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BENNIE CLARK JR., D.M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: BENNIE CLARK JR., D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BENNIE CLARK JR., D.M.D., 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 16 Jun 1998 (27 years ago)
Date of dissolution: 08 Jan 2025 (6 months ago)
Last Event: PENDING REINSTATEMENT
Event Date Filed: 08 Jan 2025 (6 months ago)
Document Number: P98000053702
FEI/EIN Number 593539010

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1651 SOUTHSIDE BLVD, SUITE 3, JACKSONVILLE, FL, 32225
Mail Address: 1651 SOUTHSIDE BLVD, SUITE 3, JACKSONVILLE, FL, 32225
ZIP code: 32225
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CLARK BENNIE J President 1651 SOUTHSIDE CONNECTOR, SUITE 3, JACKSONVILLE, FL, 32225
CLARK BENNIE J Director 1651 SOUTHSIDE CONNECTOR, SUITE 3, JACKSONVILLE, FL, 32225
POLITE CLARK LORRAINE Vice President 1651 SOUTHSIDE CONNECTOR, SUITE 3, JACKSONVILLE, FL, 32225
BENNIE CLARK, JR., D.M.D. Agent 1651 SOUTHSIDE BLVD, SUITE 3, JACKSONVILLE, FL, 32225

National Provider Identifier

NPI Number:
1295023752

Authorized Person:

Name:
DR. LORRAINE POLITE CLARK
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
124Q00000X - Dental Hygienist
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
9047222200
Fax:
9047229900

Form 5500 Series

Employer Identification Number (EIN):
593539010
Plan Year:
2010
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
10
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REINSTATEMENT 2013-10-11 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -
REINSTATEMENT 2009-10-12 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
REINSTATEMENT 2008-12-15 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -
REGISTERED AGENT ADDRESS CHANGED 2007-11-06 1651 SOUTHSIDE BLVD, SUITE 3, JACKSONVILLE, FL 32225 -
CANCEL ADM DISS/REV 2007-11-06 - -
CHANGE OF PRINCIPAL ADDRESS 2007-11-06 1651 SOUTHSIDE BLVD, SUITE 3, JACKSONVILLE, FL 32225 -

Documents

Name Date
ANNUAL REPORT 2022-05-02
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-01-28
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-01-24
ANNUAL REPORT 2016-07-18
ANNUAL REPORT 2015-06-18
ANNUAL REPORT 2014-01-24
ANNUAL REPORT 2012-02-28

USAspending Awards / Financial Assistance

Date:
2021-02-24
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:
270980.00
Total Face Value Of Loan:
270980.00

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$270,980
Date Approved:
2021-02-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$270,980
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$272,769.21
Servicing Lender:
Ameris Bank
Use of Proceeds:
Payroll: $270,976
Utilities: $1

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Date of last update: 01 Jul 2025

Sources: Florida Department of State