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  5. UNITED DIABETIC SUPPLIES, INC.

UNITED DIABETIC SUPPLIES, INC. - Florida Company Profile

Company Details

Entity Name: UNITED DIABETIC SUPPLIES, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
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: 10 May 2012 (13 years ago)
Document Number: F12000002000
FEI/EIN Number 263374387

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 901 Northpoint Parkway, Suite 300, West Palm Beach, FL, 33407, US
Mail Address: PO BOX 7272, JUPITER, FL, 33468
ZIP code: 33407
County: Palm Beach
Place of Formation: VIRGINIA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174846356 2010-03-02 2010-03-02 1201 US HIGHWAY 1, STE 36, NORTH PALM BEACH, FL, 334083550, US 1201 US HIGHWAY 1, STE 36, NORTH PALM BEACH, FL, 334083550, US

Contacts
Phone +1 703-349-6800
Fax 7033491680

Authorized person
Name DANIEL SPIVAK
Role PRESIDENT
Phone 7033496800

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNITED DIABETIC SUPPLIES, INC. 401(K) PLAN 2018 263374387 2019-10-04 UNITED DIABETIC SUPPLIES, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424210
Sponsor’s telephone number 7033496800
Plan sponsor’s address 1201 US HIGHWAY 1, #36, NORTH PALM BEACH, FL, 33408
UNITED DIABETIC SUPPLIES, INC. 401(K) PLAN 2017 263374387 2018-10-11 UNITED DIABETIC SUPPLIES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424210
Sponsor’s telephone number 7033496800
Plan sponsor’s address 1201 US HIGHWAY 1, #36, NORTH PALM BEACH, FL, 33408
UNITED DIABETIC SUPPLIES, INC. 401(K) PLAN 2016 263374387 2018-10-11 UNITED DIABETIC SUPPLIES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424210
Sponsor’s telephone number 7033496800
Plan sponsor’s address 1201 US HIGHWAY 1, #36, NORTH PALM BEACH, FL, 33408
UNITED DIABETIC SUPPLIES, INC. 401(K) PLAN 2016 263374387 2018-01-23 UNITED DIABETIC SUPPLIES, INC. 12
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424210
Sponsor’s telephone number 7033496800
Plan sponsor’s address 1201 US HIGHWAY 1, #36, NORTH PALM BEACH, FL, 33408
THE ACCUMULATOR 401(K) PLAN 2015 263374387 2017-02-02 UNITED DIABETIC SUPPLIES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424210
Sponsor’s telephone number 7033496800
Plan sponsor’s address 1201 US HIGHWAY 1, #36, NORTH PALM BEACH, FL, 33408

Plan administrator’s name and address
Administrator’s EIN 451739578
Plan administrator’s name TPS ANCILLARY SERVICES
Plan administrator’s address 206 S. OLIVE AVENUE, WEST PALM BEACH, FL, 33401
Administrator’s telephone number 5614594871

Signature of
Role Plan administrator
Date 2017-02-02
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-02
Name of individual signing PAUL SPIVAK
Valid signature Filed with authorized/valid electronic signature
THE ACCUMULATOR 401(K) PLAN 2015 263374387 2016-09-27 UNITED DIABETIC SUPPLIES, INC. 12
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424210
Sponsor’s telephone number 7033496800
Plan sponsor’s address 1201 US HIGHWAY 1, #36, NORTH PALM BEACH, FL, 33408

Plan administrator’s name and address
Administrator’s EIN 451739578
Plan administrator’s name TPS ANCILLARY SERVICES
Plan administrator’s address 206 S. OLIVE AVENUE, WEST PALM BEACH, FL, 33401
Administrator’s telephone number 5614594871

Signature of
Role Plan administrator
Date 2016-09-27
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-27
Name of individual signing PAUL SPIVAK
Valid signature Filed with authorized/valid electronic signature
THE ACCUMULATOR 401(K) PLAN 2014 263374387 2015-10-13 UNITED DIABETIC SUPPLIES, INC. 15
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424210
Sponsor’s telephone number 7033496800
Plan sponsor’s address 1201 US HIGHWAY 1, #36, NORTH PALM BEACH, FL, 33408

Plan administrator’s name and address
Administrator’s EIN 451739578
Plan administrator’s name TPS ANCILLARY SERVICES
Plan administrator’s address 206 S. OLIVE AVENUE, WEST PALM BEACH, FL, 33401
Administrator’s telephone number 5614594871

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing GEORGE SPIVAK
Valid signature Filed with authorized/valid electronic signature
THE ACCUMULATOR 401(K) PLAN 2014 263374387 2017-02-02 UNITED DIABETIC SUPPLIES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424210
Sponsor’s telephone number 7033496800
Plan sponsor’s address 1201 US HIGHWAY 1, #36, NORTH PALM BEACH, FL, 33408

