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PERSONAL CHOICE FAMILY PRACTICE INC.

Company Details

Entity Name: PERSONAL CHOICE FAMILY PRACTICE INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 May 2003 (22 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 07 Oct 2009 (15 years ago)
Document Number: P03000059000
FEI/EIN Number 134253424
Address: 425 Greenwich Circle, SUITE #108, JUPITER, FL, 33458, US
Mail Address: 425 Greenwich Circle, SUITE #108, JUPITER, FL, 33458, US
ZIP code: 33458
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689726259 2007-01-17 2013-04-26 425 GREENWICH CIR, #108, JUPITER, FL, 334584807, US 425 GREENWICH CIR, #108, JUPITER, FL, 334584807, US

Contacts

Phone +1 561-779-1520
Fax 5616919624

Authorized person

Name LORNE SHANE STITSKY
Role OWNER PRESIDENT
Phone 5617791520

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number OS0007755
State FL
Is Primary Yes

Other Provider Identifiers

Issuer BCBS
Number 49233
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERSONAL CHOICE FAMILY PRACTICE INC 401K PLAN 2023 134253424 2024-04-04 PERSONAL CHOICE FAMILY PRACTICE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5617791520
Plan sponsor’s address 425 GREENWICH CIR APT 108, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2024-04-04
Name of individual signing LORNE STITSKY
Valid signature Filed with authorized/valid electronic signature
PERSONAL CHOICE FAMILY PRACTICE INC 401K PLAN 2022 134253424 2023-04-14 PERSONAL CHOICE FAMILY PRACTICE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5617791520
Plan sponsor’s address 425 GREENWICH CIR APT 108, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2023-04-14
Name of individual signing LORNE STITSKY
Valid signature Filed with authorized/valid electronic signature
PERSONAL CHOICE FAMILY PRACTICE INC 401K PLAN 2021 134253424 2022-05-06 PERSONAL CHOICE FAMILY PRACTICE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5617791520
Plan sponsor’s address 425 GREENWICH CIR APT 108, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2022-05-06
Name of individual signing LORNE STITSKY
Valid signature Filed with authorized/valid electronic signature
PERSONAL CHOICE FAMILY PRACTICE INC 401K PLAN 2020 134253424 2021-07-09 PERSONAL CHOICE FAMILY PRACTICE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5617791520
Plan sponsor’s address 425 GREENWICH CIR APT 108, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2021-07-09
Name of individual signing LORNE STITSKY
Valid signature Filed with authorized/valid electronic signature
PERSONAL CHOICE FAMILY PRACTICE INC 401K PLAN 2019 134253424 2020-05-15 PERSONAL CHOICE FAMILY PRACTICE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5617791520
Plan sponsor’s address 425 GREENWICH CIR APT 108, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2020-05-08
Name of individual signing LORNE STITSKY
Valid signature Filed with authorized/valid electronic signature
PERSONAL CHOICE FAMILY PRACTICE INC 401K PLAN 2018 134253424 2019-06-28 PERSONAL CHOICE FAMILY PRACTICE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5617791520
Plan sponsor’s address 425 GREENWICH CIR APT 108, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2019-06-14
Name of individual signing LORNE STITSKY
Valid signature Filed with authorized/valid electronic signature
PERSONAL CHOICE FAMILY PRACTICE INC 401K PLAN 2017 134253424 2018-06-29 PERSONAL CHOICE FAMILY PRACTICE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5617791520
Plan sponsor’s address 425 GREENWICH CIR APT 108, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2018-06-29
Name of individual signing LORNE STITSKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-29
Name of individual signing LORNE STITSKY
Valid signature Filed with authorized/valid electronic signature
PERSONAL CHOICE FAMILY PRACTICE INC 401K PLAN 2016 134253424 2017-07-10 PERSONAL CHOICE FAMILY PRACTICE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5617791520
Plan sponsor’s address 425 GREENWICH CIR APT 108, JUPITER, FL, 33458

Signature of

Role Plan administrator
Date 2017-07-10
Name of individual signing LORNE STITSKY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STITSKY LORNE S Agent 425 Greenwich Circle, JUPITER, FL, 33458

President

Name Role Address
STITSKY LORNE S President 425 Greenwich Circle, JUPITER, FL, 33458

Director

Name Role Address
STITSKY LORNE S Director 425 Greenwich Circle, JUPITER, FL, 33458

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-02-23 425 Greenwich Circle, SUITE #108, JUPITER, FL 33458 No data
CHANGE OF MAILING ADDRESS 2014-02-23 425 Greenwich Circle, SUITE #108, JUPITER, FL 33458 No data
REGISTERED AGENT ADDRESS CHANGED 2014-02-23 425 Greenwich Circle, SUITE #108, JUPITER, FL 33458 No data
CANCEL ADM DISS/REV 2009-10-07 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
REGISTERED AGENT NAME CHANGED 2005-01-16 STITSKY, LORNE SDR. No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-02-10
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-04-11
ANNUAL REPORT 2017-01-05
ANNUAL REPORT 2016-01-18
ANNUAL REPORT 2015-02-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2632747404 2020-05-06 0455 PPP 425 Greenwich Circle Apt #108, Jupiter, FL, 33458
Loan Status Date 2021-05-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 31975
Loan Approval Amount (current) 31980.3
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Jupiter, PALM BEACH, FL, 33458-1000
Project Congressional District FL-21
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 32284.11
Forgiveness Paid Date 2021-04-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State