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PHYSICIAN BUSINESS ALLIANCE, P.A. - Florida Company Profile

Company Details

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

form 5500

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
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 2014-07-30
Name of individual signing KEVIN D. NOWICKI, MD
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS BUSINESS ALLIANCE, INC. 401 (K) PLAN 2012 593464291 2013-08-30 PHYSICIAN BUSINESS ALLIANCE, P.A. 11
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
PHYSICIANS BUSINESS ALLIANCE, INC. 401(K) PLAN 2011 593464291 2012-09-11 PHYSICIAN BUSINESS ALLIANCE, P.A. 12
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
PHYSICIANS BUSINESS ALLIANCE, INC. 401(K) PLAN 2010 593464291 2011-10-14 PHYSICIAN BUSINESS ALLIANCE, P.A. 12
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

Key Officers & Management

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

Fictitious Names

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

Events

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. -

Documents

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9129807000 2020-04-09 0491 PPP 2020 OAKLEY SEAVER DR SUITE 3, CLERMONT, FL, 34711-1902
Loan Status Date 2021-02-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 211900
Loan Approval Amount (current) 211900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CLERMONT, LAKE, FL, 34711-1902
Project Congressional District FL-11
Number of Employees 16
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 213421.04
Forgiveness Paid Date 2021-01-08

Date of last update: 02 Mar 2025

Sources: Florida Department of State