Entity Name: | PANCARE OF FLORIDA, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-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: | 17 Mar 2003 (22 years ago) |
Document Number: | N03000002427 |
FEI/EIN Number |
912189932
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 403 East 11th Street, PANAMA CITY, FL, 32401, US |
Mail Address: | 403 East 11th Street, PANAMA CITY, FL, 32401, US |
ZIP code: | 32401 |
County: | Bay |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326872060 | 2024-08-27 | 2024-10-11 | 2235 E 15TH ST, PANAMA CITY, FL, 324056023, US | 401 CECIL G COSTIN SR BLVD, PORT ST JOE, FL, 324561928, US | |||||||||||||||||||
|
Phone | +1 850-818-0455 |
Fax | 8502153354 |
Phone | +1 850-229-1043 |
Fax | 8502291104 |
Authorized person
Name | LORI BARTON |
Role | PHARMACY DIRECTOR |
Phone | 8508180455 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
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403(B) THRIFT PLAN OF PANCARE OF FLORIDA, INC. | 2016 | 912189932 | 2017-07-27 | PANCARE OF FLORIDA, INC. | 54 | |||||||||||||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2017-07-27 |
Name of individual signing | WILLIAM MARK GERSPACHER |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2017-07-27 |
Name of individual signing | WILLIAM MARK GERSPACHER |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2006-01-01 |
Business code | 541990 |
Sponsor’s telephone number | 8508724128 |
Plan sponsor’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Signature of
Role | Plan administrator |
Date | 2016-10-17 |
Name of individual signing | WILLIAM MARK GERSPACHER |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2016-10-17 |
Name of individual signing | WILLIAM MARK GERSPACHER |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2006-01-01 |
Business code | 541990 |
Sponsor’s telephone number | 8508724128 |
Plan sponsor’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Signature of
Role | Plan administrator |
Date | 2015-06-17 |
Name of individual signing | TOM E BREWSTER |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2015-06-17 |
Name of individual signing | TOM E BREWSTER |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2006-01-01 |
Business code | 541990 |
Sponsor’s telephone number | 8508724128 |
Plan sponsor’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Signature of
Role | Plan administrator |
Date | 2014-05-21 |
Name of individual signing | TOM E BREWSTER |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2014-05-21 |
Name of individual signing | TOM E BREWSTER |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2006-01-01 |
Business code | 541990 |
Sponsor’s telephone number | 8508724128 |
Plan sponsor’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Signature of
Role | Plan administrator |
Date | 2013-06-27 |
Name of individual signing | TOM E. BREWSTER |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2013-06-27 |
Name of individual signing | TOM E. BREWSTER |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2006-01-01 |
Business code | 541990 |
Sponsor’s telephone number | 8508724128 |
Plan sponsor’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Plan administrator’s name and address
Administrator’s EIN | 912189932 |
Plan administrator’s name | PANCARE OF FLORIDA, INC. |
Plan administrator’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Administrator’s telephone number | 8508724128 |
Signature of
Role | Plan administrator |
Date | 2012-06-15 |
Name of individual signing | TOM E BREWSTER, CFO |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2012-06-15 |
Name of individual signing | TOM E BREWSTER, CFO |
Valid signature | Filed with authorized/valid electronic signature |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2006-01-01 |
Business code | 541990 |
Sponsor’s telephone number | 8508724128 |
Plan sponsor’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Plan administrator’s name and address
Administrator’s EIN | 912189932 |
Plan administrator’s name | PANCARE OF FLORIDA, INC. |
Plan administrator’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Administrator’s telephone number | 8508724128 |
Signature of
Role | Plan administrator |
Date | 2011-07-12 |
Name of individual signing | R MICHAEL HILL |
Valid signature | Filed with incorrect/unrecognized electronic signature |
Role | Employer/plan sponsor |
Date | 2011-07-12 |
Name of individual signing | R MICHAEL HILL |
Valid signature | Filed with incorrect/unrecognized electronic signature |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2006-01-01 |
Business code | 541990 |
Sponsor’s telephone number | 8508724128 |
