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UNIVERSAL SMILES DENTISTRY PA - Florida Company Profile

Company Details

Entity Name: UNIVERSAL SMILES DENTISTRY PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

UNIVERSAL SMILES DENTISTRY PA 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: 14 Aug 2012 (13 years ago)
Document Number: P12000070134
FEI/EIN Number 40-6781561

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

Address: 2102 S Ridgewood Ave, # 11, Edgewater, FL, 32141, US
Mail Address: 2102 S Ridgewood Ave, # 11, Edgewater, FL, 32141, US
ZIP code: 32141
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578999462 2013-09-24 2013-09-24 6735 CONROY WINDERMERE RD, SUITE# 202, ORLANDO, FL, 328353565, US 6735 CONROY WINDERMERE RD, SUITE# 202, ORLANDO, FL, 328353565, US

Contacts

Phone +1 407-910-1178

Authorized person

Name DR. SURENDRA G SIRIVOLU
Role PRACTICE MANAGER
Phone 3212783933

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN17057
State FL
Is Primary Yes
Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN17923
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSAL SMILES DENTISTRY PA DEFINED BENEFIT PLAN 2023 460781561 2024-10-14 UNIVERSAL SMILES DENTISTRY PA 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3867759933
Plan sponsor’s address 1025 S.VOLUSIA AVE, ORANGE CITY, FL, 32763
UNIVERSAL SMILES DENTISTRY PA PROFIT SHARING PLAN 2023 460781561 2024-10-14 UNIVERSAL SMILES DENTISTRY PA 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3867759933
Plan sponsor’s address 1025 S.VOLUSIA AVE, ORANGE CITY, FL, 32763
UNIVERSAL SMILES DENTISTRY PA DEFINED BENEFIT PLAN 2022 460781561 2023-10-12 UNIVERSAL SMILES DENTISTRY PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3867759933
Plan sponsor’s address 1025 S.VOLUSIA AVE, ORANGE CITY, FL, 32763
UNIVERSAL SMILES DENTISTRY PA PROFIT SHARING PLAN 2022 460781561 2023-10-12 UNIVERSAL SMILES DENTISTRY PA 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3867759933
Plan sponsor’s address 1025 S.VOLUSIA AVE, ORANGE CITY, FL, 32763
UNIVERSAL SMILES DENTISTRY PA DEFINED BENEFIT PLAN 2021 460781561 2022-10-05 UNIVERSAL SMILES DENTISTRY PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3867759933
Plan sponsor’s address 1025 S.VOLUSIA AVE, ORANGE CITY, FL, 32763
UNIVERSAL SMILES DENTISTRY PA PROFIT SHARING PLAN 2021 460781561 2022-10-05 UNIVERSAL SMILES DENTISTRY PA 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 3867759933
Plan sponsor’s address 1025 S.VOLUSIA AVE, ORANGE CITY, FL, 32763

Key Officers & Management

Name Role Address
SIRIVOLU SURENDRA G President 2102 S Ridgewood Ave, Edgewater, FL, 32141
SIRIVOLU SURENDRA G Agent 2102 S Ridgewood Ave, Edgewater, FL, 32141

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-10 2102 S Ridgewood Ave, # 11, Edgewater, FL 32141 -
CHANGE OF MAILING ADDRESS 2023-01-10 2102 S Ridgewood Ave, # 11, Edgewater, FL 32141 -
REGISTERED AGENT NAME CHANGED 2023-01-10 SIRIVOLU, SURENDRA GOPAL -
REGISTERED AGENT ADDRESS CHANGED 2023-01-10 2102 S Ridgewood Ave, # 11, Edgewater, FL 32141 -

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-01-10
ANNUAL REPORT 2022-03-27
ANNUAL REPORT 2021-03-14
ANNUAL REPORT 2020-02-04
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-04-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5362197310 2020-04-30 0491 PPP 2102 S Ridgewood Ave Ste 12, EDGEWATER, FL, 32141
Loan Status Date 2021-02-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 167500
Loan Approval Amount (current) 167500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address EDGEWATER, VOLUSIA, FL, 32141-0001
Project Congressional District FL-07
Number of Employees 15
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 168712.89
Forgiveness Paid Date 2021-01-25

Date of last update: 02 Apr 2025

Sources: Florida Department of State