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  5. PARK SHORE DRUG, INC.

PARK SHORE DRUG, INC. - Florida Company Profile

Company Details

Entity Name: PARK SHORE DRUG, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PARK SHORE DRUG, INC. 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: 13 Nov 1958 (66 years ago)
Last Event: AMENDED AND RESTATEDARTICLES/NAME CHANGE
Event Date Filed: 28 Dec 2022 (2 years ago)
Document Number: 217224
FEI/EIN Number 590870901

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 600 ANSIN BOULEVARD, HALLANDALE BEACH, FL, 33009, US
Mail Address: 600 ANSIN BOULEVARD, HALLANDALE BEACH, FL, 33009, US
ZIP code: 33009
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063595932 2006-10-23 2010-07-19 9531 NE 2ND AVE, MIAMI SHORES, FL, 331382704, US 9531 NE 2ND AVE, MIAMI SHORES, FL, 331382704, US

Contacts
Phone +1 305-754-9508
Fax 3057543512

Authorized person
Name MR. ROBERT D GILLIS
Role V.P.
Phone 3057549508

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number PH0000863
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 671982104
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARK SHORE DRUG INC 401(K) PROFIT SHARING PLAN & TRUST 2023 590870901 2024-07-02 PARK SHORE DRUG INC 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 9548744646
Plan sponsor’s address 600 ANSIN BLVD, HALLANDALE BEACH, FL, 330092118

Signature of
Role Plan administrator
Date 2024-07-02
Name of individual signing JOSEPHINE GILLIS
Valid signature Filed with authorized/valid electronic signature
PARK SHORE DRUG INC 401(K) PROFIT SHARING PLAN & TRUST 2022 590870901 2023-07-16 PARK SHORE DRUG INC 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 9548744646
Plan sponsor’s address 600 ANSIN BLVD, HALLANDALE BEACH, FL, 330092118

Signature of
Role Plan administrator
Date 2023-07-16
Name of individual signing JOSEPHINE GILLIS
Valid signature Filed with authorized/valid electronic signature
PARK SHORE DRUG INC 401(K) PROFIT SHARING PLAN & TRUST 2021 590870901 2022-07-25 PARK SHORE DRUG INC 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 9548744646
Plan sponsor’s address 600 ANSIN BLVD, HALLANDALE BEACH, FL, 330092118

Signature of
Role Plan administrator
Date 2022-07-25
Name of individual signing JOSEPHINE GILLIS
Valid signature Filed with authorized/valid electronic signature
PARK SHORE DRUG INC 401(K) PROFIT SHARING PLAN & TRUST 2020 590870901 2021-07-06 PARK SHORE DRUG INC 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 9548744646
Plan sponsor’s address 600 ANSIN BLVD, HALLANDALE BEACH, FL, 330092118

Signature of
Role Plan administrator
Date 2021-07-06
Name of individual signing JOSEPHINE GILLIS
Valid signature Filed with authorized/valid electronic signature
PARK SHORE DRUG INC 401(K) PROFIT SHARING PLAN & TRUST 2019 590870901 2020-05-07 PARK SHORE DRUG INC 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 9548744646
Plan sponsor’s address 600 ANSIN BLVD, HALLANDALE BEACH, FL, 330092118

Signature of
Role Plan administrator
Date 2020-05-07
Name of individual signing JOSEPHINE GILLIS
Valid signature Filed with authorized/valid electronic signature
PARK SHORE DRUG INC 401 K PROFIT SHARING PLAN TRUST 2018 590870901 2019-06-12 PARK SHORE DRUG INC 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 9548744646
Plan sponsor’s address 600 ANSIN BLVD, HALLANDALE BEACH, FL, 330092118

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing JOSEPHINE GILLIS
Valid signature Filed with authorized/valid electronic signature
PARK SHORE DRUG INC 401 K PROFIT SHARING PLAN TRUST 2017 590870901 2018-06-14 PARK SHORE DRUG INC 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 9548744646
Plan sponsor’s address 600 ANSIN BLVD, HALLANDALE BEACH, FL, 330092118

Signature of
Role Plan administrator
Date 2018-06-14
Name of individual signing JOSEPHINE GILLIS
Valid signature Filed with authorized/valid electronic signature
PARK SHORE DRUG INC 401 K PROFIT SHARING PLAN TRUST 2016 590870901 2017-05-17 PARK SHORE DRUG INC 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 9548744646
Plan sponsor’s address 600 ANSIN BLVD, HALLANDALE BEACH, FL, 330092118

