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  5. DAVIS DERMATOLOGY, P.A.

DAVIS DERMATOLOGY, P.A. - Florida Company Profile

Company Details

Entity Name: DAVIS DERMATOLOGY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

DAVIS DERMATOLOGY, 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: 13 Oct 2017 (8 years ago)
Document Number: P17000082817
FEI/EIN Number 82-3218768

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 504 S. ORANGE ST., NEW SMYRNA BEACH, FL, 32168
Mail Address: 504 S. ORANGE ST., NEW SMYRNA BEACH, FL, 32168
ZIP code: 32168
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVIS DERMATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2023 823218768 2024-07-09 DAVIS DERMATOLOGY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864232218
Plan sponsor’s address 504 S. ORANGE STREET, NEW SMYRNA BEACH, FL, 32168
DAVIS DERMATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2022 823218768 2023-09-14 DAVIS DERMATOLOGY, P.A. 10
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864232218
Plan sponsor’s address 504 S. ORANGE STREET, NEW SMYRNA BEACH, FL, 32168
DAVIS DERMATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2022 823218768 2023-09-18 DAVIS DERMATOLOGY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864232218
Plan sponsor’s address 504 S. ORANGE STREET, NEW SMYRNA BEACH, FL, 32168
DAVIS DERMATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2021 823218768 2022-07-07 DAVIS DERMATOLOGY, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864232218
Plan sponsor’s address 504 S. ORANGE STREET, NEW SMYRNA BEACH, FL, 32168

Signature of
Role Plan administrator
Date 2022-07-07
Name of individual signing VALERIE G. DAVIS
Valid signature Filed with authorized/valid electronic signature
DAVIS DERMATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2020 823218768 2021-07-23 DAVIS DERMATOLOGY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864232218
Plan sponsor’s address 504 S. ORANGE STREET, NEW SMYRNA BEACH, FL, 32168
DAVIS DERMATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2019 823218768 2020-10-09 DAVIS DERMATOLOGY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864232218
Plan sponsor’s address 504 S. ORANGE STREET, NEW SMYRNA BEACH, FL, 32168
DAVIS DERMATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2018 823218768 2019-10-14 DAVIS DERMATOLOGY, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864232218
Plan sponsor’s address 504 SOUTH ORANGE STREET, SUITE 207, NEW SMYRNA BEACH, FL, 32168

Key Officers & Management

Name Role Address
Davis Valerie GDr. President 504 S. ORANGE ST., NEW SMYRNA BEACH, FL, 32168
DAVIS VALERIE GM.D. Agent 504 S. ORANGE ST., NEW SMYRNA BEACH, FL, 32168

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-03-20
Domestic Profit 2017-10-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6425038601 2021-03-23 0491 PPS 504 S Orange St, New Smyrna Beach, FL, 32168-7319
Loan Status Date 2021-09-28
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 143062
Loan Approval Amount (current) 143062
Undisbursed Amount 0
Franchise Name -
Lender Location ID 342931
Servicing Lender Name Mainstreet Community Bank of Florida
Servicing Lender Address 204 S Woodland Blvd, DE LAND, FL, 32720-5414
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address New Smyrna Beach, VOLUSIA, FL, 32168-7319
Project Congressional District FL-07
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 342931
Originating Lender Name Mainstreet Community Bank of Florida
Originating Lender Address DE LAND, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 143622.33
Forgiveness Paid Date 2021-08-13

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Date of last update: 03 May 2025

Sources: Florida Department of State

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