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  5. MICHAEL D. VANOVER, D.D.S., P.A.

MICHAEL D. VANOVER, D.D.S., P.A.

Company Details

Entity Name: MICHAEL D. VANOVER, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 19 May 2005 (20 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: P05000073933
FEI/EIN Number 651251094
Address: 1824 Sugar Maple Rd, Fleming Island, FL, 32003, US
Mail Address: 1824 Sugar Maple Rd, Fleming Island, FL, 32003, US
ZIP code: 32003
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679628382 2007-01-24 2020-08-22 784 BLANDING BLVD, STE 110, ORANGE PARK, FL, 320658717, US 784 BLANDING BLVD, STE 110, ORANGE PARK, FL, 320658717, US

Contacts
Phone +1 904-272-2438
Fax 9042726376

Authorized person
Name DR. MICHAEL D VANOVER
Role PRESIDENT
Phone 9042722438

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 16088
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL D. VANOVER, D.D.S., P.A. CASH BALANCE 2023 651251094 2024-02-28 MICHAEL D. VANOVER, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 9042722438
Plan sponsor’s address 784 BLANDING BLVD, SUITE 110, ORANGE PARK, FL, 320657724

Signature of
Role Plan administrator
Date 2024-02-28
Name of individual signing KEVIN CHEEZUM
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. VANOVER, D.D.S., P.A. RETIREMENT SAVINGS PLAN 2023 651251094 2024-02-28 MICHAEL D. VANOVER, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9042722438
Plan sponsor’s address 784 BLANDING BLVD, SUITE 110, ORANGE PARK, FL, 320657724

Signature of
Role Plan administrator
Date 2024-02-28
Name of individual signing KEVIN CHEEZUM
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. VANOVER, D.D.S., P.A. CASH BALANCE 2022 651251094 2023-10-13 MICHAEL D. VANOVER, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 9042722438
Plan sponsor’s address 784 BLANDING BLVD, SUITE 110, ORANGE PARK, FL, 320657724

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing KEVIN CHEEZUM
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. VANOVER, D.D.S., P.A. RETIREMENT SAVINGS PLAN 2022 651251094 2023-07-25 MICHAEL D. VANOVER, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9042722438
Plan sponsor’s address 784 BLANDING BLVD, SUITE 110, ORANGE PARK, FL, 320657724

Signature of
Role Plan administrator
Date 2023-07-25
Name of individual signing KEVIN CHEEZUM
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. VANOVER, D.D.S., P.A. CASH BALANCE 2021 651251094 2022-10-14 MICHAEL D. VANOVER, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 9042722438
Plan sponsor’s address 784 BLANDING BLVD, SUITE 110, ORANGE PARK, FL, 320657724

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing KEVIN CHEEZUM
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. VANOVER, D.D.S., P.A. CASH BALANCE 2021 651251094 2022-07-29 MICHAEL D. VANOVER, D.D.S., P.A. 8
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 9042722438
Plan sponsor’s address 784 BLANDING BLVD, SUITE 110, ORANGE PARK, FL, 320657724

Signature of
Role Plan administrator
Date 2022-07-29
Name of individual signing KEVIN CHEEZUM
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. VANOVER, D.D.S., P.A. RETIREMENT SAVINGS PLAN 2021 651251094 2022-07-28 MICHAEL D. VANOVER, D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9042722438
Plan sponsor’s address 784 BLANDING BLVD, SUITE 110, ORANGE PARK, FL, 320657724

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing KEVIN CHEEZUM
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. VANOVER, D.D.S., P.A. CASH BALANCE 2020 651251094 2021-08-09 MICHAEL D. VANOVER, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 9042722438
Plan sponsor’s address 784 BLANDING BLVD, SUITE 110, ORANGE PARK, FL, 320657724

