| Entity Name: | LIFETIME DENTAL, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LIFETIME DENTAL, 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: | 27 Aug 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Oct 2017 (8 years ago) |
| Document Number: | P13000072035 |
| FEI/EIN Number |
80-0233768
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 215 E. BURLEIGH BLVD., TAVARES, FL, 32778 |
| Mail Address: | 215 E. BURLEIGH BLVD., TAVARES, FL, 32778 |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497906705 | 2008-10-06 | 2018-02-21 | 215 E BURLEIGH BLVD, TAVARES, FL, 327782403, US | 215 E BURLEIGH BLVD, TAVARES, FL, 327782403, US | |||||||||||||||||||
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| Phone | +1 352-253-6400 |
| Fax | 3522536401 |
Authorized person
| Name | MR. CHARLES WILLIAM REINERTSEN |
| Role | OWNER/DENTIST |
| Phone | 3522536400 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN8245 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIFETIME DENTAL INC 401(K) PROFIT SHARING PLAN & TRUST | 2019 | 800233768 | 2020-07-13 | LIFETIME DENTAL INC | 11 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2020-07-13 |
| Name of individual signing | CHARLES W REINERTSEN, DMD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3522536400 |
| Plan sponsor’s address | 215 E. BURLEIGH BLVD., TAVARES, FL, 32778 |
Signature of
| Role | Plan administrator |
| Date | 2019-02-06 |
| Name of individual signing | KIRK NELLANS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3522536400 |
| Plan sponsor’s address | 215 E. BURLEIGH BLVD., TAVARES, FL, 32778 |
Signature of
| Role | Plan administrator |
| Date | 2018-02-23 |
| Name of individual signing | KIRK NELLANS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3522536400 |
| Plan sponsor’s address | 215 E. BURLEIGH BLVD., TAVARES, FL, 32778 |
Signature of
| Role | Plan administrator |
| Date | 2017-02-16 |
| Name of individual signing | KIRK NELLANS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3522536400 |
| Plan sponsor’s address | 215 E. BURLEIGH BLVD., TAVARES, FL, 32778 |
Signature of
| Role | Plan administrator |
| Date | 2016-03-20 |
| Name of individual signing | KIRK NELLANS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Forrester Timothy B | Vice President | 215 E. BURLEIGH BLVD., TAVARES, FL, 32778 |
| FORRESTER JUDY JDMD | Agent | 215 E. BURLEIGH BLVD., TAVARES, FL, 32778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-02-04 | FORRESTER, JUDY J, DMD | - |
| REINSTATEMENT | 2017-10-05 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CONVERSION | 2013-08-27 | - | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L08000062050. CONVERSION NUMBER 900000133929 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-01-13 |
| REINSTATEMENT | 2017-10-05 |
| ANNUAL REPORT | 2016-01-16 |
| ANNUAL REPORT | 2015-01-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6938817304 | 2020-04-30 | 0491 | PPP | 215 E Burleigh Blvd, Tavares, FL, 32778 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
