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ISLAND COAST DENTISTRY INC - Florida Company Profile

Company Details

Entity Name: ISLAND COAST DENTISTRY INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ISLAND COAST DENTISTRY INC 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: 07 Oct 2010 (15 years ago)
Document Number: P10000082363
FEI/EIN Number 273646423

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

Address: 1044 CASTELLO DRIVE, 110, NAPLES, FL, 34103
Mail Address: 9585 Everglades Drive, Naples, FL, 34120, US
ZIP code: 34103
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376844951 2010-11-12 2010-11-12 20570 GROVELINE CT, ESTERO, FL, 33928, US 1044 CASTELLO DR, 110, NAPLES, FL, 34103, US

Contacts

Phone +1 239-261-5566

Authorized person

Name DR. JEFFREY ROBERT SKUPNY
Role PRESIDENT
Phone 3522463177

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 18097
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ISLAND COAST DENTISTRY 401(K) PLAN 2022 273646423 2023-08-23 ISLAND COAST DENTISTRY, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2392615566
Plan sponsor’s address 1044 CASTELLO DRIVE, SUITE 110, NAPLES, FL, 34103

Signature of

Role Plan administrator
Date 2023-08-23
Name of individual signing JEFFREY SKUPNY
Valid signature Filed with authorized/valid electronic signature
ISLAND COAST DENTISTRY 401(K) PLAN 2021 273646423 2022-12-02 ISLAND COAST DENTISTRY, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2392615566
Plan sponsor’s address 1044 CASTELLO DRIVE, SUITE 110, NAPLES, FL, 34103

Signature of

Role Plan administrator
Date 2022-12-02
Name of individual signing JEFFREY SKUPNY
Valid signature Filed with authorized/valid electronic signature
ISLAND COAST DENTISTRY 401(K) PLAN 2020 273646423 2021-09-20 ISLAND COAST DENTISTRY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2392615566
Plan sponsor’s address 1044 CASTELLO DRIVE, SUITE 110, NAPLES, FL, 34103

Signature of

Role Plan administrator
Date 2021-09-19
Name of individual signing JEFFREY SKUPNY
Valid signature Filed with authorized/valid electronic signature
ISLAND COAST DENTISTRY 401(K) PLAN 2019 273646423 2020-09-29 ISLAND COAST DENTISTRY, INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2392615566
Plan sponsor’s address 1044 CASTELLO DRIVE, SUITE 110, NAPLES, FL, 34103

Signature of

Role Plan administrator
Date 2020-09-29
Name of individual signing JEFFREY SKUPNY
Valid signature Filed with authorized/valid electronic signature
ISLAND COAST DENTISTRY 401(K) PLAN 2018 273646423 2019-10-01 ISLAND COAST DENTISTRY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2392615566
Plan sponsor’s address 1044 CASTELLO DRIVE, SUITE 110, NAPLES, FL, 34103

Signature of

Role Plan administrator
Date 2019-09-30
Name of individual signing JEFFREY SKUPNY
Valid signature Filed with authorized/valid electronic signature
ISLAND COAST DENTISTRY 401(K) PLAN 2017 273646423 2018-05-30 ISLAND COAST DENTISTRY, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2392615566
Plan sponsor’s address 1044 CASTELLO DRIVE, SUITE 110, NAPLES, FL, 34103

Signature of

Role Plan administrator
Date 2018-05-29
Name of individual signing JEFFREY SKUPNY
Valid signature Filed with authorized/valid electronic signature
ISLAND COAST DENTISTRY 401(K) PLAN 2016 273646423 2017-05-02 ISLAND COAST DENTISTRY, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2392615566
Plan sponsor’s address 1044 CASTELLO DRIVE, SUITE 110, NAPLES, FL, 34103

Signature of

Role Plan administrator
Date 2017-05-01
Name of individual signing JEFFREY SKUPNY
Valid signature Filed with authorized/valid electronic signature
ISLAND COAST DENTISTRY 401(K) PLAN 2015 273646423 2016-04-12 ISLAND COAST DENTISTRY, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2392615566
Plan sponsor’s address 1044 CASTELLO DRIVE, SUITE 110, NAPLES, FL, 34103

Signature of

Role Plan administrator
Date 2016-04-12
Name of individual signing JEFFREY SKUPNY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SKUPNY JEFFREY President 9585 Everglades Drive, Naples, FL, 34120
SKUPNY JEFFREY Agent 9585 Everglades Drive, Naples, FL, 34120

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000121086 JEFFREY SKUPNY DMD ACTIVE 2024-09-27 2029-12-31 - 1044 CASTELLO DRIVE #110, NAPLES, FL, 34103
G10000103766 JEFFREY SKUPNY DMD EXPIRED 2010-11-12 2015-12-31 - 20570 GROVELINE CT., ESTERO, FL, 33928

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-01-30 1044 CASTELLO DRIVE, 110, NAPLES, FL 34103 -
REGISTERED AGENT ADDRESS CHANGED 2022-01-30 9585 Everglades Drive, Naples, FL 34120 -
CHANGE OF PRINCIPAL ADDRESS 2012-01-17 1044 CASTELLO DRIVE, 110, NAPLES, FL 34103 -

Documents

Name Date
ANNUAL REPORT 2025-01-30
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-03-06
ANNUAL REPORT 2020-02-07
ANNUAL REPORT 2019-02-22
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-01-25
ANNUAL REPORT 2016-01-31

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9937568310 2021-01-31 0455 PPS 1044 Castello Dr Ste 110, Naples, FL, 34103-8981
Loan Status Date 2021-11-13
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 107800
Loan Approval Amount (current) 107800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 51009
Servicing Lender Name First-Citizens Bank & Trust Company
Servicing Lender Address 100 E. Tryon Rd DAC - 90, Raleigh, NC, 27603-3581
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Naples, COLLIER, FL, 34103-8981
Project Congressional District FL-19
Number of Employees 8
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 51009
Originating Lender Name First-Citizens Bank & Trust Company
Originating Lender Address Raleigh, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 108564.94
Forgiveness Paid Date 2021-10-25
5346747309 2020-04-30 0455 PPP 1044 Castello Dr Ste 110, Naples, FL, 34103
Loan Status Date 2021-05-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 96900
Loan Approval Amount (current) 96900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 51009
Servicing Lender Name First-Citizens Bank & Trust Company
Servicing Lender Address 100 E. Tryon Rd DAC - 90, Raleigh, NC, 27603-3581
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address Naples, COLLIER, FL, 34103-0600
Project Congressional District FL-19
Number of Employees 8
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 51009
Originating Lender Name First-Citizens Bank & Trust Company
Originating Lender Address Raleigh, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 97778.74
Forgiveness Paid Date 2021-04-01

Date of last update: 01 Apr 2025

Sources: Florida Department of State