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PAIN PLUS, INC

Company Details

Entity Name: PAIN PLUS, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Apr 2019 (6 years ago)
Document Number: P19000033861
FEI/EIN Number 83-4594332
Address: 1600 S Andrews Ave, Suite 723, Fort Lauderdale, FL, 33316, US
Mail Address: 17710 SW 63rd Manor, Southwest Ranches, FL, 33331, US
ZIP code: 33316
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427615335 2019-05-26 2019-08-23 453 SW 169TH TER, WESTON, FL, 333261530, US 6816 GRIFFIN RD, DAVIE, FL, 333144341, US

Contacts

Phone +1 954-300-7688
Phone +1 954-900-3163

Authorized person

Name DR. IAN KOWALSKI
Role OWNER
Phone 9543007688

Taxonomy

Taxonomy Code 207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
Is Primary Yes
Taxonomy Code 208VP0000X - Pain Medicine Physician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN PLUS, INC. CASH BALANCE PLAN 2023 834594332 2024-07-31 PAIN PLUS, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 9549003163
Plan sponsor’s address 6816 GRIFFIN RD, DAVIE, FL, 33314

Signature of

Role Plan administrator
Date 2024-07-31
Name of individual signing IAN KOWALSKI
Valid signature Filed with authorized/valid electronic signature
PAIN PLUS, INC. 401(K) PLAN 2023 834594332 2024-08-13 PAIN PLUS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 9549003163
Plan sponsor’s address 6816 GRIFFIN RD., DAVIE, FL, 33314

Signature of

Role Plan administrator
Date 2024-08-13
Name of individual signing IAN KOWALSKI
Valid signature Filed with authorized/valid electronic signature
PAIN PLUS, INC. 401(K) PLAN 2022 834594332 2023-09-13 PAIN PLUS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 9549003163
Plan sponsor’s address 6816 GRIFFIN RD., DAVIE, FL, 33314

Signature of

Role Plan administrator
Date 2023-09-13
Name of individual signing IAN KOWALSKI
Valid signature Filed with authorized/valid electronic signature
PAIN PLUS, INC. CASH BALANCE PLAN 2022 834594332 2023-08-16 PAIN PLUS, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 9549003163
Plan sponsor’s address 6816 GRIFFIN RD, DAVIE, FL, 33314

Signature of

Role Plan administrator
Date 2023-08-16
Name of individual signing IAN KOWALSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Ian Kowalski JDO Agent 17710 SW 63rd Manor, Southwest Ranches, FL, 33331

President

Name Role Address
KOWALSKI IAN J President 17710 SW 63rd Manor, Southwest Ranches, FL, 33331

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-06 1600 S Andrews Ave, Suite 723, Fort Lauderdale, FL 33316 No data
CHANGE OF MAILING ADDRESS 2022-01-31 1600 S Andrews Ave, Suite 723, Fort Lauderdale, FL 33316 No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-31 17710 SW 63rd Manor, Southwest Ranches, FL 33331 No data
REGISTERED AGENT NAME CHANGED 2020-01-21 Ian, Kowalski J, DO No data

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-02-16
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-21
Domestic Profit 2019-04-15

Date of last update: 01 Feb 2025

Sources: Florida Department of State