Plan sponsor’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Plan administrator’s name and address
Administrator’s EIN | 912189932 |
Plan administrator’s name | PANCARE OF FLORIDA, INC. |
Plan administrator’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Administrator’s telephone number | 8508724128 |
Signature of
Role | Plan administrator |
Date | 2011-07-28 |
Name of individual signing | TOM BREWSTER |
Valid signature | Filed with incorrect/unrecognized electronic signature |
Role | Employer/plan sponsor |
Date | 2011-07-28 |
Name of individual signing | TOM BREWSTER |
Valid signature | Filed with incorrect/unrecognized electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2006-01-01 |
Business code | 541990 |
Sponsor’s telephone number | 8508724128 |
Plan sponsor’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Plan administrator’s name and address
Administrator’s EIN | 912189932 |
Plan administrator’s name | PANCARE OF FLORIDA, INC. |
Plan administrator’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Administrator’s telephone number | 8508724128 |
Signature of
Role | Plan administrator |
Date | 2011-07-28 |
Name of individual signing | TOM BREWSTER |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2011-07-28 |
Name of individual signing | TOM BREWSTER |
Valid signature | Filed with authorized/valid electronic signature |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2006-01-01 |
Business code | 541990 |
Sponsor’s telephone number | 8508724128 |
Plan sponsor’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Plan administrator’s name and address
Administrator’s EIN | 912189932 |
Plan administrator’s name | PANCARE OF FLORIDA, INC. |
Plan administrator’s address | 431 W OAK AVE, PANAMA CITY, FL, 32401 |
Administrator’s telephone number | 8508724128 |
Signature of
Role | Plan administrator |
Date | 2011-07-12 |
Name of individual signing | MIKE HILL |
Valid signature | Filed with incorrect/unrecognized electronic signature |
Role | Employer/plan sponsor |
Date | 2011-07-12 |
Name of individual signing | MIKE HILL |
Valid signature | Filed with incorrect/unrecognized electronic signature |
Name | Role | Address |
---|---|---|
THOMPSON ROBERT | Chief Executive Officer | 403 E 11TH ST, PANAMA CITY, FL, 32401 |
HIEP LE H | Secretary | 1103 N. Haven Circle, Lynn Haven, FL, 32444 |
HIEP LE H | Treasurer | 1103 N. Haven Circle, Lynn Haven, FL, 32444 |
HIEP LE H | Director | 1103 N. Haven Circle, Lynn Haven, FL, 32444 |
Hardy Ronald | Chairman | 781 Choctawhatchee, Bruce, FL, 32455 |
Ramsey Willie | Vice Chairman | 1004 Marvin Avenue, Port St. Joe, FL, 32456 |
THOMPSON ROBERT | Agent | 403 East 11th Street, PANAMA CITY, FL, 32401 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G24000153555 | GOLDEN PHARMACY | ACTIVE | 2024-12-18 | 2029-12-31 | - | 403 EAST 11TH STREET, PANAMA CITY, FL, 32401 |
G19000125210 | PANCARE HEALTH | EXPIRED | 2019-11-22 | 2024-12-31 | - | 403 EAST 11TH STREET, PANAMA CITY, FL, 32401 |
G09000143416 | COMMUNITY HEALTH CNETER-WALTON COUNTY | EXPIRED | 2009-08-07 | 2014-12-31 | - | 431 OAK AVENUE, PANAMA CITY, FL, 32401 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2023-02-10 | THOMPSON, ROBERT | - |
REGISTERED AGENT ADDRESS CHANGED | 2020-04-13 | 403 East 11th Street, PANAMA CITY, FL 32401 | - |
CHANGE OF MAILING ADDRESS | 2017-11-01 | 403 East 11th Street, PANAMA CITY, FL 32401 | - |
CHANGE OF PRINCIPAL ADDRESS | 2016-06-28 | 403 East 11th Street, PANAMA CITY, FL 32401 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-05 |
ANNUAL REPORT | 2023-02-10 |
ANNUAL REPORT | 2022-04-28 |
ANNUAL REPORT | 2021-02-12 |
ANNUAL REPORT | 2020-04-13 |
ANNUAL REPORT | 2019-05-29 |
ANNUAL REPORT | 2018-06-07 |
ANNUAL REPORT | 2017-06-06 |
ANNUAL REPORT | 2016-06-28 |
ANNUAL REPORT | 2015-04-30 |
FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0000C12005G91002 | Department of Agriculture | 10.781 - WATER AND WASTE DISPOSAL SYSTEMS FOR RURAL COMMUNITIES - ARRA | 2010-07-20 | 2010-07-20 | DOMESTIC WATER GRANTS - 09/10 MULTI-YEAR STIMULUS | |||||||||||||||||||||
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0000C12005L91002 | Department of Agriculture | 10.781 - WATER AND WASTE DISPOSAL SYSTEMS FOR RURAL COMMUNITIES - ARRA | 2010-07-20 | 2010-07-20 | DIRECT WATER & WASTE DISPOSAL POSITIVE SUBSIDY - DOMESTIC WATER - PUBLIC BODY - 09/10 MULTI-YEAR SUBSIDY | |||||||||||||||||||||
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CF79165204 | Department of Agriculture | 10.766 - COMMUNITY FACILITIES LOANS AND GRANTS | 2010-03-04 | 2010-03-04 | COMMUNITY FACILITY GRANTS | |||||||||||||||||||||
|
