| Entity Name: | DAVID A. LICKSTEIN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DAVID A. LICKSTEIN, 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: | 30 Jun 2005 (20 years ago) |
| Date of dissolution: | 13 Feb 2020 (5 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 13 Feb 2020 (5 years ago) |
| Document Number: | P05000093620 |
| FEI/EIN Number |
203094584
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5540 PGA Boulevard, PALM BEACH GARDENS, FL, 33418, US |
| Mail Address: | 5540 PGA Boulevard, PALM BEACH GARDENS, FL, 33418, US |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LICKSTEIN PLASTIC SURGERY 401(K) PLAN | 2021 | 203094584 | 2022-06-21 | DAVID A. LICKSTEIN, M.D., P.A. | 19 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-06-21 |
| Name of individual signing | LISA LICKSTEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 5615714000 |
| Plan sponsor’s address | 5540 PGA BOULEVARD, SUITE 200, PALM BEACH GARDENS, FL, 33418 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 5615714000 |
| Plan sponsor’s address | 5540 PGA BOULEVARD, SUITE 200, PALM BEACH GARDENS, FL, 33418 |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 5615714000 |
| Plan sponsor’s address | 5540 PGA BOULEVARD, SUITE 200, PALM BEACH GARDENS, FL, 33418 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 5615714000 |
| Plan sponsor’s address | 5540 PGA BOULEVARD, SUITE 200, PALM BEACH GARDENS, FL, 33418 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 5615714000 |
| Plan sponsor’s address | 5540 PGA BOULEVARD, SUITE 200, PALM BEACH GARDENS, FL, 33418 |
| Name | Role | Address |
|---|---|---|
| LICKSTEIN DAVID AMD | Director | 5540 PGA Boulevard, PALM BEACH GARDENS, FL, 33418 |
| LICKSTEIN DAVID AMD | President | 5540 PGA Boulevard, PALM BEACH GARDENS, FL, 33418 |
| LICKSTEIN DAVID AMD | Secretary | 5540 PGA Boulevard, PALM BEACH GARDENS, FL, 33418 |
| LICKSTEIN DAVID AMD | Treasurer | 5540 PGA Boulevard, PALM BEACH GARDENS, FL, 33418 |
| Lesser Gary | Agent | 101 NORTHPOINT PARKWAY, WEST PALM BEACH, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2020-02-13 | - | CONVERSION MEMBER. RESULTING CORPORATION WAS L20000068988. CONVERSION NUMBER 300000200703 |
| REGISTERED AGENT NAME CHANGED | 2018-04-14 | Lesser, Gary | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-14 | 101 NORTHPOINT PARKWAY, WEST PALM BEACH, FL 33407 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-22 | 5540 PGA Boulevard, Suite 200, PALM BEACH GARDENS, FL 33418 | - |
| CHANGE OF MAILING ADDRESS | 2017-01-22 | 5540 PGA Boulevard, Suite 200, PALM BEACH GARDENS, FL 33418 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-02-03 |
| ANNUAL REPORT | 2019-03-02 |
| ANNUAL REPORT | 2018-04-14 |
| ANNUAL REPORT | 2017-01-22 |
| ANNUAL REPORT | 2016-02-09 |
| ANNUAL REPORT | 2015-02-22 |
| ANNUAL REPORT | 2014-02-28 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-04-18 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
