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  5. MULBERRY PHARMACY, INC.

MULBERRY PHARMACY, INC.

Company Details

Entity Name: MULBERRY PHARMACY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Nov 1965 (59 years ago)
Document Number: 298304
FEI/EIN Number 591148678
Address: 1009 N. CHURCH, MULBERRY, FL, 33860, US
Mail Address: 1009 N. CHURCH, PO BOX 767, MULBERRY, FL, 33860, US
ZIP code: 33860
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MULLBERRY PHARMACY 401(K) PLAN 2023 591148678 2024-07-10 MULBERRY PHARMACY INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-07-01
Business code 446110
Sponsor’s telephone number 8635769899
Plan sponsor’s address 1009 N CHURCH, MULBERRY, FL, 33860

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
MULLBERRY PHARMACY 401(K) PLAN 2022 591148678 2023-07-07 MULBERRY PHARMACY INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-07-01
Business code 446110
Sponsor’s telephone number 8635769899
Plan sponsor’s address 1009 N CHURCH, MULBERRY, FL, 33860

Signature of
Role Plan administrator
Date 2023-07-07
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
MULLBERRY PHARMACY 401(K) PLAN 2021 591148678 2022-07-26 MULBERRY PHARMACY INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-07-01
Business code 446110
Sponsor’s telephone number 8635769899
Plan sponsor’s address 1009 N CHURCH, MULBERRY, FL, 33860

Signature of
Role Plan administrator
Date 2022-07-26
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
MULBERRY PHARMACY 401(K) PLAN 2019 591148678 2020-09-21 MULBERRY PHARMACY, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-07-01
Business code 424210
Sponsor’s telephone number 8634251101
Plan sponsor’s address 1009 N CHURCH AVENUE, MULBERRY, FL, 338602039

Signature of
Role Plan administrator
Date 2020-09-21
Name of individual signing JEROLD SLAUGHTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-21
Name of individual signing JEROLD SLAUGHTER
Valid signature Filed with authorized/valid electronic signature
MULBERRY PHARMACY 401(K) PLAN 2018 591148678 2019-05-14 MULBERRY PHARMACY, INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-07-01
Business code 424210
Sponsor’s telephone number 8634251101
Plan sponsor’s address 1009 N CHURCH AVENUE, MULBERRY, FL, 338602039

Signature of
Role Plan administrator
Date 2019-05-14
Name of individual signing JEROLD SLAUGHTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-14
Name of individual signing JEROLD SLAUGHTER
Valid signature Filed with authorized/valid electronic signature
MULBERRY PHARMACY 401(K) PLAN 2017 591148678 2018-03-12 MULBERRY PHARMACY, INC. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-07-01
Business code 424210
Sponsor’s telephone number 8634251101
Plan sponsor’s address 1009 N CHURCH AVENUE, MULBERRY, FL, 338602039

Signature of
Role Plan administrator
Date 2018-03-12
Name of individual signing JEROLD SLAUGHTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-12
Name of individual signing JEROLD SLAUGHTER
Valid signature Filed with authorized/valid electronic signature
MULBERRY PHARMACY 401(K) PLAN 2016 591148678 2017-07-03 MULBERRY PHARMACY, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-07-01
Business code 424210
Sponsor’s telephone number 8634251101
Plan sponsor’s address 1009 N CHURCH AVENUE, MULBERRY, FL, 338602039

Signature of
Role Plan administrator
Date 2017-07-03
Name of individual signing JEROLD SLAUGHTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-03
Name of individual signing JEROLD SLAUGHTER
Valid signature Filed with authorized/valid electronic signature
MULBERRY PHARMACY 401(K) PLAN 2015 591148678 2016-09-20 MULBERRY PHARMACY, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-07-01
Business code 424210
Sponsor’s telephone number 8634251101
Plan sponsor’s address 1009 N CHURCH AVENUE, MULBERRY, FL, 338602039

Signature of
Role Plan administrator
Date 2016-09-20
Name of individual signing JEROLD SLAUGHTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-20
Name of individual signing JEROLD SLAUGHTER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SLAUGHTER, JEROLD T. Agent 1009 N. CHURCH, MULBERRY, FL, 33860

President

Name Role Address
SLAUGHTER, JEROLD T. President 1009 N. CHURCH, MULBERRY, FL, 33860

Director

Name Role Address
SLAUGHTER, JEROLD T. Director 1009 N. CHURCH, MULBERRY, FL, 33860
SLAUGHTER THOMAS K Director 5809 WINDWOOD DRIVE, LAKELAND, FL, 33813

Vice President

Name Role Address
SLAUGHTER THOMAS K Vice President 5809 WINDWOOD DRIVE, LAKELAND, FL, 33813

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000093875 MULBERRY COMPOUNDING PHARMACY ACTIVE 2019-08-28 2029-12-31 No data 1009 NORTH CHURCH AVE, PO BOX 767, MULBERRY, FL, 33860

Events

Event Type Filed Date Value Description
AMENDMENT 2008-12-30 No data No data
REINSTATEMENT 1987-08-06 No data No data
INVOLUNTARILY DISSOLVED 1974-10-21 No data No data
NAME CHANGE AMENDMENT 1974-07-16 MULBERRY PHARMACY, INC. No data

Related by officers

SLAUGHTER THOMAS K

INNOVATIONS IN WOUND CARE LLC MULBERRY COMPOUNDING PHARMACY, INC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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