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BEAN SPROUT, INC. - Florida Company Profile

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Company Details

Entity Name: BEAN SPROUT, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Oct 2012 (13 years ago)
Document Number: P12000083880
FEI/EIN Number 800855560
Address: 2008 Riverside Avenue, Suite 1, JACKSONVILLE, FL, 32204, US
Mail Address: 5045 TOPROYAL LANE, JACKSONVILLE, FL, 32277, US
ZIP code: 32204
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MASON JODI D President 2008 Riverside Avenue, JACKSONVILLE, FL, 32204
Mason Arlo Treasurer 2008 Riverside Avenue, JACKSONVILLE, FL, 32204
Farah Law Agent 6550 St. Augustine Road, JACKSONVILLE, FL, 32217

National Provider Identifier

NPI Number:
1942698204

Authorized Person:

Name:
DR. JODI MASON
Role:
PEDIATRIC DENTIST
Phone:

Taxonomy:

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

Contacts:

Fax:
9043853704

Form 5500 Series

Employer Identification Number (EIN):
800855560
Plan Year:
2024
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000062508 BEAN TREE PEDIATRIC DENTISTRY ACTIVE 2023-05-18 2028-12-31 - 2008 RIVERSIDE AVENUE, SUITE 101, JACKSONVILLE, FL, 32204
G12000101797 BEAN TREE PEDIATRIC DENTISTRY EXPIRED 2012-10-18 2017-12-31 - 5045 TOPROYAL LANE, JACKSONVILLE, FL, 32277

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-03-17 Farah Law -
REGISTERED AGENT ADDRESS CHANGED 2014-02-03 6550 St. Augustine Road, Suite 103, JACKSONVILLE, FL 32217 -
CHANGE OF PRINCIPAL ADDRESS 2013-03-25 2008 Riverside Avenue, Suite 1, JACKSONVILLE, FL 32204 -

Documents

Name Date
ANNUAL REPORT 2025-02-18
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-02-23
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-04-10
ANNUAL REPORT 2016-04-23

USAspending Awards / Financial Assistance

Date:
2021-02-27
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:
42346.00
Total Face Value Of Loan:
42346.00
Date:
2020-04-15
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:
49200.00
Total Face Value Of Loan:
49200.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$49,200
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$49,200
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$49,745.3
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $49,200
Jobs Reported:
4
Initial Approval Amount:
$42,346
Date Approved:
2021-02-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$42,346
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$42,594.19
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $42,345

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Date of last update: 01 Jul 2025

Sources: Florida Department of State