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ALACHUA FAMILY DENTISTRY, P.A. - Florida Company Profile

Company Details

Entity Name: ALACHUA FAMILY DENTISTRY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ALACHUA 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: 08 Aug 2007 (18 years ago)
Document Number: P07000089340
FEI/EIN Number 870811809

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

Address: 14690 NW 151ST BLVD, SUITE 20, ALACHUA, FL, 32615
Mail Address: 14690 NW 151ST BLVD, SUITE 20, ALACHUA, FL, 32615
ZIP code: 32615
County: Alachua
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALACHUA FAMILY DENTISTRY, P.A. RETIREMENT SAVINGS PLAN 2023 870811809 2024-10-14 ALACHUA FAMILY DENTISTRY, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3864621771
Plan sponsor’s address 14690 NW 151 BLVD, SUITE 20, ALACHUA, FL, 32615

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing SHANE GOSLINGA
Valid signature Filed with authorized/valid electronic signature
ALACHUA FAMILY DENTISTRY, P.A. RETIREMENT SAVINGS PLAN 2022 870811809 2023-08-09 ALACHUA FAMILY DENTISTRY, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3864621771
Plan sponsor’s address 14690 NW 151 BLVD, SUITE 20, ALACHUA, FL, 32615

Signature of

Role Plan administrator
Date 2023-08-09
Name of individual signing SHANE GOSLINGA
Valid signature Filed with authorized/valid electronic signature
ALACHUA FAMILY DENTISTRY, P.A. RETIREMENT SAVINGS PLAN 2021 870811809 2022-08-22 ALACHUA FAMILY DENTISTRY, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3864621771
Plan sponsor’s address 14690 NW 151 BLVD, SUITE 20, ALACHUA, FL, 32615

Signature of

Role Plan administrator
Date 2022-08-22
Name of individual signing SHANE GOSLINGA
Valid signature Filed with authorized/valid electronic signature
ALACHUA FAMILY DENTISTRY, P.A. RETIREMENT SAVINGS PLAN 2020 870811809 2021-09-22 ALACHUA FAMILY DENTISTRY, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3864621771
Plan sponsor’s address 14690 NW 151 BLVD, SUITE 20, ALACHUA, FL, 32615

Signature of

Role Plan administrator
Date 2021-09-22
Name of individual signing SHANE GOSLINGA
Valid signature Filed with authorized/valid electronic signature
ALACHUA FAMILY DENTISTRY, P.A. RETIREMENT SAVINGS PLAN 2019 870811809 2020-09-09 ALACHUA FAMILY DENTISTRY, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3864621771
Plan sponsor’s address 14690 NW 151 BLVD, SUITE 20, ALACHUA, FL, 32615

Signature of

Role Plan administrator
Date 2020-09-09
Name of individual signing SHANE GOSLINGA
Valid signature Filed with authorized/valid electronic signature
ALACHUA FAMILY DENTISTRY, P.A. RETIREMENT SAVINGS PLAN 2018 870811809 2019-09-13 ALACHUA FAMILY DENTISTRY, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3864621771
Plan sponsor’s address 14690 NW 151 BLVD, SUITE 20, ALACHUA, FL, 32615

Signature of

Role Plan administrator
Date 2019-09-13
Name of individual signing SHANE GOSLINGA
Valid signature Filed with authorized/valid electronic signature
ALACHUA FAMILY DENTISTRY, P.A. RETIREMENT SAVINGS PLAN 2017 870811809 2018-10-15 ALACHUA FAMILY DENTISTRY, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3864621771
Plan sponsor’s address 14690 NW 151 BLVD, SUITE 20, ALACHUA, FL, 32615

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing SHANE GOSLINGA
Valid signature Filed with authorized/valid electronic signature
ALACHUA FAMILY DENTISTRY, P.A. RETIREMENT SAVINGS PLAN 2016 870811809 2017-10-18 ALACHUA FAMILY DENTISTRY, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3864621771
Plan sponsor’s address 14690 NW 151 BLVD, SUITE 20, ALACHUA, FL, 32615

Signature of

Role Plan administrator
Date 2017-10-18
Name of individual signing SHANE GOSLINGA
Valid signature Filed with authorized/valid electronic signature
ALACHUA FAMILY DENTISTRY, P.A. RETIREMENT SAVINGS PLAN 2015 870811809 2016-09-12 ALACHUA FAMILY DENTISTRY, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3864621771
Plan sponsor’s address 14690 NW 151 BLVD, SUITE 20, ALACHUA, FL, 32615

Signature of

Role Plan administrator
Date 2016-09-12
Name of individual signing SHANE GOSLINGA
Valid signature Filed with authorized/valid electronic signature
ALACHUA FAMILY DENTISTRY, P.A. RETIREMENT SAVINGS PLAN 2014 870811809 2015-09-11 ALACHUA FAMILY DENTISTRY, P.A. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3864621771
Plan sponsor’s address 14690 NW 151 BLVD, SUITE 20, ALACHUA, FL, 32615

Signature of

Role Plan administrator
Date 2015-09-11
Name of individual signing SHANE GOSLINGA
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
GOSLINGA SHANE N Director 740 SW 135 WAY, NEWBERRY, FL, 32669
GOSLINGA CODY S President 337 SW 128 TERRACE, NEWBERRY, FL, 32669
GOSLINGA CODY S Director 337 SW 128 TERRACE, NEWBERRY, FL, 32669
GOSLINGA CODY S Agent 337 SW 128 Terrace, NEWBERRY, FL, 32669
GOSLINGA SHANE N Secretary 740 SW 135 WAY, NEWBERRY, FL, 32669

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2015-01-12 337 SW 128 Terrace, NEWBERRY, FL 32669 -
CHANGE OF PRINCIPAL ADDRESS 2008-04-21 14690 NW 151ST BLVD, SUITE 20, ALACHUA, FL 32615 -
CHANGE OF MAILING ADDRESS 2008-04-21 14690 NW 151ST BLVD, SUITE 20, ALACHUA, FL 32615 -

Documents

Name Date
ANNUAL REPORT 2025-02-17
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-01-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5371737210 2020-04-27 0491 PPP 14690 NW 151ST BLVD STE 20, ALACHUA, FL, 32615-5328
Loan Status Date 2021-06-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 246695
Loan Approval Amount (current) 246695
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 ALACHUA, ALACHUA, FL, 32615-5328
Project Congressional District FL-03
Number of Employees 20
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 760
Originating Lender Name First Source Federal Credit Union
Originating Lender Address Rome, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 249326.41
Forgiveness Paid Date 2021-05-18

Date of last update: 01 Apr 2025

Sources: Florida Department of State