
Loan Status Date 2021-07-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 77700
Loan Approval Amount (current) 77700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 455644
Servicing Lender Name Live Oak Banking Company
Servicing Lender Address 1741 Tiburon Dr, WILMINGTON, NC, 28403-6244
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Land O' Lakes, PASCO, FL, 34638-0001
Project Congressional District FL-12
Number of Employees 8
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 455644
Originating Lender Name Live Oak Banking Company
Originating Lender Address WILMINGTON, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 78545.12
Forgiveness Paid Date 2021-06-02
5940338303 2021-01-26 0455 PPS 6759 Land O Lakes Blvd, Land O Lakes, FL, 34638-3234
Loan Status Date 2021-09-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 86077
Loan Approval Amount (current) 86077
Undisbursed Amount 0
Franchise Name -
Lender Location ID 455644
Servicing Lender Name Live Oak Banking Company
Servicing Lender Address 1741 Tiburon Dr, WILMINGTON, NC, 28403-6244
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Land O Lakes, PASCO, FL, 34638-3234
Project Congressional District FL-12
Number of Employees 8
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 455644
Originating Lender Name Live Oak Banking Company
Originating Lender Address WILMINGTON, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 86520.36
Forgiveness Paid Date 2021-08-13

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Companies related by address

No other companies in our directory share the same address as TAMPA BAY SMILES, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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