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  5. S. JASON KAPNICK, M.D., P.A.

S. JASON KAPNICK, M.D., P.A.

Company Details

Entity Name: S. JASON KAPNICK, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Dec 1997 (27 years ago)
Date of dissolution: 17 Jan 2003 (22 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 17 Jan 2003 (22 years ago)
Document Number: P97000108187
FEI/EIN Number 650818497
Address: 1411 NORTH FLAGLER DR., STE. 5000, WEST PALM BEACH, FL, 33401
Mail Address: 1411 NORTH FLAGLER DR., STE. 5000, WEST PALM BEACH, FL, 33401
ZIP code: 33401
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
S. JASON KAPNICK, M.D., P.A. PROFIT SHARING PLAN 2013 650470593 2014-08-05 S. JASON KAPNICK, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 5616223810
Plan sponsor’s address 335 LEEWARD DRIVE, JUPITER, FL, 33477

Signature of
Role Plan administrator
Date 2014-08-05
Name of individual signing JACK DEMAAGD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-05
Name of individual signing JACK DEMAAGD
Valid signature Filed with authorized/valid electronic signature
S. JASON KAPNICK, M.D., P.A. PROFIT SHARING PLAN 2012 650470593 2013-10-08 S. JASON KAPNICK, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 5616223810
Plan sponsor’s address 335 LEEWARD DRIVE, JUPITER, FL, 33477

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing JACK DEMAAGD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-08
Name of individual signing JACK DEMAAGD
Valid signature Filed with authorized/valid electronic signature
S. JASON KAPNICK, M.D., P.A. PROFIT SHARING PLAN 2011 650470593 2012-08-22 S. JASON KAPNICK, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 5616223810
Plan sponsor’s address 335 LEEWARD DRIVE, JUPITER, FL, 33477

Plan administrator’s name and address
Administrator’s EIN 650470593
Plan administrator’s name S. JASON KAPNICK, M.D., P.A.
Plan administrator’s address 335 LEEWARD DRIVE, JUPITER, FL, 33477
Administrator’s telephone number 5616223810

Signature of
Role Plan administrator
Date 2012-08-22
Name of individual signing JACK DEMAAGD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-22
Name of individual signing JACK DEMAAGD
Valid signature Filed with authorized/valid electronic signature
S. JASON KAPNICK, M.D., P.A. PROFIT SHARING PLAN 2010 650470593 2011-06-13 S. JASON KAPNICK, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 5616223810
Plan sponsor’s address 335 LEEWARD DRIVE, JUPITER, FL, 33477

Plan administrator’s name and address
Administrator’s EIN 650470593
Plan administrator’s name S. JASON KAPNICK, M.D., P.A.
Plan administrator’s address 335 LEEWARD DRIVE, JUPITER, FL, 33477
Administrator’s telephone number 5616223810

Signature of
Role Plan administrator
Date 2011-06-13
Name of individual signing JACK DEMAAGD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-13
Name of individual signing JACK DEMAAGD
Valid signature Filed with authorized/valid electronic signature
S. JASON KAPNICK, M.D., P.A. PROFIT SHARING PLAN 2009 650470593 2010-07-07 S. JASON KAPNICK, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 5616223810
Plan sponsor’s address 335 LEEWARD DRIVE, JUPITER, FL, 33477

Plan administrator’s name and address
Administrator’s EIN 650470593
Plan administrator’s name S. JASON KAPNICK, M.D., P.A.
Plan administrator’s address 335 LEEWARD DRIVE, JUPITER, FL, 33477
Administrator’s telephone number 5616223810

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing JACK DEMAAGD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-07
Name of individual signing JACK DEMAAGD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KAPNICK S. JASON Agent 1411 NORTH FLAGLER DR., STE. 5000, WEST PALM BEACH, FL, 33401

Director

Name Role Address
KAPNICK S. JASON Director 1411 NORTH FLAGLER DR., STE. 5000, WEST PALM BEACH, FL, 33401

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2003-01-17 No data No data

Documents

Name Date
Voluntary Dissolution 2003-01-17
ANNUAL REPORT 2002-02-07
ANNUAL REPORT 2001-03-06
ANNUAL REPORT 2000-04-26
ANNUAL REPORT 1999-03-02
Domestic Profit 1997-12-24

Related by officers

KAPNICK S. JASON

I. KAPNICK MEMORIAL CANCER CONTROL CONSORTIUM, P.A.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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