| Entity Name: | LAKELAND FAMILY PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LAKELAND FAMILY PHARMACY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Jun 2013 (12 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | L13000088999 |
| FEI/EIN Number |
46-3695251
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 850 HANOVER WAY, LAKELAND, FL, 33813 |
| Mail Address: | 850 HANOVER WAY, LAKELAND, FL, 33813 |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467827840 | 2015-12-10 | 2015-12-10 | 427 E CENTRAL AVE, WINTER HAVEN, FL, 338803051, US | 427 E CENTRAL AVE, WINTER HAVEN, FL, 338803051, US | |||||||||||||||||||||
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| Phone | +1 863-698-7938 |
Authorized person
| Name | TIMOTHY CLAY |
| Role | MANAGING PARTNER |
| Phone | 8636195269 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH29489 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2155855 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKELAND FAMILY PHARMACY 401(K) PLAN | 2016 | 463695251 | 2017-11-21 | LAKELAND FAMILY PHARMACY, LLC | 1 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2017-11-21 |
| Name of individual signing | TIMOTHY CLAY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2017-11-21 |
| Name of individual signing | TIMOTHY CLAY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-02-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 8636987260 |
| Plan sponsor’s address | 605 W. MEMORIAL BLVD, LAKELAND, FL, 338151466 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-13 |
| Name of individual signing | TIMOTHY CLAY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2017-07-13 |
| Name of individual signing | TIMOTHY CLAY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-02-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 8636987260 |
| Plan sponsor’s address | 605 W. MEMORIAL BLVD, LAKELAND, FL, 338151466 |
Signature of
| Role | Plan administrator |
| Date | 2016-07-20 |
| Name of individual signing | TIMOTHY CLAY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2016-07-20 |
| Name of individual signing | TIMOTHY CLAY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CLAY TIMOTHY P | Managing Member | 850 HANOVER WAY, LAKELAND, FL, 33813 |
| BARKER HAROLD E | Managing Member | 1109 LAKE POINT TERRACE, LAKELAND, FL, 33813 |
| ARTMAN STEPHEN HESQ | Agent | 925 SOUTH FLORIDA AVENUE, LAKELAND, FL, 33803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| REINSTATEMENT | 2017-10-01 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-10-01 | ARTMAN, STEPHEN H, ESQ | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-04 |
| REINSTATEMENT | 2017-10-01 |
| ANNUAL REPORT | 2016-03-15 |
| ANNUAL REPORT | 2015-01-15 |
| ANNUAL REPORT | 2014-02-20 |
| Florida Limited Liability | 2013-06-18 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
