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  5. SURFSIDE ORTHODONTICS, PA

SURFSIDE ORTHODONTICS, PA - Florida Company Profile

Company Details

Entity Name: SURFSIDE ORTHODONTICS, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SURFSIDE ORTHODONTICS, 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: 15 Jan 2013 (12 years ago)
Document Number: P13000005454
FEI/EIN Number 263736736

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547
Mail Address: 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547
ZIP code: 32547
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205176021 2013-02-15 2013-02-15 28 RACETRACK RD NW, FORT WALTON BEACH, FL, 325471640, US 28 RACETRACK RD NW, FORT WALTON BEACH, FL, 325471640, US

Contacts
Phone +1 850-863-2122
Fax 8508635812

Authorized person
Name DR. BRODIE BOWMAN
Role OWNER
Phone 8508632122

Taxonomy
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number 16286
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURFSIDE ORTHODONTICS RETIREMENT PLAN & TRUST 2023 263736736 2024-09-06 SURFSIDE ORTHODONTICS, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8508632122
Plan sponsor’s address 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547
SURFSIDE ORTHODONTICS RETIREMENT PLAN & TRUST 2022 263736736 2023-09-19 SURFSIDE ORTHODONTICS, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8508632122
Plan sponsor’s address 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547
SURFSIDE ORTHODONTICS RETIREMENT PLAN & TRUST 2021 263736736 2022-09-09 SURFSIDE ORTHODONTICS, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8508632122
Plan sponsor’s address 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547
SURFSIDE ORTHODONTICS RETIREMENT PLAN & TRUST 2020 263736736 2021-09-28 SURFSIDE ORTHODONTICS, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8508632122
Plan sponsor’s address 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547
SURFSIDE ORTHODONTICS RETIREMENT PLAN & TRUST 2019 263736736 2020-09-02 SURFSIDE ORTHODONTICS, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8508632122
Plan sponsor’s address 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547
SURFSIDE ORTHODONTICS RETIREMENT PLAN & TRUST 2018 263736736 2019-09-18 SURFSIDE ORTHODONTICS, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8508632122
Plan sponsor’s address 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547
SURFSIDE ORTHODONTICS RETIREMENT PLAN & TRUST 2017 263736736 2018-10-01 SURFSIDE ORTHODONTICS, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8508632122
Plan sponsor’s address 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547
SURFSIDE ORTHODONTICS RETIREMENT PLAN & TRUST 2016 263736736 2017-09-11 SURFSIDE ORTHODONTICS, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8508632122
Plan sponsor’s address 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2017-09-11
Name of individual signing BRODIE L. BOWMAN, D.D.S.
Valid signature Filed with authorized/valid electronic signature
SURFSIDE ORTHODONTICS RETIREMENT PLAN & TRUST 2015 263736736 2016-10-07 SURFSIDE ORTHODONTICS, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8508632122
Plan sponsor’s address 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2016-10-07
Name of individual signing BRODIE L. BOWMAN, D.D.S.
Valid signature Filed with authorized/valid electronic signature
SURFSIDE ORTHODONTICS RETIREMENT PLAN & TRUST 2014 263736736 2015-10-06 SURFSIDE ORTHODONTICS, PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 8508632122
Plan sponsor’s address 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing BRODIE L. BOWMAN, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BOWMAN BRODIE L Director 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547
BOWMAN BRODIE Agent 28 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547

Documents

Name Date
ANNUAL REPORT 2025-02-17
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-15
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-25
ANNUAL REPORT 2016-01-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7510278406 2021-02-12 0491 PPS 28 Racetrack Rd NW, Fort Walton Beach, FL, 32547-1640
Loan Status Date 2021-11-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 62845
Loan Approval Amount (current) 62845
Undisbursed Amount 0
Franchise Name -
Lender Location ID 81965
Servicing Lender Name Affinity Bank, National Association
Servicing Lender Address 3175 Hwy 278, Covington, GA, 30014
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Fort Walton Beach, OKALOOSA, FL, 32547-1640
Project Congressional District FL-01
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 81965
Originating Lender Name Affinity Bank, National Association
Originating Lender Address Covington, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 63283.17
Forgiveness Paid Date 2021-10-26
9932057108 2020-04-15 0491 PPP 28 Racetrack Rd NW, FORT WALTON BEACH, FL, 32547-1640
Loan Status Date 2021-04-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 62845
Loan Approval Amount (current) 62845
Undisbursed Amount 0
Franchise Name -
Lender Location ID 81965
Servicing Lender Name Affinity Bank, National Association
Servicing Lender Address 3175 Hwy 278, Covington, GA, 30014
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address FORT WALTON BEACH, OKALOOSA, FL, 32547-1640
Project Congressional District FL-01
Number of Employees 7
NAICS code 621210
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 81965
Originating Lender Name Affinity Bank, National Association
Originating Lender Address Covington, GA
Gender Male Owned
Veteran Veteran
Forgiveness Amount 63384.42
Forgiveness Paid Date 2021-02-25

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Companies related by address

No other companies in our directory share the same address as SURFSIDE ORTHODONTICS, PA

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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