ORLANDO ENDODONTIC SPECIALISTS - NORTH, P.A.

Company Details

Entity Name:	ORLANDO ENDODONTIC SPECIALISTS - NORTH, P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Inactive
Date Filed:	28 Aug 2006 (18 years ago)
Date of dissolution:	04 Dec 2024 (3 months ago)
Last Event:	CONVERSION
Event Date Filed:	04 Dec 2024 (3 months ago)
Document Number:	P06000112394
FEI/EIN Number	205508384
Address:	2855 W STATE ROAD 434 STE 1021, LONGWOOD, FL, 32779-4480, US
Mail Address:	2855 W STATE ROAD 434 STE 1021, LONGWOOD, FL, 32779-4480, US
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1841466414

2008-05-05

2008-05-05

610 N MILLS AVE, STE. 610, ORLANDO, FL, 328037119, US

407 WEKIVA SPRINGS RD, STE. 123, LONGWOOD, FL, 327796201, US

Contacts

Phone	+1 407-423-7667
Phone	+1 407-788-8880

Authorized person

Name	LAUREN LIPKIN
Role	BUSINESS MGR
Phone	4074237667

Taxonomy

Taxonomy Code	1223E0200X - Endodontist
License Number	DN14384
State	FL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

ORLANDO ENDODONTIC SPECIALISTS 401(K) PROFIT SHARING PLAN AND TRUST

2019

205508384

2020-07-29

ORLANDO ENDODONTIC SPECIALISTS- NORTH, P.A.

15

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621210
Sponsor’s telephone number	4077888880
Plan sponsor’s address	2855 W. SR 434 #1021, LONGWOOD, FL, 32779

ORLANDO ENDODONTIC SPECIALISTS 401(K) PROFIT SHARING PLAN AND TRUST

2018

205508384

2019-10-03

ORLANDO ENDODONTIC SPECIALISTS- NORTH, P.A.

16

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621210
Sponsor’s telephone number	4077888880
Plan sponsor’s address	2855 W. SR 434 #1021, LONGWOOD, FL, 32779

ORLANDO ENDODONTIC SPECIALISTS 401(K) PROFIT SHARING PLAN AND TRUST

2017

205508384

2018-10-04

ORLANDO ENDODONTIC SPECIALISTS- NORTH, P.A.

15

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621210
Sponsor’s telephone number	4077888880
Plan sponsor’s address	2855 W. SR 434 #1021, LONGWOOD, FL, 32779

ORLANDO ENDODONTIC SPECIALISTS 401(K) PROFIT SHARING PLAN AND TRUST

2016

205508384

2017-10-10

ORLANDO ENDODONTIC SPECIALISTS- NORTH, P.A.

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621210
Sponsor’s telephone number	4077888880
Plan sponsor’s address	2855 W. SR 434 #1021, LONGWOOD, FL, 32779

ORLANDO ENDODONTIC SPECIALISTS 401(K) PROFIT SHARING PLAN AND TRUST

2015

205508384

2016-10-10

ORLANDO ENDODONTIC SPECIALISTS- NORTH, P.A.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621210
Sponsor’s telephone number	4077888880
Plan sponsor’s address	2855 W. SR 434 #1021, LONGWOOD, FL, 32779

Signature of

Role	Plan administrator
Date	2016-10-10
Name of individual signing	RONDA BOBO
Valid signature	Filed with authorized/valid electronic signature

Agent

Name	Role	Address
LIPKIN BRAD	Agent	2855 W STATE ROAD 434 STE 1021, LONGWOOD, FL, 327794480

President

Name	Role	Address
LIPKIN BRAD	President	2855 W STATE ROAD 434 STE 1021, LONGWOOD, FL, 327794480

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G19000103817	MIDFLORIDA ENDODONTICS	ACTIVE	2019-09-24	2029-12-31	No data	2855 W STATE ROAD 434, SUITE 1021, LONGWOOD, FL, 32779

Events

Event Type	Filed Date	Value	Description
CONVERSION	2024-12-04	No data	CONVERSION MEMBER. RESULTING CORPORATION WAS L24000513286. CONVERSION NUMBER 700000261737
CHANGE OF MAILING ADDRESS	2018-04-03	2855 W STATE ROAD 434 STE 1021, LONGWOOD, FL 32779-4480	No data
REGISTERED AGENT NAME CHANGED	2018-04-03	LIPKIN, BRAD	No data
REGISTERED AGENT ADDRESS CHANGED	2018-04-03	2855 W STATE ROAD 434 STE 1021, LONGWOOD, FL 32779-4480	No data
CHANGE OF PRINCIPAL ADDRESS	2014-04-15	2855 W STATE ROAD 434 STE 1021, LONGWOOD, FL 32779-4480	No data

Documents

Name	Date
ANNUAL REPORT	2024-01-12
ANNUAL REPORT	2023-01-31
ANNUAL REPORT	2022-01-25
ANNUAL REPORT	2021-03-15
ANNUAL REPORT	2020-03-20
ANNUAL REPORT	2019-04-25
ANNUAL REPORT	2018-04-03
ANNUAL REPORT	2017-03-21
ANNUAL REPORT	2016-03-04
ANNUAL REPORT	2015-03-19
ANNUAL REPORT	2014-04-15
ANNUAL REPORT	2013-01-23
ANNUAL REPORT	2012-04-06
ANNUAL REPORT	2011-04-19
ANNUAL REPORT	2010-03-03
ANNUAL REPORT	2009-03-30
ANNUAL REPORT	2008-04-17
ANNUAL REPORT	2007-03-12
Domestic Profit	2006-08-28

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

2956287110

2020-04-11

0491

PPP

2855 WEST STATE ROAD 434 STE 1021, LONGWOOD, FL, 32779-4480

Loan Status Date	2021-09-25
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	367900
Loan Approval Amount (current)	106460
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	225134
Servicing Lender Name	Truist Bank
Servicing Lender Address	214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	LONGWOOD, SEMINOLE, FL, 32779-4480
Project Congressional District	FL-07
Number of Employees	6
NAICS code	621210
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	225134
Originating Lender Name	Truist Bank
Originating Lender Address	CHARLOTTE, NC
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	107829.19
Forgiveness Paid Date	2021-08-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State