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PREMIER COMMUNITY HEALTHCARE GROUP, INC.

Company Details

Entity Name: PREMIER COMMUNITY HEALTHCARE GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 20 Jul 1979 (46 years ago)
Document Number: 748142
FEI/EIN Number 591964612
Address: 37912 Church Avenue, DADE CITY, FL, 33525, US
Mail Address: P.O. BOX 232, DADE CITY, FL, 33526, US
ZIP code: 33525
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124741053 2022-09-26 2023-02-22 PO BOX 232, DADE CITY, FL, 335260232, US 37840 MEDICAL ARTS CT, ZEPHYRHILLS, FL, 335414325, US

Contacts

Phone +1 352-518-2000
Fax 3525670218

Authorized person

Name JOSEPH RESNICK
Role CEO
Phone 3525182000

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary Yes

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
2549007SSZN79S02IH53 748142 US-FL GENERAL ACTIVE 1979-07-20

Addresses

Legal c/o RESNICK, JOSEPH D, 37912 Church Avenue, DADE CITY, US-FL, US, 33526
Headquarters 37912 Church Avenue, DADE CITY, US-FL, US, 33526

Registration details

Registration Date 2022-10-06
Last Update 2023-10-06
Status LAPSED
Next Renewal 2023-10-06
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 748142

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER COMMUNITY HEALTHCARE GROUP BENEFIT WELFARE PLAN 2017 591964612 2018-11-26 PREMIER COMMUNITY HEALTHCARE GROUP 153
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-05-01
Business code 621498
Sponsor’s telephone number 3525182000
Plan sponsor’s mailing address PO BOX 232, DADE CITY, FL, 33526
Plan sponsor’s address PO BOX 232, DADE CITY, FL, 33526

Number of participants as of the end of the plan year

Active participants 166
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2018-11-26
Name of individual signing DONNA DELONG
Valid signature Filed with authorized/valid electronic signature
PREMIER COMMUNITY HEALTHCARE GROUP BENEFIT WELFARE PLAN 2016 591964612 2017-11-28 PREMIER COMMUNITY HEALTHCARE GROUP 111
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-05-01
Business code 621498
Sponsor’s telephone number 3525182000
Plan sponsor’s mailing address PO BOX 232, DADE CITY, FL, 33526
Plan sponsor’s address PO BOX 232, DADE CITY, FL, 33526

Number of participants as of the end of the plan year

Active participants 130
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2017-11-28
Name of individual signing DONNA DELONG
Valid signature Filed with authorized/valid electronic signature
PREMIER COMMUNITY HEALTHCARE GROUP BENEFIT WELFARE PLAN 2015 591964612 2016-11-01 PREMIER COMMUNITY HEALTHCARE GROUP 116
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-05-01
Business code 621498
Sponsor’s telephone number 3525182000
Plan sponsor’s mailing address PO BOX 232, DADE CITY, FL, 33526
Plan sponsor’s address PO BOX 232, DADE CITY, FL, 33526

Number of participants as of the end of the plan year

Active participants 136
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2016-11-01
Name of individual signing DONNA DELONG
Valid signature Filed with authorized/valid electronic signature
PREMIER COMMUNITY HEALTHCARE GROUP BENEFIT WELFARE PLAN 2014 591964612 2016-03-01 PREMIER COMMUNITY HEALTHCARE GROUP 108
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-05-01
Business code 621498
Sponsor’s telephone number 3525182000
Plan sponsor’s mailing address PO BOX 232, DADE CITY, FL, 33526
Plan sponsor’s address PO BOX 232, DADE CITY, FL, 33526

Number of participants as of the end of the plan year

Active participants 116
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2016-03-01
Name of individual signing DONNA B. DELONG
Valid signature Filed with authorized/valid electronic signature
PREMIER COMMUNITY HEALTHCARE GROUP BENEFIT WELFARE PLAN 2013 591964612 2016-03-01 PREMIER COMMUNITY HEALTHCARE GROUP 107
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-05-01
Business code 621498
Sponsor’s telephone number 3525182000
Plan sponsor’s mailing address PO BOX 232, DADE CITY, FL, 33526
Plan sponsor’s address PO BOX 232, DADE CITY, FL, 33526

Number of participants as of the end of the plan year

Active participants 129
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2016-03-01
Name of individual signing DONNA B. DELONG
Valid signature Filed with authorized/valid electronic signature
PREMIER COMMUNITY HEALTHCARE GROUP BENEFIT WELFARE PLAN 2013 591964612 2014-12-03 PREMIER COMMUNITY HEALTHCARE GROUP 107
Three-digit plan number (PN) 501
Effective date of plan 2013-05-01
Business code 621498
Sponsor’s telephone number 3525182000
Plan sponsor’s mailing address PO BOX 232, DADE CITY, FL, 33526
Plan sponsor’s address PO BOX 232, DADE CITY, FL, 33526

Number of participants as of the end of the plan year

Active participants 129

Signature of

Role Plan administrator
Date 2014-11-26
Name of individual signing DONNA B. DELONG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RESNICK JOSEPH D Agent 37912 CHURCH AVENUE, DADE CITY, FL, 33525

Chief Financial Officer

Name Role Address
Brandt Aaron Chief Financial Officer 37912 Church Avenue, DADE CITY, FL, 33525

Chief Executive Officer

Name Role Address
RESNICK JOSEPH D Chief Executive Officer 37912 Church Avenue, DADE CITY, FL, 33525

Chairman

Name Role Address
Coleman Tony Chairman 37912 Church Avenue, DADE CITY, FL, 33525

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000133275 PREMIER NEW PORT RICHEY PHARMACY ACTIVE 2023-10-30 2028-12-31 No data 37912 CHURCH AVE, DADE CITY, FL, 33525
G23000044296 PREMIER ZEPHYRHILLS PHARMACY ACTIVE 2023-04-06 2028-12-31 No data 37840 MEDICAL ARTS COURT, ZEPHYRHILLS, FL, 33541

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2004-05-20 PREMIER COMMUNITY HEALTHCARE GROUP, INC. No data
REINSTATEMENT 2000-10-17 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 No data No data
REINSTATEMENT 1996-09-23 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 No data No data
NAME CHANGE AMENDMENT 1990-12-31 HEALTH RESOURCE ALLIANCE OF PASCO, INC. No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State