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  5. ERIC STELNICKI, M.D., P.A.

ERIC STELNICKI, M.D., P.A.

Company Details

Entity Name: ERIC STELNICKI, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Jul 2001 (24 years ago)
Document Number: P01000065906
FEI/EIN Number 651125985
Address: 100 SE 15TH AVE, FORT LAUDERDALE, FL, 33301
Mail Address: 100 SE 15TH AVE, FORT LAUDERDALE, FL, 33301
ZIP code: 33301
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ERIC STELNICKI, M.D., P.A. RETIREMENT PLAN 2019 651125985 2020-03-11 ERIC STELNICKI, M.D., P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9546071691
Plan sponsor’s address 100 SE 15TH AVE., FORT LAUDERDALE, FL, 333013908

Signature of
Role Plan administrator
Date 2020-03-11
Name of individual signing ERIC STELNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature
ERIC STELNICKI, M.D., P.A. RETIREMENT PLAN 2019 651125985 2020-12-02 ERIC STELNICKI, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9546071691
Plan sponsor’s address 100 SE 15TH AVE., FORT LAUDERDALE, FL, 333013908

Signature of
Role Plan administrator
Date 2020-12-02
Name of individual signing ERIC STELNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature
ERIC STELNICKI, M.D., P.A. RETIREMENT PLAN 2018 651125985 2019-05-14 ERIC STELNICKI, M.D., P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9546071691
Plan sponsor’s address 100 SE 15TH AVE., FORT LAUDERDALE, FL, 333013908

Signature of
Role Plan administrator
Date 2019-05-14
Name of individual signing ERIC STELNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature
ERIC STELNICKI, M.D., P.A. RETIREMENT PLAN 2017 651125985 2018-07-11 ERIC STELNICKI, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9546071691
Plan sponsor’s address 100 SE 15TH AVE., FORT LAUDERDALE, FL, 333013908

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing ERIC STELNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature
ERIC STELNICKI, M.D., P.A. RETIREMENT PLAN 2016 651125985 2017-05-19 ERIC STELNICKI, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9546071691
Plan sponsor’s address 100 SE 15TH AVE., FORT LAUDERDALE, FL, 333013908

Signature of
Role Plan administrator
Date 2017-05-19
Name of individual signing ERIC STELNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature
ERIC STELNICKI, M.D., P.A. RETIREMENT PLAN 2015 651125985 2016-07-05 ERIC STELNICKI, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9546071691
Plan sponsor’s address 100 SE 15TH AVE., FORT LAUDERDALE, FL, 333013908

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing ERIC STELNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature
ERIC STELNICKI, M.D., P.A. RETIREMENT PLAN 2014 651125985 2015-10-01 ERIC STELNICKI, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9546071691
Plan sponsor’s address 100 SE 15TH AVE., FORT LAUDERDALE, FL, 333013908

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing ERIC STELNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature
ERIC STELNICKI, M.D., P.A. RETIREMENT PLAN 2013 651125985 2014-10-08 ERIC STELNICKI, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 9549831899
Plan sponsor’s address 100 SE 15TH AVE., FORT LAUDERDALE, FL, 333013908

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing ERIC STELNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Stelnicki Eric Agent 100 SE 15TH AVE, FORT LAUDERDALE, FL, 33301

Director

Name Role Address
STELNICKI ERIC M Director 100 SE 15TH AVE, FORT LAUDERDALE, FL, 33301

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000129015 ATLANTIC CENTER FOR AESTHETIC AND RECONSTRUCTIVE SURGERY EXPIRED 2016-12-01 2021-12-31 No data 100 SE 15TH AVE, FORT LAUDERDALE, FL, 33301
G16000034744 ATLANTIC CENTER EXPIRED 2016-04-05 2021-12-31 No data 100 SE 15TH AVENUE, FORT LAUDERDALE, FL, 33301
G16000034295 ATLANTIC CENTER FOR AESTHETIC AND RECONSTRUCTIVE SURGERY ACTIVE 2016-04-04 2026-12-31 No data C/O 100 SE 15TH AVENUE, FORT LAUDERDALE, FL, 33301

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-01-26 Stelnicki, Eric No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-26 100 SE 15TH AVE, FORT LAUDERDALE, FL 33301 No data
CHANGE OF PRINCIPAL ADDRESS 2009-01-17 100 SE 15TH AVE, FORT LAUDERDALE, FL 33301 No data
CHANGE OF MAILING ADDRESS 2009-01-17 100 SE 15TH AVE, FORT LAUDERDALE, FL 33301 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J17000052300 TERMINATED 1000000732469 BROWARD 2017-01-19 2037-01-26 $ 1,242.92 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156

Documents

Name Date
ANNUAL REPORT 2024-03-22
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-02-11
ANNUAL REPORT 2017-03-02
ANNUAL REPORT 2016-03-01
ANNUAL REPORT 2015-01-12

Related by officers

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Related by address

100 SE 15TH AVE, FORT LAUDERDALE, FL, 33301

LAS OLAS MEDICAL GROUP & SPA, LLC

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LAS OLAS MEDICAL GROUP & SPA, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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