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CF79165207 | Department of Agriculture | 10.766 - COMMUNITY FACILITIES LOANS AND GRANTS | 2010-03-04 | 2010-03-04 | DIRECT COMMUNITY FACILITY LOANS | |||||||||||||||||||||
|
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C81CS13445 | Department of Health and Human Services | 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS | 2009-06-29 | 2011-06-28 | ARRA - CAPITAL IMPROVEMENT PROGRAM | |||||||||||||||||||||
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H8BCS12504 | Department of Health and Human Services | 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS | 2009-03-27 | 2011-03-26 | ARRA - INCREASE SERVICES TO HEALTH CENTERS | |||||||||||||||||||||
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H8ACS11397 | Department of Health and Human Services | 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS | 2009-03-01 | 2011-02-28 | RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM | |||||||||||||||||||||
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H80CS06452 | Department of Health and Human Services | 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) | 2005-09-19 | 2008-11-30 | HEALTH CENTER CLUSTER | |||||||||||||||||||||
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EIN | Type of Organization | Exempt Organization Status | Address | Ruling Date | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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91-2189932 | Corporation | Unconditional Exemption | 403 E 11TH ST, PANAMA CITY, FL, 32401-3409 | 2022-04 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Description | Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. |
On Publication 78 Data List | Yes |
Deductibility | Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions) |
Auto-Revocation List
Description | Organizations whose federal tax exempt status was automatically revoked for not filing a Form 990-series return or notice for three consecutive years. Important note: Just because an organization appears on this list, it does not mean the organization is currently revoked, as they may have been reinstated. |
Exemption Type | 501(c)(3): Religious, educational, charitable, scientific, literary, testing for public safety, fostering national or international amateur sports competition, or prevention of cruelty to children or animals organizations |
Revocation Date | 2021-04-15 |
Revocation Posting Date | 2021-07-12 |
Exemption Reinstatement Date | 2021-04-15 |
Determination Letter
Final Letter(s) |
FinalLetter_91-2189932_PANCAREOFFLORIDAINC_04062022_00.tif |
Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name | PANCARE OF FLORIDA INC |
EIN | 91-2189932 |
Tax Period | 202211 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | PANCARE OF FLORIDA INC |
EIN | 91-2189932 |
Tax Period | 202111 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | PANCARE OF FLORIDA INC |
EIN | 91-2189932 |
Tax Period | 201711 |
Filing Type | P |
Return Type | 990 |
File | View File |
Organization Name | PANCARE OF FLORIDA |
EIN | 91-2189932 |
Tax Period | 201711 |
Filing Type | P |
Return Type | 990 |
File | View File |
Organization Name | PANCARE OF FLORIDA |
EIN | 91-2189932 |
Tax Period | 201611 |
Filing Type | P |
Return Type | 990 |
File | View File |
Organization Name | PANCARE OF FLORIDA |
EIN | 91-2189932 |
Tax Period | 201611 |
Filing Type | P |
Return Type | 990R |
File | View File |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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2742547110 | 2020-04-11 | 0491 | PPP | 403 E 11TH ST, PANAMA CITY, FL, 32401-3409 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
3518990 | Intrastate Non-Hazmat | 2020-11-10 | - | - | 2 | 8 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||
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Total Number of Inspections for the measurement period (24 months) | 0 |
Driver Fitness BASIC Serious Violation Indicator | No |
Vehicle Maintenance BASIC Acute/Critical Indicator | No |
Unsafe Driving BASIC Acute/Critical Indicator | No |
Driver Fitness BASIC Roadside Performance measure value | 0 |
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
Total Number of Driver Inspections for the measurment period | 0 |
Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
Total Number of Vehicle Inspections for the measurement period | 0 |
Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
Number of inspections with at least one Driver Fitness BASIC violation | 0 |
Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
Number of inspections with at least one Vehicle Maintenance BASIC violation | 0 |
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State