| Entity Name: | PHYSICIAN BUSINESS ALLIANCE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PHYSICIAN BUSINESS ALLIANCE, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 25 Jul 1997 (28 years ago) |
| Last Event: | RESTATED ARTICLES AND NAME CHANGE |
| Event Date Filed: | 29 Jan 2002 (23 years ago) |
| Document Number: | P97000064486 |
| FEI/EIN Number |
593464291
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2020 OAKLEY SEAVER DR, Suite 3, CLERMONT, FL, 34711, US |
| Mail Address: | 2020 OAKLEY SEAVER DR, Suite 3, CLERMONT, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHYSICIANS BUSINESS ALLIANCE, INC. 401 (K) PLAN | 2013 | 593464291 | 2014-07-30 | PHYSICIAN BUSINESS ALLIANCE, P.A. | 10 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-07-30 |
| Name of individual signing | KEVIN D. NOWICKI, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3522420404 |
| Plan sponsor’s address | 2020 OAKLEY SEAVER DRIVE, CLERMONT, FL, 34711 |
Signature of
| Role | Plan administrator |
| Date | 2013-08-30 |
| Name of individual signing | KEVIN D. NOWICKI, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3522420404 |
| Plan sponsor’s address | 2020 OAKLEY SEAVER DRIVE, CLERMONT, FL, 34711 |
Plan administrator’s name and address
| Administrator’s EIN | 593464291 |
| Plan administrator’s name | PHYSICIAN BUSINESS ALLIANCE, P.A. |
| Plan administrator’s address | 2020 OAKLEY SEAVER DRIVE, CLERMONT, FL, 34711 |
| Administrator’s telephone number | 3522420404 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-05 |
| Name of individual signing | KEVIN D. NOWICKI, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3522420404 |
| Plan sponsor’s address | 2020 OAKLEY SEAVER DRIVE, CLERMONT, FL, 34711 |
Plan administrator’s name and address
| Administrator’s EIN | 593464291 |
| Plan administrator’s name | PHYSICIAN BUSINESS ALLIANCE, P.A. |
| Plan administrator’s address | 2020 OAKLEY SEAVER DRIVE, CLERMONT, FL, 34711 |
| Administrator’s telephone number | 3522420404 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-07 |
| Name of individual signing | CAROL ALBRECHT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| NOWICKI KEVIN D | President | 2020 OAKLEY SEAVER DR, CLERMONT, FL, 34711 |
| MILLER BENJAMIN K | Treasurer | 2020 OAKLEY SEAVER DR, CLERMONT, FL, 34711 |
| Feiner David E | Secretary | 2020 OAKLEY SEAVER DR, CLERMONT, FL, 34711 |
| NOWICKI KEVIN DMD | Agent | 2020 OAKLEY SEAVER DR, CLERMONT, FL, 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G02057900027 | SPORTS MEDICINE INSTITUTE | ACTIVE | 2002-02-26 | 2027-12-31 | - | 2020 OAKLEY SEAVER DR, STE 3, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-01-14 | NOWICKI, KEVIN D, MD | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-06 | 2020 OAKLEY SEAVER DR, Suite 3, CLERMONT, FL 34711 | - |
| CHANGE OF MAILING ADDRESS | 2020-02-06 | 2020 OAKLEY SEAVER DR, Suite 3, CLERMONT, FL 34711 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-06 | 2020 OAKLEY SEAVER DR, Suite 3, CLERMONT, FL 34711 | - |
| RESTATED ARTICLES AND NAME CHANGE | 2002-01-29 | PHYSICIAN BUSINESS ALLIANCE, P.A. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-02-06 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-01-16 |
| AMENDED ANNUAL REPORT | 2017-06-06 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-03-08 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9129807000 | 2020-04-09 | 0491 | PPP | 2020 OAKLEY SEAVER DR SUITE 3, CLERMONT, FL, 34711-1902 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
