| Entity Name: | JOHN W. COOKE, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Nov 1985 (39 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Jan 2023 (2 years ago) |
| Document Number: | H83873 |
| FEI/EIN Number | 59-2590309 |
| Address: | 633 NORTH BAY ST., EUSTIS, FL 32726 |
| Mail Address: | 633 NORTH BAY ST., EUSTIS, FL 32726 |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750577458 | 2007-09-18 | 2011-07-07 | 633 N BAY ST, EUSTIS, FL, 327262937, US | 633 N BAY ST, EUSTIS, FL, 327262937, US | |||||||||||||||||||
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| Phone | +1 352-357-3107 |
| Fax | 3523579971 |
Authorized person
| Name | DR. JOHN W COOKE |
| Role | OWNER/PRESIDENT |
| Phone | 3523573107 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS4437 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN W. COOKE, D.O., P.A. PROFIT SHARING PLAN | 2010 | 592590309 | 2011-07-20 | JOHN W. COOKE, D.O., P.A. | 8 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 592590309 |
| Plan administrator’s name | JOHN W. COOKE, D.O., P.A. |
| Plan administrator’s address | 633 NORTH BAY STREET, EUSTIS, FL, 32727 |
| Administrator’s telephone number | 3523573107 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-20 |
| Name of individual signing | JOHN W. COOKE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-20 |
| Name of individual signing | JOHN W. COOKE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3523573107 |
| Plan sponsor’s address | 633 NORTH BAY STREET, EUSTIS, FL, 32727 |
Plan administrator’s name and address
| Administrator’s EIN | 592590309 |
| Plan administrator’s name | JOHN W. COOKE, D.O., P.A. |
| Plan administrator’s address | 633 NORTH BAY STREET, EUSTIS, FL, 32727 |
| Administrator’s telephone number | 3523573107 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-23 |
| Name of individual signing | JOHN W. COOKE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-09-23 |
| Name of individual signing | JOHN W. COOKE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Cooke, Azita | Agent | 633 NORTH BAY STREET, EUSTIS, FL 32726 |
| Name | Role | Address |
|---|---|---|
| Cooke, Azita | Office Manager | 633 NORTH BAY ST., EUSTIS, FL 32726 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-01-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-03 | Cooke, Azita | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-08 | 633 NORTH BAY ST., EUSTIS, FL 32726 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-05-07 | 633 NORTH BAY ST., EUSTIS, FL 32726 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| REINSTATEMENT | 2023-01-03 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-02-20 |
| ANNUAL REPORT | 2017-01-05 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-03-23 |
| ANNUAL REPORT | 2014-01-29 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
