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PONCE DE LEON FAMILY DENTISTRY, P.A. - Florida Company Profile

Company Details

Entity Name: PONCE DE LEON FAMILY DENTISTRY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PONCE DE LEON FAMILY DENTISTRY, P.A. 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: 12 Oct 2006 (19 years ago)
Document Number: P06000130655
FEI/EIN Number 205715360

Federal Employer Identification (FEI) Number assigned by the IRS.

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

form 5500

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
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 9047979009
Plan sponsor’s address 4 ST JOHNS MEDICAL PARK DRIVE, ST. AUGUSTINE, FL, 32086
PONCE DE LEON FAMILY DENTISTRY 401(K) PLAN 2022 205715360 2023-08-09 PONCE DE LEON FAMILY DENTISTRY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 9047979009
Plan sponsor’s address 4 ST JOHNS MEDICAL PARK DRIVE, ST. AUGUSTINE, FL, 32086

Key Officers & Management

Name Role Address
HAEUSSNER T. DANIEL D President 332 Sophia Terrace, ST. AUGUSTINE, FL, 32095
HAEUSSNER T. DANIEL D Secretary 332 Sophia Terrace, ST. AUGUSTINE, FL, 32095
HAEUSSNER T. DANIEL D Treasurer 332 Sophia Terrace, ST. AUGUSTINE, FL, 32095
HAEUSSNER T. DANIEL D Director 332 Sophia Terrace, ST. AUGUSTINE, FL, 32095
HAEUSSNER T. DANIEL D Agent 332 Sophia Terrace, ST. AUGUSTINE, FL, 32095

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2015-04-07 4 ST JOHNS MEDICAL PARK DRIVE, ST. AUGUSTINE, FL 32086 -
REGISTERED AGENT ADDRESS CHANGED 2015-04-07 332 Sophia Terrace, ST. AUGUSTINE, FL 32095 -
CHANGE OF PRINCIPAL ADDRESS 2007-04-25 4 ST JOHNS MEDICAL PARK DRIVE, ST. AUGUSTINE, FL 32086 -

Documents

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

Paycheck Protection Program

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
Loan Status Date 2022-01-13
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 65000
Loan Approval Amount (current) 65000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Saint Augustine, SAINT JOHNS, FL, 32086-5298
Project Congressional District FL-05
Number of Employees 8
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 760
Originating Lender Name First Source Federal Credit Union
Originating Lender Address Rome, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 65406.25
Forgiveness Paid Date 2021-12-16

Date of last update: 02 Apr 2025

Sources: Florida Department of State