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  5. ELEY FAMILY DENTISTRY, P.A.

ELEY FAMILY DENTISTRY, P.A. - Florida Company Profile

Company Details

Entity Name: ELEY FAMILY DENTISTRY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ELEY FAMILY DENTISTRY, P.A. 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: 25 Nov 2013 (11 years ago)
Document Number: P13000095585
FEI/EIN Number 46-4217607

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2301 W. Eau Gallie Blvd, MELBOURNE, FL, 32935, US
Mail Address: 2301 W. Eau Gallie Blvd, MELBOURNE, FL, 32935, US
ZIP code: 32935
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033539085 2014-04-17 2016-09-13 2301 W EAU GALLIE BLVD, SUITE #102, MELBOURNE, FL, 329353120, US 2301 W EAU GALLIE BLVD, SUITE #102, MELBOURNE, FL, 329353120, US

Contacts
Phone +1 321-622-8711
Fax 3216228712

Authorized person
Name DR. DANIEL WARREN ELEY
Role PRESIDENT
Phone 3216228711

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number DN19369
State FL
Is Primary Yes
Taxonomy Code 1223P0221X - Pediatric Dentist
License Number DN22269
State GA
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELEY FAMILY DENTISTRY 401(K) PLAN 2023 464217607 2024-10-17 ELEY FAMILY DENTISTRY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3216228711
Plan sponsor’s address 2301 W. EAU GALLIE BOULEVARD, SUITE 102, MELBOURNE, FL, 32935

Signature of
Role Plan administrator
Date 2024-10-17
Name of individual signing DANIEL ELEY
Valid signature Filed with authorized/valid electronic signature
ELEY FAMILY DENTISTRY 401(K) PLAN 2022 464217607 2023-05-24 ELEY FAMILY DENTISTRY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3216228711
Plan sponsor’s address 2301 W. EAU GALLIE BOULEVARD, SUITE 102, MELBOURNE, FL, 32935

Signature of
Role Plan administrator
Date 2023-05-24
Name of individual signing DANIEL ELEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-24
Name of individual signing DANIEL ELEY
Valid signature Filed with authorized/valid electronic signature
ELEY FAMILY DENTISTRY, 401K PLAN 2021 464217607 2022-04-29 ELEY FAMILY DENTISTRY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3216228711
Plan sponsor’s address 2301 W. EAU GALLIE BLVD., SUITE 102, MELBOURNE, FL, 32935

Signature of
Role Plan administrator
Date 2022-04-29
Name of individual signing DANIEL ELEY
Valid signature Filed with authorized/valid electronic signature
ELEY FAMILY DENTISTRY, 401K PLAN 2020 464217607 2021-05-05 ELEY FAMILY DENTISTRY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3216228711
Plan sponsor’s address 2301 W. EAU GALLIE BLVD., SUITE 102, MELBOURNE, FL, 32935

Signature of
Role Plan administrator
Date 2021-05-05
Name of individual signing DANIEL ELEY
Valid signature Filed with authorized/valid electronic signature
ELEY FAMILY DENTISTRY, 401K PLAN 2019 464217607 2020-03-27 ELEY FAMILY DENTISTRY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3216228711
Plan sponsor’s address 2301 W. EAU GALLIE BLVD., SUITE 102, MELBOURNE, FL, 32935

Signature of
Role Plan administrator
Date 2020-03-27
Name of individual signing DANIEL ELEY
Valid signature Filed with authorized/valid electronic signature
ELEY FAMILY DENTISTRY, 401K PLAN 2018 464217607 2019-03-20 ELEY FAMILY DENTISTRY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3216228711
Plan sponsor’s address 2301 W. EAU GALLIE BLVD., SUITE 102, MELBOURNE, FL, 32935

Signature of
Role Plan administrator
Date 2019-03-20
Name of individual signing DANIEL ELEY
Valid signature Filed with authorized/valid electronic signature
ELEY FAMILY DENTISTRY, 401K PLAN 2017 464217607 2018-04-24 ELEY FAMILY DENTISTRY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3216228711
Plan sponsor’s address 2301 W. EAU GALLIE BLVD., SUITE 102, MELBOURNE, FL, 32935

Signature of
Role Plan administrator
Date 2018-04-24
Name of individual signing DANIEL ELEY
Valid signature Filed with authorized/valid electronic signature
ELEY FAMILY DENTISTRY, 401K PLAN 2016 464217607 2017-05-08 ELEY FAMILY DENTISTRY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3216228711
Plan sponsor’s address 2301 W. EAU GALLIE BLVD., SUITE 102, MELBOURNE, FL, 32935

Signature of
Role Plan administrator
Date 2017-05-08
Name of individual signing DANIEL ELEY
Valid signature Filed with authorized/valid electronic signature
ELEY FAMILY DENTISTRY, 401K PLAN 2015 464217607 2016-07-27 ELEY FAMILY DENTISTRY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3216228711
Plan sponsor’s address 2301 W. EAU GALLIE BLVD., SUITE 102, MELBOURNE, FL, 32935

Key Officers & Management

Name Role Address
ELEY DANIEL W Director 3733 STREAM DRIVE, MELBOURNE, FL, 32940
ELEY DANIEL W President 3733 STREAM DRIVE, MELBOURNE, FL, 32940
ELEY DANIEL W Secretary 3733 STREAM DRIVE, MELBOURNE, FL, 32940
ELEY DANIEL W Treasurer 3733 STREAM DRIVE, MELBOURNE, FL, 32940
ELEY EDMOND L Agent 1310 W. EAU GALLIE BOULEVARD, SUITE D, MELBOURNE, FL, 32935

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-02-12 2301 W. Eau Gallie Blvd, Suite #102, MELBOURNE, FL 32935 -
CHANGE OF MAILING ADDRESS 2015-02-12 2301 W. Eau Gallie Blvd, Suite #102, MELBOURNE, FL 32935 -
REGISTERED AGENT NAME CHANGED 2014-01-27 ELEY, EDMOND L -

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-04-06
ANNUAL REPORT 2018-01-13
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-19
ANNUAL REPORT 2015-02-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2286208300 2021-01-20 0455 PPS 2301 W Eau Gallie Blvd Ste 102, Melbourne, FL, 32935-3120
Loan Status Date 2021-09-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 88115
Loan Approval Amount (current) 88115
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19571
Servicing Lender Name Bank of Madison
Servicing Lender Address 133 N Main St, MADISON, GA, 30650-1342
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Melbourne, BREVARD, FL, 32935-3120
Project Congressional District FL-08
Number of Employees 10
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 19571
Originating Lender Name Bank of Madison
Originating Lender Address MADISON, GA
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 88584.95
Forgiveness Paid Date 2021-08-13

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ELEY EDMOND L

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CARLTON DRIVE STABLES, INC. - Inactive
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EDMOND L. ELEY, P.A. - Active
Domestic Profit (1979 )
EDMOND L. ELEY, P.A. - Active
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Companies related by address

No other companies in our directory share the same address as ELEY FAMILY DENTISTRY, P.A.

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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