Plan administrator’s name and address
Administrator’s EIN 451739578
Plan administrator’s name TPS ANCILLARY SERVICES
Plan administrator’s address 206 S. OLIVE AVENUE, WEST PALM BEACH, FL, 33401
Administrator’s telephone number 5614594871

Signature of
Role Plan administrator
Date 2017-02-02
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-02
Name of individual signing PAUL SPIVAK
Valid signature Filed with authorized/valid electronic signature
THE ACCUMULATOR 401(K) PLAN 2013 263374387 2014-10-13 UNITED DIABETIC SUPPLIES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424210
Sponsor’s telephone number 7033496800
Plan sponsor’s address 1201 US HIGHWAY 1, #36, NORTH PALM BEACH, FL, 33408

Plan administrator’s name and address
Administrator’s EIN 451739578
Plan administrator’s name TPS ANCILLARY SERVICES
Plan administrator’s address 206 S. OLIVE AVENUE, WEST PALM BEACH, FL, 33401
Administrator’s telephone number 5614594871

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-13
Name of individual signing GEORGE SPIVAK
Valid signature Filed with authorized/valid electronic signature
THE ACCUMULATOR 401(K) PLAN 2012 263374387 2013-10-11 UNITED DIABETIC SUPPLIES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 424210
Sponsor’s telephone number 7033496800
Plan sponsor’s address 1201 US HIGHWAY 1, #36, NORTH PALM BEACH, FL, 33408

Plan administrator’s name and address
Administrator’s EIN 451739578
Plan administrator’s name TPS ANCILLARY SERVICES
Plan administrator’s address 206 S. OLIVE AVENUE, WEST PALM BEACH, FL, 33401
Administrator’s telephone number 5614594871

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-11
Name of individual signing DANIEL SPIVAK
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SPIVAK DANIEL Chairman 7057 Edison Pl, PALM BEACH GARDENS, FL, 33418
SPIVAK PAUL Agent 118 CASSILLY WAY, JUPITER, FL, 33458

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000105119 A&R MEDICAL EXPIRED 2014-10-16 2024-12-31 - 901 NORTHPOINT PARKWAY, SUITE 300, WEST PALM BEACH, FL, 33407
G13000124488 A & R PROTECT EXPIRED 2013-12-19 2018-12-31 - 1201 U.S HWY #1 STE 245, N.PALM BEACH, FL, 33408
G13000121612 A&R SUPPORT EXPIRED 2013-12-12 2018-12-31 - 1201 U.S. HWY #1, STE 245, N. PALM BEACH, FL, 33408

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-01-14 901 Northpoint Parkway, Suite 300, West Palm Beach, FL 33407 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J24000490472 ACTIVE 23-008337-CI PINELLAS COUNTY 2024-07-26 2029-08-01 $103,066.85 EMILY CORPORATION D/B/A DDP MEDICAL SUPPLY LLC, 11800 28 ST N, PETERSBURG, FL 33716
J24000360642 TERMINATED 1000000995004 PALM BEACH 2024-05-28 2034-06-12 $ 2,933.48 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J18000168336 TERMINATED 1000000779841 PALM BEACH 2018-04-18 2028-04-25 $ 5,450.02 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J16000291058 TERMINATED 1000000710609 PALM BEACH 2016-04-13 2026-05-09 $ 7,942.20 STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-02-11
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-06-13
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2527588409 2021-02-03 0455 PPS 901 Northpoint Pkwy Ste 300, West Palm Bch, FL, 33407-1953
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 67520
Loan Approval Amount (current) 67520
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address West Palm Bch, PALM BEACH, FL, 33407-1953
Project Congressional District FL-20
Number of Employees 12
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 67919.57
Forgiveness Paid Date 2021-09-09
5687827710 2020-05-01 0455 PPP 901 NORTHPOINT PKWY STE 300, WEST PALM BCH, FL, 33407-1953
Loan Status Date 2022-08-13
Loan Status Charged Off
Loan Maturity in Months 30
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 59587
Loan Approval Amount (current) 137500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description New Business or 2 years or less
Project Address WEST PALM BCH, PALM BEACH, FL, 33407-1953
Project Congressional District FL-20
Number of Employees 15
NAICS code -
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 68287.69
Forgiveness Paid Date 2021-07-19

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Companies related by address

PO BOX 7272, JUPITER, FL, 33468

CAP MED CORP. KLICFIN, LLC A&R MEDICAL CARE LLC SUNSHINE PROPERTIES OF SOUTH FLORIDA, INC

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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