| Entity Name: | PONCE DE LEON FAMILY DENTISTRY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Oct 2006 (18 years ago) |
| Document Number: | P06000130655 |
| FEI/EIN Number | 205715360 |
| Address: | 4 ST JOHNS MEDICAL PARK DRIVE, ST. AUGUSTINE, FL, 32086 |
| Mail Address: | 4 St Johns Medical Park Drive, ST. AUGUSTINE, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PONCE DE LEON FAMILY DENTISTRY 401(K) PLAN | 2023 | 205715360 | 2024-07-08 | PONCE DE LEON FAMILY DENTISTRY, P.A. | 10 | |||||||||||||
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| PONCE DE LEON FAMILY DENTISTRY 401(K) PLAN | 2022 | 205715360 | 2023-08-09 | PONCE DE LEON FAMILY DENTISTRY, P.A. | 9 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| HAEUSSNER T. DANIEL D | Agent | 332 Sophia Terrace, ST. AUGUSTINE, FL, 32095 |
| Name | Role | Address |
|---|---|---|
| HAEUSSNER T. DANIEL D | President | 332 Sophia Terrace, ST. AUGUSTINE, FL, 32095 |
| Name | Role | Address |
|---|---|---|
| HAEUSSNER T. DANIEL D | Secretary | 332 Sophia Terrace, ST. AUGUSTINE, FL, 32095 |
| Name | Role | Address |
|---|---|---|
| HAEUSSNER T. DANIEL D | Treasurer | 332 Sophia Terrace, ST. AUGUSTINE, FL, 32095 |
| Name | Role | Address |
|---|---|---|
| HAEUSSNER T. DANIEL D | Director | 332 Sophia Terrace, ST. AUGUSTINE, FL, 32095 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2015-04-07 | 4 ST JOHNS MEDICAL PARK DRIVE, ST. AUGUSTINE, FL 32086 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-07 | 332 Sophia Terrace, ST. AUGUSTINE, FL 32095 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-25 | 4 ST JOHNS MEDICAL PARK DRIVE, ST. AUGUSTINE, FL 32086 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-05-03 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5306608903 | 2021-04-29 | 0491 | PPS | 4 Saint Johns Medical Park Dr, Saint Augustine, FL, 32086-5298 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
