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  5. NORTHSIDE DENTAL CARE, INC.

NORTHSIDE DENTAL CARE, INC. - Florida Company Profile

Company Details

Entity Name: NORTHSIDE DENTAL CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

NORTHSIDE DENTAL CARE, 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: 04 May 1998 (27 years ago)
Document Number: P98000040122
FEI/EIN Number 593509207

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 41 SARA DRIVE, JACKSONVILLE, FL, 32218
Mail Address: 41 SARA DRIVE, JACKSONVILLE, FL, 32218
ZIP code: 32218
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHSIDE DENTAL CARE INC 401 K PROFIT SHARING PLAN TRUST 2011 593509207 2012-10-24 NORTHSIDE DENTAL CARE INC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 9047571555
Plan sponsor’s address 41 SARA DR, JACKSONVILLE, FL, 322184069

Plan administrator’s name and address
Administrator’s EIN 593509207
Plan administrator’s name NORTHSIDE DENTAL CARE INC
Plan administrator’s address 41 SARA DR, JACKSONVILLE, FL, 322184069
Administrator’s telephone number 9047571555

Signature of
Role Plan administrator
Date 2012-10-24
Name of individual signing NORTHSIDE DENTAL CARE INC
Valid signature Filed with authorized/valid electronic signature
NORTHSIDE DENTAL CARE INC 401 K PROFIT SHARING PLAN TRUST 2010 593509207 2012-10-23 NORTHSIDE DENTAL CARE, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 9047571555
Plan sponsor’s address 41 SARA DRIVE, JACKSONVILLE, FL, 322180000

Plan administrator’s name and address
Administrator’s EIN 593509207
Plan administrator’s name NORTHSIDE DENTAL CARE, INC.
Plan administrator’s address 41 SARA DRIVE, JACKSONVILLE, FL, 322180000
Administrator’s telephone number 9047571555

Signature of
Role Plan administrator
Date 2012-10-23
Name of individual signing NORTHSIDE DENTAL CARE, INC.
Valid signature Filed with authorized/valid electronic signature
NORTHSIDE DENTAL CARE INC 2009 593509207 2010-07-28 NORTHSIDE DENTAL CARE, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 9047571555
Plan sponsor’s address 41 SARA DRIVE, JACKSONVILLE, FL, 322180000

Plan administrator’s name and address
Administrator’s EIN 593509207
Plan administrator’s name NORTHSIDE DENTAL CARE, INC.
Plan administrator’s address 41 SARA DRIVE, JACKSONVILLE, FL, 322180000
Administrator’s telephone number 9047571555

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing NORTHSIDE DENTAL CARE, INC.
Valid signature Filed with authorized/valid electronic signature
NORTHSIDE DENTAL CARE INC 2009 593509207 2010-07-21 NORTHSIDE DENTAL CARE, INC. 7
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 9047571555
Plan sponsor’s address 41 SARA DRIVE, JACKSONVILLE, FL, 322180000

Plan administrator’s name and address
Administrator’s EIN 593509207
Plan administrator’s name NORTHSIDE DENTAL CARE, INC.
Plan administrator’s address 41 SARA DRIVE, JACKSONVILLE, FL, 322180000
Administrator’s telephone number 9047571555

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing NORTHSIDE DENTAL CARE, INC.
Valid signature Filed with incorrect/unrecognized electronic signature

Key Officers & Management

Name Role Address
GULLY JEFFREY R President 41 SARA DRIVE, JACKSONVILLE, FL, 32218
GULLY JEFFREY R Secretary 41 SARA DRIVE, JACKSONVILLE, FL, 32218
GULLY JEFFREY R Treasurer 41 SARA DRIVE, JACKSONVILLE, FL, 32218
GULLY JEFFREY R Director 41 SARA DRIVE, JACKSONVILLE, FL, 32218
GULLY JEFFREY R Agent 41 SARA DRIVE, JACKSONVILLE, FL, 32218

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000073423 DR JEFFREY GULLY ACTIVE 2024-06-13 2029-12-31 - 41 SARA DR, JACKSONVILLE, FL, 32218

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2006-03-13 GULLY, JEFFREY R -
REGISTERED AGENT ADDRESS CHANGED 2006-03-13 41 SARA DRIVE, JACKSONVILLE, FL 32218 -

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-03-04
ANNUAL REPORT 2020-06-22
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-03-22
ANNUAL REPORT 2017-03-05
ANNUAL REPORT 2016-03-27
ANNUAL REPORT 2015-04-06

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6899857410 2020-05-15 0491 PPP 41 SARA DR, JACKSONVILLE, FL, 32218
Loan Status Date 2021-06-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 75000
Loan Approval Amount (current) 75000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32218-0001
Project Congressional District FL-04
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 760
Originating Lender Name First Source Federal Credit Union
Originating Lender Address Rome, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 75739.58
Forgiveness Paid Date 2021-05-06

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Companies related by address

41 SARA DRIVE, JACKSONVILLE, FL, 32218

WILLIAM D. BAXTER & JEFFREY R. GULLY ASSOCIATES, LLC LEON SMITH, P.A. FIRST FAMILY DENTAL CARE ASSOCIATION, INC.

41 SARA DRIVE, JACKSONVILLE, FL, 32218

WILLIAM D. BAXTER & JEFFREY R. GULLY ASSOCIATES, LLC LEON SMITH, P.A. FIRST FAMILY DENTAL CARE ASSOCIATION, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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