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MICHAEL J. COSTELLO, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: MICHAEL J. COSTELLO, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MICHAEL J. COSTELLO, 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 02 Sep 1992 (33 years ago)
Date of dissolution: 25 Sep 2020 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (5 years ago)
Document Number: V61429
FEI/EIN Number 650349652

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

Address: 8720 Bally Bunion RD, Port St Lucie, FL, 34986, US
Mail Address: 8720 Bally Bunion Rd, Port St Lucie, FL, 34983, US
ZIP code: 34986
County: St. Lucie
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL J. COSTELLO, M.D., P.A. RETIREMENT PLAN AND TRUST 2013 650349652 2014-08-14 MICHAEL J. COSTELLO, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7724614666
Plan sponsor’s address 2215 NEBRASKA AVENUE, SUITE 3D, FORT PIERCE, FL, 34950
MICHAEL J. COSTELLO, M.D., P.A. RETIREMENT PLAN AND TRUST 2012 650349652 2013-10-07 MICHAEL J. COSTELLO, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7724614666
Plan sponsor’s address 2215 NEBRASKA AVENUE, SUITE 3D, FORT PIERCE, FL, 34950

Signature of

Role Plan administrator
Date 2013-10-07
Name of individual signing DAVID KITCOFF
Valid signature Filed with authorized/valid electronic signature
MICHAEL J. COSTELLO, M.D., P.A. RETIREMENT PLAN AND TRUST 2011 650349652 2012-10-15 MICHAEL J. COSTELLO, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7724614666
Plan sponsor’s address 2215 NEBRASKA AVENUE, SUITE 3D, FORT PIERCE, FL, 34950

Plan administrator’s name and address

Administrator’s EIN 650349652
Plan administrator’s name MICHAEL J. COSTELLO, M.D., P.A.
Plan administrator’s address 2215 NEBRASKA AVENUE, SUITE 3D, FORT PIERCE, FL, 34950
Administrator’s telephone number 7724614666

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing DAVID KITCOFF
Valid signature Filed with authorized/valid electronic signature
MICHAEL J. COSTELLO, M.D., P.A. RETIREMENT PLAN AND TRUST 2010 650349652 2011-09-07 MICHAEL J. COSTELLO, M.D., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7724614666
Plan sponsor’s address 2215 NEBRASKA AVENUE, SUITE 3D, FORT PIERCE, FL, 34950

Plan administrator’s name and address

Administrator’s EIN 650349652
Plan administrator’s name MICHAEL J. COSTELLO, M.D., P.A.
Plan administrator’s address 2215 NEBRASKA AVENUE, SUITE 3D, FORT PIERCE, FL, 34950
Administrator’s telephone number 7724614666

Signature of

Role Plan administrator
Date 2011-09-07
Name of individual signing DAVID KITCOFF
Valid signature Filed with authorized/valid electronic signature
MICHAEL J. COSTELLO, M.D., P.A. RETIREMENT PLAN AND TRUST 2009 650349652 2010-07-23 MICHAEL J. COSTELLO, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 7724614666
Plan sponsor’s address 2215 NEBRASKA AVENUE, SUITE 3D, FORT PIERCE, FL, 34950

Plan administrator’s name and address

Administrator’s EIN 650349652
Plan administrator’s name MICHAEL J. COSTELLO, M.D., P.A.
Plan administrator’s address 2215 NEBRASKA AVENUE, SUITE 3D, FORT PIERCE, FL, 34950
Administrator’s telephone number 7724614666

Signature of

Role Plan administrator
Date 2010-07-23
Name of individual signing MICHAEL COSTELLO
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
COSTELLO MICHAEL J Agent 8720 Bally Bunion RD, Port St Lucie, FL, 34986
COSTELLO MICHAEL J Director 8720 BALLY BUNION ROAD, PORT ST LUCIE, FL, 34986

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
REGISTERED AGENT NAME CHANGED 2018-04-11 COSTELLO, MICHAEL J -
REINSTATEMENT 2018-04-11 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -
REGISTERED AGENT ADDRESS CHANGED 2016-03-02 8720 Bally Bunion RD, Port St Lucie, FL 34986 -
CHANGE OF PRINCIPAL ADDRESS 2016-03-02 8720 Bally Bunion RD, Port St Lucie, FL 34986 -
CHANGE OF MAILING ADDRESS 2016-03-02 8720 Bally Bunion RD, Port St Lucie, FL 34986 -
CANCEL ADM DISS/REV 2006-05-02 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -

Documents

Name Date
ANNUAL REPORT 2019-03-30
REINSTATEMENT 2018-04-11
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-04-23
ANNUAL REPORT 2014-04-21
ANNUAL REPORT 2013-04-15
ANNUAL REPORT 2012-09-05
ANNUAL REPORT 2011-04-08
ANNUAL REPORT 2010-03-16
ANNUAL REPORT 2009-04-24

Date of last update: 03 Apr 2025

Sources: Florida Department of State