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ALEXANDRA KOSTICK, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: ALEXANDRA KOSTICK, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ALEXANDRA KOSTICK, M.D., 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: 05 Oct 1999 (26 years ago)
Document Number: P99000087798
FEI/EIN Number 593601636

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1051 Ocean Shore Blvd, Ormond Beach, FL, 32176, US
Mail Address: 1051 Ocean Shore Blvd, Ormond Beach, FL, 32176, US
ZIP code: 32176
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALEXANDRA KOSTICK, M.D. 401(K) PROFIT SHARING PLAN AND TRUST 2023 593601636 2024-05-02 ALEXANDRA KOSTICK, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3864469590
Plan sponsor’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137
ALEXANDRA KOSTICK, M.D. 401(K) PROFIT SHARING PLAN AND TRUST 2022 593601636 2023-10-02 ALEXANDRA KOSTICK, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3864469590
Plan sponsor’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137

Plan administrator’s name and address

Administrator’s EIN 593601636
Plan administrator’s name ALEXANDRA KOSTICK, M.D., P.A.
Plan administrator’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137
Administrator’s telephone number 3864469590
ALEXANDRA KOSTICK, M.D. 401(K) PROFIT SHARING PLAN AND TRUST 2021 593601636 2022-02-25 ALEXANDRA KOSTICK, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3864469590
Plan sponsor’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137

Plan administrator’s name and address

Administrator’s EIN 593601636
Plan administrator’s name ALEXANDRA KOSTICK, M.D., P.A.
Plan administrator’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137
Administrator’s telephone number 3864469590
ALEXANDRA KOSTICK, M.D. 401(K) PROFIT SHARING PLAN AND TRUST 2020 593601636 2021-03-03 ALEXANDRA KOSTICK, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3864469590
Plan sponsor’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137

Plan administrator’s name and address

Administrator’s EIN 593601636
Plan administrator’s name ALEXANDRA KOSTICK, M.D., P.A.
Plan administrator’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137
Administrator’s telephone number 3864469590

Signature of

Role Plan administrator
Date 2021-03-03
Name of individual signing ALEXANDRA KOSTICK, MD
Valid signature Filed with authorized/valid electronic signature
ALEXANDRA KOSTICK, M.D. 401(K) PROFIT SHARING PLAN AND TRUST 2019 593601636 2020-05-11 ALEXANDRA KOSTICK, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3864469590
Plan sponsor’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137

Plan administrator’s name and address

Administrator’s EIN 593601636
Plan administrator’s name ALEXANDRA KOSTICK, M.D., P.A.
Plan administrator’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137
Administrator’s telephone number 3864469590
ALEXANDRA KOSTICK, M.D. 401(K) PROFIT SHARING PLAN AND TRUST 2018 593601636 2019-06-25 ALEXANDRA KOSTICK, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3864469590
Plan sponsor’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137

Plan administrator’s name and address

Administrator’s EIN 593601636
Plan administrator’s name ALEXANDRA KOSTICK, M.D., P.A.
Plan administrator’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137
Administrator’s telephone number 3864469590

Signature of

Role Plan administrator
Date 2019-06-25
Name of individual signing ALEXANDRA KOSTICK, MD
Valid signature Filed with authorized/valid electronic signature
ALEXANDRA KOSTICK, M.D. 401(K) PROFIT SHARING PLAN AND TRUST 2017 593601636 2018-06-24 ALEXANDRA KOSTICK, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3864469590
Plan sponsor’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137

Plan administrator’s name and address

Administrator’s EIN 593601636
Plan administrator’s name ALEXANDRA KOSTICK, M.D., P.A.
Plan administrator’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137
Administrator’s telephone number 3864469590

Signature of

Role Plan administrator
Date 2018-06-24
Name of individual signing ALEXANDRA KOSTICK, MD
Valid signature Filed with authorized/valid electronic signature
ALEXANDRA KOSTICK, M.D. 401(K) PROFIT SHARING PLAN AND TRUST 2016 593601636 2017-07-31 ALEXANDRA KOSTICK, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3864469590
Plan sponsor’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137

Plan administrator’s name and address

Administrator’s EIN 593601636
Plan administrator’s name ALEXANDRA KOSTICK, M.D., P.A.
Plan administrator’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137
Administrator’s telephone number 3864469590

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing ALEXANDRA KOSTICK, MD
Valid signature Filed with authorized/valid electronic signature
ALEXANDRA KOSTICK, M.D. 401(K) PROFIT SHARING PLAN AND TRUST 2015 593601636 2016-10-04 ALEXANDRA KOSTICK, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3864469590
Plan sponsor’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137

Plan administrator’s name and address

Administrator’s EIN 593601636
Plan administrator’s name ALEXANDRA KOSTICK, M.D., P.A.
Plan administrator’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137
Administrator’s telephone number 3864469590

Signature of

Role Plan administrator
Date 2016-10-04
Name of individual signing ALEXANDRA KOSTICK, MD
Valid signature Filed with authorized/valid electronic signature
ALEXANDRA KOSTICK, M.D. 401(K) PROFIT SHARING PLAN AND TRUST 2014 593601636 2015-07-27 ALEXANDRA KOSTICK, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 3864469590
Plan sponsor’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137

Plan administrator’s name and address

Administrator’s EIN 593601636
Plan administrator’s name ALEXANDRA KOSTICK, M.D., P.A.
Plan administrator’s address 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137
Administrator’s telephone number 3864469590

Signature of

Role Plan administrator
Date 2015-07-27
Name of individual signing ALEXANDRA KOSTICK, MD
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
KOSTICK ALEXANDRA Agent 1051 Ocean Shore Blvd, Ormond Beach, FL, 32176
Kostick Alexandra Chief Operating Officer 1051 Ocean Shore Blvd, Ormond Beach, FL, 32176

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G07079900401 ATLANTIC OPTICAL ACTIVE 2007-03-20 2027-12-31 - 1051 OCEAN SHORE BLVD, APT # 201, ORMOND BEACH, FL, 32176
G04222700202 ATLANTIC AESTHETICS EXPIRED 2004-08-09 2024-12-31 - 3 PINE CONE DRIVE, STE 104, PALM COAST, FL, 32137
G02266900300 ATLANTIC EYE CENTER ACTIVE 2002-09-23 2027-12-31 - 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137
G99285900033 ALEXANDRA KOSTICK, M.D. EXPIRED 1999-10-12 2024-12-31 - 3 PINE CONE DRIVE, SUITE 104, PALM COAST, FL, 32137-8684

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-19 1051 Ocean Shore Blvd, Suite 202, Ormond Beach, FL 32176 -
CHANGE OF MAILING ADDRESS 2025-01-19 1051 Ocean Shore Blvd, Suite 202, Ormond Beach, FL 32176 -
REGISTERED AGENT ADDRESS CHANGED 2025-01-19 1051 Ocean Shore Blvd, Suite 202, Ormond Beach, FL 32176 -
REGISTERED AGENT NAME CHANGED 2024-02-12 KOSTICK, ALEXANDRA -

Documents

Name Date
ANNUAL REPORT 2025-01-19
ANNUAL REPORT 2024-02-12
AMENDED ANNUAL REPORT 2023-05-30
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-02-20
ANNUAL REPORT 2021-03-05
ANNUAL REPORT 2020-05-16
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-02-03
ANNUAL REPORT 2017-01-07

Date of last update: 03 May 2025

Sources: Florida Department of State