Signature of
Role Plan administrator
Date 2021-08-09
Name of individual signing MICHAEL D. VANOVER
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. VANOVER, D.D.S., P.A. RETIREMENT SAVINGS PLAN 2020 651251094 2021-07-21 MICHAEL D. VANOVER, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 9042722438
Plan sponsor’s address 784 BLANDING BLVD, SUITE 110, ORANGE PARK, FL, 320657724

Signature of
Role Plan administrator
Date 2021-07-21
Name of individual signing MICHAEL D. VANOVER
Valid signature Filed with authorized/valid electronic signature
MICHAEL D. VANOVER, D.D.S., P.A. CASH BALANCE 2019 651251094 2020-10-10 MICHAEL D. VANOVER, D.D.S., P.A. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 9042722438
Plan sponsor’s address 784 BLANDING BLVD, SUITE 110, ORANGE PARK, FL, 320657724

Signature of
Role Plan administrator
Date 2020-10-10
Name of individual signing MICHAEL D. VANOVER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
VANOVER MICHAEL D Agent 1824 Sugar Maple Rd, Fleming Island, FL, 32003

President

Name Role Address
VANOVER MICHAEL D President 1824 Sugar Maple Rd, Fleming Island, FL, 32003

Vice President

Name Role Address
VANOVER MICHAEL D Vice President 1824 Sugar Maple Rd, Fleming Island, FL, 32003

Treasurer

Name Role Address
VANOVER MICHAEL D Treasurer 1824 Sugar Maple Rd, Fleming Island, FL, 32003

Secretary

Name Role Address
VANOVER MICHAEL D Secretary 1824 Sugar Maple Rd, Fleming Island, FL, 32003

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-02-02 1824 Sugar Maple Rd, Fleming Island, FL 32003 No data
CHANGE OF MAILING ADDRESS 2022-02-02 1824 Sugar Maple Rd, Fleming Island, FL 32003 No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-02 1824 Sugar Maple Rd, Fleming Island, FL 32003 No data

Documents

Name Date
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-03-13
ANNUAL REPORT 2020-03-11
ANNUAL REPORT 2019-03-17
ANNUAL REPORT 2018-02-26
ANNUAL REPORT 2017-04-11
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-03-19
ANNUAL REPORT 2014-02-26
ANNUAL REPORT 2013-04-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8343178309 2021-01-29 0491 PPS 784 Blanding Blvd Ste 110, Orange Park, FL, 32065-7724
Loan Status Date 2021-10-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 111017
Loan Approval Amount (current) 111017
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19595
Servicing Lender Name Ameris Bank
Servicing Lender Address 3490 Piedmont Rd NE, Ste 124, ATLANTA, GA, 30305
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Orange Park, CLAY, FL, 32065-7724
Project Congressional District FL-04
Number of Employees 9
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 19595
Originating Lender Name Ameris Bank
Originating Lender Address ATLANTA, GA
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 111613.15
Forgiveness Paid Date 2021-08-20
7631167005 2020-04-07 0491 PPP 784 Blanding Blvd. Ste 110, ORANGE PARK, FL, 32065-7724
Loan Status Date 2021-01-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 110300
Loan Approval Amount (current) 110300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19595
Servicing Lender Name Ameris Bank
Servicing Lender Address 3490 Piedmont Rd NE, Ste 124, ATLANTA, GA, 30305
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ORANGE PARK, CLAY, FL, 32065-7724
Project Congressional District FL-04
Number of Employees 10
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 19595
Originating Lender Name Ameris Bank
Originating Lender Address ATLANTA, GA
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 110985.98
Forgiveness Paid Date 2020-12-10

Related by officers

VANOVER MICHAEL D

CHICK-P PROPERTIES, L.L.C.

Related by address

1824 Sugar Maple Rd, Fleming Island, FL, 32003, US

CHICK-P PROPERTIES, L.L.C.

1824 Sugar Maple Rd, Fleming Island, FL, 32003, US

CHICK-P PROPERTIES, L.L.C.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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