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  5. CAPTIVATING DENTAL CARE, PA

CAPTIVATING DENTAL CARE, PA - Florida Company Profile

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Company Details

Entity Name: CAPTIVATING DENTAL CARE, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 20 Jul 2012 (13 years ago)
Document Number: P12000063653
FEI/EIN Number 46-0656817
Address: 100 E. Sugarland Hwy, CLEWISTON, FL, 33440, US
Mail Address: 100 E. Sugarland Hwy, CLEWISTON, FL, 33440, US
ZIP code: 33440
City: Clewiston
County: Hendry
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VAN KEVIN Vice President 100 E. Sugarland Hwy, CLEWISTON, FL, 33440
VAN KEVIN Secretary 100 E. Sugarland Hwy, CLEWISTON, FL, 33440
VAN KEVIN President 100 E. Sugarland Hwy, CLEWISTON, FL, 33440
VAN KEVIN Treasurer 100 E. Sugarland Hwy, CLEWISTON, FL, 33440
VAN KEVIN Director 100 E. Sugarland Hwy, CLEWISTON, FL, 33440
VAN KEVIN D Agent 100 E. Sugarland Hwy, CLEWISTON, FL, 33440

National Provider Identifier

NPI Number:
1912742495
Certification Date:
2024-06-27
Link:
View on NPI website

Authorized Person:

Name:
DR. KEVIN VAN
Role:
PRESIDENT
Phone:
9412685704

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 863-983-7361
Fax:
8639830001

Form 5500 Series

Employer Identification Number (EIN):
460656817
Plan Year:
2023
Number Of Participants:
17
Sponsors Telephone Number:
8639837361
File:
View File
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
8639837361
File:
View File
Plan Year:
2021
Number Of Participants:
14
Sponsors Telephone Number:
8639837361
File:
View File
Plan Year:
2020
Number Of Participants:
12
Sponsors Telephone Number:
8639837361
File:
View File
Plan Year:
2019
Number Of Participants:
11
Sponsors Telephone Number:
8639837361
File:
View File

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-04-02 100 E. Sugarland Hwy, CLEWISTON, FL 33440 -
CHANGE OF MAILING ADDRESS 2018-04-02 100 E. Sugarland Hwy, CLEWISTON, FL 33440 -
REGISTERED AGENT ADDRESS CHANGED 2018-04-02 100 E. Sugarland Hwy, CLEWISTON, FL 33440 -

Documents

Name Date
ANNUAL REPORT 2024-03-02
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-04-16
ANNUAL REPORT 2021-04-24
ANNUAL REPORT 2020-05-02
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-01-22
ANNUAL REPORT 2016-02-28
ANNUAL REPORT 2015-03-12

USAspending Awards / Financial Assistance

Date:
2021-02-02
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
117007.72
Total Face Value Of Loan:
117007.72
Date:
2020-07-28
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
117000.00
Total Face Value Of Loan:
117000.00
Date:
2020-07-28
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
117000.00
Total Face Value Of Loan:
117000.00
Date:
2020-04-23
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-23
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$117,007.72
Date Approved:
2021-02-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$117,007.72
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$117,687.01
Servicing Lender:
First Bank
Use of Proceeds:
Payroll: $117,002.72
Utilities: $1
Jobs Reported:
14
Initial Approval Amount:
$117,000
Date Approved:
2020-07-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$117,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$117,770.25
Servicing Lender:
First Bank
Use of Proceeds:
Payroll: $105,300
Utilities: $11,700

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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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