| Entity Name: | SUPERMED, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Aug 1984 (40 years ago) |
| Date of dissolution: | 22 Feb 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Feb 2015 (10 years ago) |
| Document Number: | H19061 |
| FEI/EIN Number | 59-2441915 |
| Address: | 525 SHADOW LAKES BLVD, ORMOND BCH., FL 32174 |
| Mail Address: | 525 SHADOW LAKES BLVD, ORMOND BCH., FL 32174 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316071277 | 2007-03-15 | 2020-08-22 | 525 SHADOW LAKES BLVD, ORMOND BEACH, FL, 321745003, US | 525 SHADOW LAKES BLVD, ORMOND BEACH, FL, 321745003, US | |||||||||||||||||||
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| Phone | +1 386-672-9530 |
| Fax | 3866772072 |
Authorized person
| Name | MR. ALAN J RABIN |
| Role | CEO |
| Phone | 3866729530 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1123 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUPERMED, INC. PROFIT SHARING PLAN | 2013 | 592441915 | 2014-07-30 | SUPERMED, INC | 17 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-07-28 |
| Name of individual signing | ALAN RABIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2014-07-28 |
| Name of individual signing | ALAN RABIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1989-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 3866729530 |
| Plan sponsor’s address | 124 NORTH NOVA ROAD, PMB #123, ORMOND BEACH, FL, 32174 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-30 |
| Name of individual signing | ALAN RABIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BAUER, BRIAN | Agent | 525 SHADOW LAKES BLVD, ORMOND BCH., FL 32174 |
| Name | Role | Address |
|---|---|---|
| Bane, Phillip | President | 525 SHADOW LAKES BLVD, ORMOND BCH., FL 32174 |
| Name | Role | Address |
|---|---|---|
| Bane, Phillip | Treasurer | 525 SHADOW LAKES BLVD, ORMOND BCH., FL 32174 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000043041 | SUPERMED | EXPIRED | 2013-05-04 | 2018-12-31 | No data | 525 SHADOW LAKES BLVD, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-02-22 | No data | No data |
| AMENDMENT | 2002-04-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1997-09-15 | 525 SHADOW LAKES BLVD, ORMOND BCH., FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 1997-09-15 | 525 SHADOW LAKES BLVD, ORMOND BCH., FL 32174 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-02-22 |
| Reg. Agent Resignation | 2014-07-31 |
| Reg. Agent Change | 2014-05-14 |
| ANNUAL REPORT | 2014-04-30 |
| AMENDED ANNUAL REPORT | 2013-09-11 |
| AMENDED ANNUAL REPORT | 2013-05-16 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-05-01 |
| ANNUAL REPORT | 2011-05-03 |
| ANNUAL REPORT | 2010-04-02 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
