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  5. ITANI FAMILY PHARMACY PLC

ITANI FAMILY PHARMACY PLC

Company Details

Entity Name: ITANI FAMILY PHARMACY PLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Aug 2011 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 11 Dec 2012 (12 years ago)
Document Number: L11000095606
FEI/EIN Number 453043588
Mail Address: 1791 Highway A1A, apt 1104, Satellite Beach, FL, 32937, US
Address: 2507 Garden St, Titusville, FL, 32796, US
ZIP code: 32796
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235415662 2011-10-31 2011-10-31 2507 GARDEN ST, TITUSVILLE, FL, 327964612, US 2507 GARDEN ST, TITUSVILLE, FL, 327964612, US

Contacts
Phone +1 321-269-7772

Authorized person
Name DR. BASIL ITANI
Role OWNER
Phone 3212697772

Taxonomy
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH25723
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ITANI FAMILY PHARMACY, PLC 401K PROFIT SHARING PLAN 2020 453043588 2021-07-11 ITANI FAMILY PHARMACY, PLC 6
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 3212697772
Plan sponsor’s address 2507 GARDEN STREET, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2021-07-11
Name of individual signing NIKKI TUIKABA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-11
Name of individual signing NIKKI TUIKABA
Valid signature Filed with authorized/valid electronic signature
ITANI FAMILY PHARMACY, PLC 401K PROFIT SHARING PLAN 2020 453043588 2021-07-11 ITANI FAMILY PHARMACY, PLC 6
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 3212697772
Plan sponsor’s address 2507 GARDEN STREET, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2021-07-11
Name of individual signing NIKKI TUIKABA
Valid signature Filed with authorized/valid electronic signature
ITANI FAMILY PHARMACY, PLC 401K PROFIT SHARING PLAN 2020 453043588 2021-08-11 ITANI FAMILY PHARMACY, PLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 3212697772
Plan sponsor’s address 2507 GARDEN STREET, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2021-08-11
Name of individual signing BASIL S ITANI
Valid signature Filed with authorized/valid electronic signature
ITANI FAMILY PHARMACY, PLC 401K PROFIT SHARING PLAN 2019 453043588 2020-05-08 ITANI FAMILY PHARMACY, PLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 3212697772
Plan sponsor’s address 2507 GARDEN STREET, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2020-05-08
Name of individual signing NIKKI TUIKABA
Valid signature Filed with authorized/valid electronic signature
ITANI FAMILY PHARMACY, PLC SAFE HARBOR 401K PROFIT SHARING PLAN 2018 453043588 2019-08-23 ITANI FAMILY PHARMACY, PLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 3212697772
Plan sponsor’s address 2507 GARDEN STREET, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2019-08-23
Name of individual signing BASIL ITANI
Valid signature Filed with authorized/valid electronic signature
ITANI FAMILY PHARMACY, PLC SAFE HARBOR 401K PROFIT SHARING PLAN 2017 453043588 2018-10-12 ITANI FAMILY PHARMACY, PLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 3212697772
Plan sponsor’s address 2507 GARDEN STREET, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing BASIL ITANI
Valid signature Filed with authorized/valid electronic signature
ITANI FAMILY PHARMACY, PLC SAFE HARBOR 401K PROFIT SHARING PLAN 2016 453043588 2018-10-12 ITANI FAMILY PHARMACY, PLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 3212697772
Plan sponsor’s address 2507 GARDEN STREET, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing BASIL ITANI
Valid signature Filed with authorized/valid electronic signature
ITANI FAMILY PHARMACY, PLC SAFE HARBOR 401K PROFIT SHARING PLAN 2016 453043588 2017-09-13 ITANI FAMILY PHARMACY, PLC 3
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 3212697772
Plan sponsor’s address 2507 GARDEN STREET, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2017-09-13
Name of individual signing BASIL ITANI
Valid signature Filed with authorized/valid electronic signature
ITANI FAMILY PHARMACY, PLC SAFE HARBOR 401K PROFIT SHARING PLAN 2015 453043588 2016-10-14 ITANI FAMILY PHARMACY, PLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 3212697772
Plan sponsor’s address 2507 GARDEN STREET, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing BASIL ITANI
Valid signature Filed with authorized/valid electronic signature
ITANI FAMILY PHARMACY, PLC SAFE HARBOR 401K PROFIT SHARING PLAN 2014 453043588 2015-10-15 ITANI FAMILY PHARMACY, PLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 446110
Sponsor’s telephone number 3212697772
Plan sponsor’s address 2507 GARDEN STREET, TITUSVILLE, FL, 32796

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing BASIL ITANI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Itani Basil Agent 1791 Highway A1A, Satellite Beach, FL, 32937

CO

Name Role Address
Itani Dania CO 1791 Highway A1A, Satellite Beach, FL, 32937

Officer

Name Role Address
Itani Dania Officer 1791 Highway A1A, Satellite Beach, FL, 32937

Auth

Name Role Address
Itani Basil Auth 1791 Highway A1A, Satellite Beach, FL, 32937

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-07-17 2507 Garden St, Titusville, FL 32796 No data
REGISTERED AGENT NAME CHANGED 2024-07-17 Itani, Basil No data
REGISTERED AGENT ADDRESS CHANGED 2024-07-17 1791 Highway A1A, apt 1104, Satellite Beach, FL 32937 No data
CHANGE OF PRINCIPAL ADDRESS 2017-04-26 2507 Garden St, Titusville, FL 32796 No data
REINSTATEMENT 2012-12-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-07-17
ANNUAL REPORT 2024-01-12
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-25
ANNUAL REPORT 2020-01-08
ANNUAL REPORT 2019-02-26
ANNUAL REPORT 2018-03-16
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-30

Related by officers

Itani Basil

ITANI RENTALS, LLC

Related by address

1791 Highway A1A, apt 1104, Satellite Beach, FL, 32937, US

ITANI RENTALS, LLC ITANI PROPERTIES, LLC

2507 Garden St, Titusville, FL, 32796, US

MCCW PROPERTIES LLC *****SEE NOTE NORTH BREVARD RV LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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