| Entity Name: | GOLDEN PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
GOLDEN PHARMACY, 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: | 06 Nov 1980 (44 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Sep 1995 (30 years ago) |
| Document Number: | F04513 |
| FEI/EIN Number |
593075217
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 17324 MAIN STREET, BLOUNTSTOWN, FL, 32424 |
| Mail Address: | 17324 MAIN STREET, BLOUNTSTOWN, FL, 32424 |
| ZIP code: | 32424 |
| County: | Calhoun |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174624365 | 2006-09-26 | 2008-05-16 | 17324 MAIN ST N, BLOUNTSTOWN, FL, 324241763, US | 17324 MAIN ST N, BLOUNTSTOWN, FL, 324241763, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-674-4557 |
| Fax | 8506744568 |
Authorized person
| Name | MR. CLIFFORD D GOODMAN II |
| Role | OWNER/PHARMACIST |
| Phone | 8506744557 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH11672 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH11672 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NABP |
| Number | 1067190 |
| State | FL |
| Issuer | MEDICAID |
| Number | 101195200 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GOLDEN PHARMACY, INC. 401(K) PROFIT SHARING PLAN | 2010 | 593075217 | 2011-05-12 | GOLDEN PHARMACY, INC. | 18 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593075217 |
| Plan administrator’s name | GOLDEN PHARMACY, INC. |
| Plan administrator’s address | 17324 NORTH MAIN STREET, BLOUNTSTOWN, FL, 32424 |
| Administrator’s telephone number | 8506744557 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-12 |
| Name of individual signing | CLIFFORD GOODMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 8506744557 |
| Plan sponsor’s address | 17324 NORTH MAIN STREET, BLOUNTSTOWN, FL, 32424 |
Plan administrator’s name and address
| Administrator’s EIN | 593075217 |
| Plan administrator’s name | GOLDEN PHARMACY, INC. |
| Plan administrator’s address | 17324 NORTH MAIN STREET, BLOUNTSTOWN, FL, 32424 |
| Administrator’s telephone number | 8506744557 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-14 |
| Name of individual signing | CLIFFORD GOODMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GOODMAN CLIFFORD D | President | 17324 MAIN ST N, BLOUNTSTOWN, FL, 32424 |
| GOODMAN HOWELL S | Secretary | 17324 MAIN ST N, BLOUNTSTOWN, FL, 32424 |
| GOODMAN HOWELL S | Treasurer | 17324 MAIN ST N, BLOUNTSTOWN, FL, 32424 |
| GOODMAN CLIFFORD D | Agent | 17324 MAIN ST NORTH, BLOUNTSTOWN, FL, 32424 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2002-02-07 | 17324 MAIN ST NORTH, BLOUNTSTOWN, FL 32424 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2002-02-07 | 17324 MAIN STREET, BLOUNTSTOWN, FL 32424 | - |
| CHANGE OF MAILING ADDRESS | 2002-02-07 | 17324 MAIN STREET, BLOUNTSTOWN, FL 32424 | - |
| REINSTATEMENT | 1995-09-28 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 1993-12-21 | GOODMAN, CLIFFORD DJR. | - |
| REINSTATEMENT | 1993-12-21 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1992-10-09 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-07-14 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-04-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5904277305 | 2020-04-30 | 0491 | PPP | 17324 Main St N, Blountstown, FL, 32424 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
