| Entity Name: | ALEXANDER CHAPLIK, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Jun 1995 (30 years ago) |
| Document Number: | P95000045008 |
| FEI/EIN Number | 650583622 |
| Address: | 6238 WEST ATLANTIC AVENUE, DELRAY BEACH, FL, 33484 |
| Mail Address: | 20312 Castle Stuart Avenue, Boca Raton, FL, 33434, US |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALEXANDER CHAPLIK, M.D., P.A. PROFIT SHARING TRUST | 2011 | 650583622 | 2012-07-10 | ALEXANDER CHAPLIK, M.D., P.A. | 1 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 650583622 |
| Plan administrator’s name | ALEXANDER CHAPLIK, M.D., P.A. |
| Plan administrator’s address | 6238 W ATLANTIC AVE, DELRAY BEACH, FL, 334843501 |
| Administrator’s telephone number | 5614918202 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-10 |
| Name of individual signing | ALEXANDER CHAPLIK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1998-01-07 |
| Business code | 621111 |
| Sponsor’s telephone number | 5614918202 |
| Plan sponsor’s address | 6238 W ATLANTIC AVE, DELRAY BEACH, FL, 334843501 |
Plan administrator’s name and address
| Administrator’s EIN | 650583622 |
| Plan administrator’s name | ALEXANDER CHAPLIK, M.D., P.A. |
| Plan administrator’s address | 6238 W ATLANTIC AVE, DELRAY BEACH, FL, 334843501 |
| Administrator’s telephone number | 5614918202 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-24 |
| Name of individual signing | ALEXANDER CHAPLIK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CHAPLIK ALEXANDER M | Agent | 20312 Castle Stuart Avenue, Boca Raton, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| CHAPLIK ALEXANDER M | President | 20312 Castle Stuart Avenue, Boca Raton, FL, 33434 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000062125 | CHAPLIK CARDIOLOGY CENTER | ACTIVE | 2021-05-05 | 2026-12-31 | No data | 6238 WEST ATLANTIC AVENUE, DELRAY BEACH, FL, 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 6238 WEST ATLANTIC AVENUE, DELRAY BEACH, FL 33484 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 20312 Castle Stuart Avenue, Boca Raton, FL 33434 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-14 | 6238 WEST ATLANTIC AVENUE, DELRAY BEACH, FL 33484 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-06-30 | CHAPLIK, ALEXANDER M.D. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2015-03-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
