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KENNETH W. PONDER, M.D., P.A.

KENNETH W. PONDER, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name:	KENNETH W. PONDER, M.D., P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Inactive
Date Filed:	30 Jan 1998 (28 years ago)
Date of dissolution:	02 Feb 2022 (4 years ago)
Last Event:	VOLUNTARY DISSOLUTION
Event Date Filed:	02 Feb 2022 (4 years ago)
Document Number:	P98000010460
FEI/EIN Number	593490326
Address:	4704 KNOLLWOOD RD, NICEVILE, FL, 32578, US
Mail Address:	4704 KNOLLWOOD RD, NICEVILE, FL, 32578, US
ZIP code:	32578
City:	Niceville
County:	Okaloosa
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
PONDER KENNETH W	President	4704 KNOLLWOOD RD, NICEVILE, FL, 32578
PONDER KENNETH W	Director	4704 KNOLLWOOD RD, NICEVILE, FL, 32578
PONDER KENNETH W	Agent	4704 KNOLLWOOD RD, NICEVILE, FL, 32578

National Provider Identifier

NPI Number:

1962593574

Certification Date:

2021-12-29

Link:

View on NPI website

Authorized Person:

Name:

DR. KENNETH WAYNE PONDER

Role:

PRESIDENT

Phone:

8505177877

Taxonomy:

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 850-517-7877

Fax:

8323363826

Phone:

+1 850-897-1223

Fax:

8508971237

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G06065700205	BLUEWATER MEDICINE	ACTIVE	2006-03-06	2026-12-31	-	4704 KNOLLWOOD RD, NICEVILLE, FL, 32578

Events

Event Type	Filed Date	Value	Description
VOLUNTARY DISSOLUTION	2022-02-02	-	-
CHANGE OF PRINCIPAL ADDRESS	2021-01-13	4704 KNOLLWOOD RD, NICEVILE, FL 32578	-
CHANGE OF MAILING ADDRESS	2021-01-13	4704 KNOLLWOOD RD, NICEVILE, FL 32578	-
REGISTERED AGENT ADDRESS CHANGED	2021-01-13	4704 KNOLLWOOD RD, NICEVILE, FL 32578	-

Documents

Name	Date
VOLUNTARY DISSOLUTION	2022-02-02
ANNUAL REPORT	2021-01-13
ANNUAL REPORT	2020-01-16
ANNUAL REPORT	2019-01-27
ANNUAL REPORT	2018-01-14
ANNUAL REPORT	2017-01-12
ANNUAL REPORT	2016-01-24
ANNUAL REPORT	2015-01-11
ANNUAL REPORT	2014-01-11
ANNUAL REPORT	2013-01-11

USAspending Awards / Financial Assistance

Date:

2020-04-11

Link:

View on USAspending

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:

21492.00

Total Face Value Of Loan:

21492.00

Trademarks

Serial Number:

78161219

Mark:

BLUEWATER MEDICINE KENNETH W. PONDER, M.D., P.A.

Status:

Registration cancelled because registrant did not file an acceptable declaration under Section 8. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.

Mark Type:

Service Mark

Application Filing Date:

2002-09-05

Mark Drawing Type:

3 - AN ILLUSTRATION DRAWING WHICH INCLUDES WORD(S)/ LETTER(S) /NUMBER(S)

Mark Literal Elements:

BLUEWATER MEDICINE KENNETH W. PONDER, M.D., P.A.

USPTO Link:

View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:

health care services for people and not in the field of cosmetic dentistry

First Use:

2002-04-16

International Classes:

044 - Primary Class

Class Status:

SECTION 8 - CANCELLED

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$21,492

Date Approved:

2020-04-10

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$21,492

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$21,590.39

Servicing Lender:

SouthPoint Bank

Use of Proceeds:

Payroll: $21,492

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Date of last update: 01 Aug 2025

Sources: Florida Department of State