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S. KEITH MAHAN, D.D.S., P.A. - Florida Company Profile

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Company Details

Entity Name: S. KEITH MAHAN, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 08 Jan 2007 (19 years ago)
Date of dissolution: 16 Feb 2024 (a year ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 16 Feb 2024 (a year ago)
Document Number: P07000008348
FEI/EIN Number 743202755
Address: 300 Gatlin Ave., Bldg. # 3, ORLANDO, FL, 32806, US
Mail Address: 300 Gatlin Ave, Bldg. #3, ORLANDO, FL, 32806, US
ZIP code: 32806
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MAHAN S. KEITH President 2917 BANCHORY RD, WINTER PK, FL, 32792
MAHAN PENNY S Vice President 2917 BANCHORY RD, WINTER PK, FL, 32792
MAHAN S. KEITH Agent 300 Gatlin Ave, ORLANDO, FL, 32806

National Provider Identifier

NPI Number:
1922141274

Authorized Person:

Name:
MRS. PENNY MAHAN
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
4078496252

Form 5500 Series

Employer Identification Number (EIN):
743202755
Plan Year:
2024
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
11
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-02-16 - -
CHANGE OF PRINCIPAL ADDRESS 2022-01-31 300 Gatlin Ave., Bldg. # 3, ORLANDO, FL 32806 -
CHANGE OF MAILING ADDRESS 2022-01-31 300 Gatlin Ave., Bldg. # 3, ORLANDO, FL 32806 -
REGISTERED AGENT ADDRESS CHANGED 2022-01-31 300 Gatlin Ave, Bldg. #3, ORLANDO, FL 32806 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-02-16
ANNUAL REPORT 2023-02-22
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-05-03
ANNUAL REPORT 2019-03-14
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-19
ANNUAL REPORT 2015-01-12

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$91,100
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$88,980.21
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$89,966.41
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $88,980.21

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Date of last update: 03 Jul 2025

Sources: Florida Department of State