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DEREK H. WALL D.D.S., P.A.

DEREK H. WALL D.D.S., P.A. - Florida Company Profile

Company Details

Entity Name:	DEREK H. WALL D.D.S., P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit DEREK H. WALL D.D.S., 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:	10 Jun 1998 (27 years ago)
Document Number:	P98000052051
FEI/EIN Number	593518027 Federal Employer Identification (FEI) Number assigned by the IRS.
Address:	801 OHIO AVENUE, LYNN HAVEN, FL, 32444, US
Mail Address:	801 OHIO AVENUE, LYNN HAVEN, FL, 32444, US
ZIP code:	32444
County:	Bay
Place of Formation:	FLORIDA

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

DEREK H. WALL, D.D.S., P.A. 401(K) PROFIT SHARING PLAN

2023

593518027

2024-08-06

DEREK H. WALL, D.D.S., P.A.

15

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	621210
Sponsor’s telephone number	8502653696
Plan sponsor’s address	801 OHIO AVENUE, LYNN HAVEN, FL, 32444

DEREK H. WALL, D.D.S., P.A. 401(K) PROFIT SHARING PLAN

2022

593518027

2023-10-10

DEREK H. WALL, D.D.S., P.A.

16

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	621210
Sponsor’s telephone number	8502653696
Plan sponsor’s address	801 OHIO AVENUE, LYNN HAVEN, FL, 32444

DEREK H. WALL, D.D.S., P.A. 401K PROFIT SHARING PLAN

2021

593518027

2022-09-26

DEREK H. WALL, D.D.S., P.A.

15

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	621210
Sponsor’s telephone number	8502653696
Plan sponsor’s address	801 OHIO AVENUE, LYNN HAVEN, FL, 32444

DEREK H. WALL, D.D.S., P.A. 401K PROFIT SHARING PLAN

2020

593518027

2021-06-30

DEREK H. WALL, D.D.S., P.A.

15

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	621210
Sponsor’s telephone number	8502653696
Plan sponsor’s address	801 OHIO AVENUE, LYNN HAVEN, FL, 32444

DEREK H. WALL, D.D.S., P.A. 401K PROFIT SHARING PLAN

2019

593518027

2020-08-27

DEREK H. WALL, D.D.S., P.A.

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	621210
Sponsor’s telephone number	8502653696
Plan sponsor’s address	801 OHIO AVENUE, LYNN HAVEN, FL, 32444

DEREK H. WALL, D.D.S., P.A. 401K PROFIT SHARING PLAN

2015

593518027

2016-10-13

DEREK H. WALL, D.D.S., P.A.

10

Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	621210
Sponsor’s telephone number	8502653696
Plan sponsor’s address	801 OHIO AVENUE, LYNN HAVEN, FL, 32444

DEREK H. WALL, D.D.S., P.A. 401K PROFIT SHARING PLAN

2015

593518027

2016-12-06

DEREK H. WALL, D.D.S., P.A.

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	621210
Sponsor’s telephone number	8502653696
Plan sponsor’s address	801 OHIO AVENUE, LYNN HAVEN, FL, 32444

DEREK H. WALL, D.D.S., P.A.401K PROFIT SHARING PLAN

2014

593518027

2015-09-22

DEREK H. WALL, D.D.S., P.A.

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621210
Sponsor’s telephone number	8502653696
Plan sponsor’s address	801 OHIO AVENUE, LYNN HAVEN, FL, 32444

DEREK H. WALL, D.D.S., P.A.401K PROFIT SHARING PLAN

2013

593518027

2014-07-09

DEREK H. WALL, D.D.S., P.A.

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621210
Sponsor’s telephone number	8502653696
Plan sponsor’s address	801 OHIO AVENUE, LYNN HAVEN, FL, 32444

DEREK H. WALL, D.D.S., P.A.401K PROFIT SHARING PLAN

2012

593518027

2013-07-23

DEREK H. WALL, D.D.S., P.A.

13

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	621210
Sponsor’s telephone number	8502653696
Plan sponsor’s address	801 OHIO AVENUE, LYNN HAVEN, FL, 32444

Signature of

Role	Plan administrator
Date	2013-07-23
Name of individual signing	DEREK H WALL, DDS
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2013-07-23
Name of individual signing	DEREK H WALL, DDS
Valid signature	Filed with authorized/valid electronic signature

Key Officers & Management

Name	Role	Address
WALL DEREK HDDS	President	801 OHIO AVENUE, LYNN HAVEN, FL, 32444
WALL DEREK H	Agent	801 OHIO AVENUE, LYNN HAVEN, FL, 32444
LYNN HAVEN SMILE CENTER, L.L.C.	Director	-

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2021-02-25	801 OHIO AVENUE, LYNN HAVEN, FL 32444	-
CHANGE OF MAILING ADDRESS	2021-02-25	801 OHIO AVENUE, LYNN HAVEN, FL 32444	-
REGISTERED AGENT NAME CHANGED	2021-02-25	WALL, DEREK H.	-
REGISTERED AGENT ADDRESS CHANGED	2021-02-25	801 OHIO AVENUE, LYNN HAVEN, FL 32444	-

Documents

Name	Date
ANNUAL REPORT	2024-02-04
ANNUAL REPORT	2023-03-03
ANNUAL REPORT	2022-03-30
ANNUAL REPORT	2021-02-25
ANNUAL REPORT	2020-03-17
ANNUAL REPORT	2019-04-09
ANNUAL REPORT	2018-03-06
ANNUAL REPORT	2017-02-14
ANNUAL REPORT	2016-03-08
ANNUAL REPORT	2015-02-23
ANNUAL REPORT	2014-02-26
ANNUAL REPORT	2013-04-02
ANNUAL REPORT	2012-02-22
ANNUAL REPORT	2011-03-08
ANNUAL REPORT	2010-03-30
ANNUAL REPORT	2009-03-25
ANNUAL REPORT	2008-03-10
ANNUAL REPORT	2007-04-17
ANNUAL REPORT	2006-04-10
ANNUAL REPORT	2005-03-22

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

3215898403

2021-02-04

0491

PPS

801 Ohio Ave, Lynn Haven, FL, 32444-2351

Loan Status Date	2021-10-07
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	91620
Loan Approval Amount (current)	91620
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	39232
Servicing Lender Name	Hancock Whitney Bank
Servicing Lender Address	2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Lynn Haven, BAY, FL, 32444-2351
Project Congressional District	FL-02
Number of Employees	8
NAICS code	621210
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	39232
Originating Lender Name	Hancock Whitney Bank
Originating Lender Address	GULFPORT, MS
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	92169.72
Forgiveness Paid Date	2021-09-15

9897237706

2020-05-01

0491

PPP

801 OHIO AVE, LYNN HAVEN, FL, 32444

Loan Status Date	2021-05-06
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	91620
Loan Approval Amount (current)	91620
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	39232
Servicing Lender Name	Hancock Whitney Bank
Servicing Lender Address	2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	LYNN HAVEN, BAY, FL, 32444-0001
Project Congressional District	FL-02
Number of Employees	8
NAICS code	621210
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	39232
Originating Lender Name	Hancock Whitney Bank
Originating Lender Address	GULFPORT, MS
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	92480.21
Forgiveness Paid Date	2021-04-12

Date of last update: 01 Apr 2025

Sources: Florida Department of State