| Entity Name: | KULAK OCULOFACIAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
KULAK OCULOFACIAL LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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 Nov 2020 (4 years ago) |
| Document Number: | L20000350414 |
| FEI/EIN Number |
871493953
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 530 Jacksonville Dr, Jacksonville Beach, FL, 32250, US |
| Mail Address: | 530 Jacksonville Dr, Jacksonville Beach, FL, 32250, US |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013681774 | 2021-08-05 | 2024-01-26 | 530 JACKSONVILLE DR, JACKSONVILLE BEACH, FL, 322503813, US | 530 JACKSONVILLE DR, JACKSONVILLE BEACH, FL, 322503813, US | |||||||||||||||||||
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| Phone | +1 904-775-5275 |
| Fax | 9048531414 |
Authorized person
| Name | AMY KULAK |
| Role | OWNER/AUTHORIZED OFFICIAL |
| Phone | 9177152599 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | No |
| Taxonomy Code | 207WX0200X - Ophthalmic Plastic and Reconstructive Surgery Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KULAK EYE & COSMETIC SURGERY 401(K) PLAN | 2023 | 871493953 | 2024-07-01 | KULAK OCULOFACIAL, LLC | 0 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-01 |
| Name of individual signing | DAVID ARNOLD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-07-01 |
| Name of individual signing | DAVID ARNOLD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KULAK AMY | Authorized Member | 321 DEER VALLEY DRIVE, PONTE VEDRA, FL, 32081 |
| KULAK AMY | Agent | 321 DEER VALLEY DRIVE, PONTE VEDRA, FL, 32081 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000004369 | KULAK EYE & COSMETIC SURGERY | ACTIVE | 2022-01-11 | 2027-12-31 | - | 572 JACKSONVILLE DR, JACKSONVILLE BEACH, FL, 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-15 | 530 Jacksonville Dr, Jacksonville Beach, FL 32250 | - |
| CHANGE OF MAILING ADDRESS | 2024-02-15 | 530 Jacksonville Dr, Jacksonville Beach, FL 32250 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-03-11 |
| Florida Limited Liability | 2020-11-04 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
