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  5. PARK SHOES INC

PARK SHOES INC

Company Details

Entity Name: PARK SHOES INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 03 Jul 1962 (63 years ago)
Last Event: AMENDMENT
Event Date Filed: 05 Oct 2017 (7 years ago)
Document Number: 260572
FEI/EIN Number 59-0974377
Address: 245 US 1 VILLAGE SQUARE, TEQUESTA, FL 33469
Mail Address: 245 US 1 VILLAGE SQUARE, TEQUESTA, FL 33469
ZIP code: 33469
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477720894 2008-05-14 2008-05-14 2641 SE OCEAN BLVD, STUART, FL, 349963401, US 2641 SE OCEAN BLVD, STUART, FL, 349963401, US

Contacts
Phone +1 772-746-3536
Fax 7727447851

Authorized person
Name MRS. TERESA ANN O'BRIEN
Role SALES/BILLING
Phone 7722833833

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 5114170001
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARK SHOES INC 401(K) PLAN 2023 590974377 2024-07-23 PARK SHOES INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 448210
Sponsor’s telephone number 5617463536
Plan sponsor’s address 245 US HWY 1, TEQUESTA, FL, 33469

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing CHRIS HORNE
Valid signature Filed with authorized/valid electronic signature
PARK SHOES INC 401(K) PROFIT SHARING PLAN & TRUST 2022 590974377 2023-05-18 PARK SHOES INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 453990
Sponsor’s telephone number 5617463536
Plan sponsor’s address 245 US HWY #1, TEQUESTA, FL, 33469

Signature of
Role Plan administrator
Date 2023-05-18
Name of individual signing LISA SCHUEMANN
Valid signature Filed with authorized/valid electronic signature
PARK SHOES INC 401(K) PROFIT SHARING PLAN & TRUST 2021 590974377 2022-07-15 PARK SHOES INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 453990
Sponsor’s telephone number 5617463536
Plan sponsor’s address 245 US HWY ONE -VILLAGE SQUARE, TEQUESTA, FL, 33469

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing LISA SCHUEMANN
Valid signature Filed with authorized/valid electronic signature
PARK SHOES INC 401(K) PROFIT SHARING PLAN & TRUST 2020 590974377 2021-07-30 PARK SHOES INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 453990
Sponsor’s telephone number 5617463536
Plan sponsor’s address 245 US HWY ONE -VILLAGE SQUARE, TEQUESTA, FL, 33469

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing LISA SCHUEMANN
Valid signature Filed with authorized/valid electronic signature
PARK SHOES INC 401(K) PROFIT SHARING PLAN & TRUST 2019 590974377 2020-06-20 PARK SHOES INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 453990
Sponsor’s telephone number 5617463536
Plan sponsor’s address 245 S US HWY 1 -VILLAGE SQUARE, TEQUESTA, FL, 33469

Signature of
Role Plan administrator
Date 2020-06-20
Name of individual signing BENJAMIN SCHUEMANN
Valid signature Filed with authorized/valid electronic signature
PARK SHOES INC 401 K PROFIT SHARING PLAN TRUST 2018 590974377 2019-06-06 PARK SHOES INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 453990
Sponsor’s telephone number 5617463536
Plan sponsor’s address 245 US HWY 1, TEQUESTA, FL, 33469

Signature of
Role Plan administrator
Date 2019-06-06
Name of individual signing BENJAMIN SCHUEMANN
Valid signature Filed with authorized/valid electronic signature
PARK SHOES INC 401 K PROFIT SHARING PLAN TRUST 2017 590974377 2018-06-25 PARK SHOES INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 453990
Sponsor’s telephone number 5617463536
Plan sponsor’s address 245 US HWY 1, TEQUESTA, FL, 33469

Signature of
Role Plan administrator
Date 2018-06-25
Name of individual signing LISA SCHUEMANN
Valid signature Filed with authorized/valid electronic signature
PARK SHOES INC 401 K PROFIT SHARING PLAN TRUST 2016 590974377 2017-06-14 PARK SHOES INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 453990
Sponsor’s telephone number 5617463536
Plan sponsor’s address 245 US HIGHWAY 1, TEQUESTA, FL, 33469

Signature of
Role Plan administrator
Date 2017-06-14
Name of individual signing LISA S SCHUEMANN
Valid signature Filed with authorized/valid electronic signature
PARK SHOES INC 401 K PROFIT SHARING PLAN TRUST 2015 590974377 2016-07-01 PARK SHOES INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 453990
Sponsor’s telephone number 5617463536
Plan sponsor’s address 245 US HIGHWAY 1, TEQUESTA, FL, 334692701

Signature of
Role Plan administrator
Date 2016-07-01
Name of individual signing BENJAMIN SCHUEMANN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SCHUEMANN, BENJAMIN THOMAS Agent 245 US 1, TEQUESTA, FL 33469

Treasurer

Name Role Address
SCHUEMANN, BENJAMIN Treasurer 820 BUTTONWOOD RD, NORTH PALM BEACH, FL 33408

Secretary

Name Role Address
SCHUEMANN, LISA Secretary 820 BUTTONWOOD RD, NORTH PALM BEACH, FL 33408

President

Name Role Address
SCHUEMANN, DEBORAH President 5175 WOODLAND LKS DRIVE, PALM BEACH GARDENS, FL 33418

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G92335000003 VILLAGE BOOTERY ACTIVE 1992-11-30 2027-12-31 No data 245 US HIGHWAY ONE, TEQUESTA, FL, 33469, US

Events

Event Type Filed Date Value Description
AMENDMENT 2017-10-05 No data No data
REGISTERED AGENT NAME CHANGED 2017-08-31 SCHUEMANN, BENJAMIN THOMAS No data
AMENDMENT 2013-06-12 No data No data
AMENDMENT 2008-08-11 No data No data
REGISTERED AGENT ADDRESS CHANGED 2000-05-01 245 US 1, TEQUESTA, FL 33469 No data
CHANGE OF PRINCIPAL ADDRESS 1991-04-09 245 US 1 VILLAGE SQUARE, TEQUESTA, FL 33469 No data
CHANGE OF MAILING ADDRESS 1991-04-09 245 US 1 VILLAGE SQUARE, TEQUESTA, FL 33469 No data

Documents

Name Date
ANNUAL REPORT 2024-02-03
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-01-05
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-05-20
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-01-16
Amendment 2017-10-05
AMENDED ANNUAL REPORT 2017-08-31
ANNUAL REPORT 2017-01-10

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Feb 2025

Sources: Florida Department of State

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