Signature of
Role Plan administrator
Date 2017-05-17
Name of individual signing JOSEPHINE GILLIS
Valid signature Filed with authorized/valid electronic signature
PARK SHORE DRUG INC 401 K PROFIT SHARING PLAN TRUST 2015 590870901 2016-06-22 PARK SHORE DRUG INC 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 9548744646
Plan sponsor’s address 600 ANSIN BLVD, HALLANDALE BEACH, FL, 330092118

Signature of
Role Plan administrator
Date 2016-06-22
Name of individual signing JOSEPHINE GILLIS
Valid signature Filed with authorized/valid electronic signature
PARK SHORE DRUG INC 401 K PROFIT SHARING PLAN TRUST 2014 590870901 2015-07-08 PARK SHORE DRUG INC 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 9548744646
Plan sponsor’s address 600 ANSIN BLVD, HALLANDALE BEACH, FL, 330092118

Signature of
Role Plan administrator
Date 2015-07-08
Name of individual signing JOSEPHINE GILLIS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ZEBERSKY PAYNE SHAW LEWENZ Agent 110 SOUTHEAST 6TH STREET, FORT LAUDERDALE, FL, 33301
Propper Steven Officer 600 ANSIN BOULEVARD, HALLANDALE BEACH, FL, 33009
Palanza Kristen Vice President 600 ANSIN BOULEVARD, HALLANDALE BEACH, FL, 33009
Palanza Kristen Director 600 ANSIN BOULEVARD, HALLANDALE BEACH, FL, 33009
KARKOS JILLIAN Director 600 ANSIN BOULEVARD, HALLANDALE BEACH, FL, 33009
GILLIS ROBERT President 600 ANSIN BOULEVARD, HALLANDALE BEACH, FL, 33009
Gillis Josephine Exec 600 ANSIN BOULEVARD, HALLANDALE BEACH, FL, 33009
Propper Steven Vice President 600 ANSIN BOULEVARD, HALLANDALE BEACH, FL, 33009

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000019699 PARK SHORE PHARMACON ACTIVE 2017-02-22 2027-12-31 - 600 ANSIN BOULEVARD, HALLANDALE BEACH, FL, 33009
G09000109601 PARK SHORE PHARMACY EXPIRED 2009-05-21 2014-12-31 - 9531 NE 2ND AVENUE, MIAMI SHORES, FL, 33138
G09000109605 PARK SHORE PHARMACON EXPIRED 2009-05-21 2014-12-31 - 9531-B NE 2ND AVENUE, MIAMI SHORES, FL, 33138

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-27 ZEBERSKY PAYNE SHAW LEWENZ -
REGISTERED AGENT ADDRESS CHANGED 2024-02-27 110 SOUTHEAST 6TH STREET, SUITE 2900, FORT LAUDERDALE, FL 33301 -
AMENDED AND RESTATEDARTICLES/NAME CHANGE 2022-12-27 PARK SHORE DRUG, INC. -
CHANGE OF PRINCIPAL ADDRESS 2011-04-29 600 ANSIN BOULEVARD, HALLANDALE BEACH, FL 33009 -
CHANGE OF MAILING ADDRESS 2011-04-29 600 ANSIN BOULEVARD, HALLANDALE BEACH, FL 33009 -
REINSTATEMENT 2002-10-25 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 - -

Documents

Name Date
ANNUAL REPORT 2024-02-27
ANNUAL REPORT 2023-03-16
Amended/Restated Article/NC 2022-12-28
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-02-07
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-03-17
Off/Dir Resignation 2017-02-02

Companies related by officers

ZEBERSKY PAYNE SHAW LEWENZ

PSD HOLDINGS, LLC - Active
Florida Limited Liability Co. (2008 )
PARK SHORE PHARMACY, LLC - Active
Florida Limited Liability Co. (2016 )

GILLIS ROBERT

LEHTE INDUSTRIES, LLC - Inactive
Florida Limited Liability Co. (2006 - 2009)
EMERY SAPP & SONS, INC. - Active
Foreign Profit (2019 )
PARK SHORE PHARMACY, LLC - Active
Florida Limited Liability Co. (2016 )
SEA OAKS BEACH & TENNIS CLUB, INC. - Inactive
Domestic Profit (1984 - 2008)
SEA OAKS BEACH & TENNIS CLUB, INC. - Inactive
Domestic Profit (1984 - 2008)
RATITE MARKETING, INC. - Inactive
Domestic Profit (1995 - 2004)

Companies related by address

600 ANSIN BOULEVARD, HALLANDALE BEACH, FL, 33009, US

PSD HOLDINGS, LLC

600 ANSIN BOULEVARD, HALLANDALE BEACH, FL, 33009, US

PSD HOLDINGS, LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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