| Entity Name: | PINNACLE DIALYSIS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Dec 2000 (24 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P00000111829 |
| FEI/EIN Number | 651059238 |
| Address: | 2900 NORTH MILITARY TRAIL, SUITE 195, BOCA RATON, FL, 33431 |
| Mail Address: | 2900 NORTH MILITARY TRAIL, SUITE 195, BOCA RATON, FL, 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639162829 | 2005-08-24 | 2008-02-19 | 2900 N MILITARY TRL, #195, BOCA RATON, FL, 334316365, US | 2900 N MILITARY TRL, #195, BOCA RATON, FL, 334316365, US | |||||||||||||||||||||||||||
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| Phone | +1 561-241-6667 |
| Fax | 5619898550 |
Authorized person
| Name | CRAIG L STEMMER |
| Role | CEO |
| Phone | 5612416667 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 890064700 |
| State | FL |
| Issuer | BCBS |
| Number | V4M |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PINNACLE DIALYSIS, INC. 401(K) PROFIT SHARING PLAN | 2010 | 651059238 | 2011-10-06 | PINNACLE DIALYSIS, INC. | 27 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 651059238 |
| Plan administrator’s name | PINNACLE DIALYSIS, INC. |
| Plan administrator’s address | 2900 N. MILITARY TRAIL, SUITE 195, BOCA RATON, FL, 33431 |
| Administrator’s telephone number | 5612416667 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-06 |
| Name of individual signing | CRAIG STEMMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-10-06 |
| Name of individual signing | CRAIG STEMMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621492 |
| Sponsor’s telephone number | 5612416667 |
| Plan sponsor’s address | 2900 N. MILITARY TRAIL, SUITE 195, BOCA RATON, FL, 33431 |
Plan administrator’s name and address
| Administrator’s EIN | 651059238 |
| Plan administrator’s name | PINNACLE DIALYSIS, INC. |
| Plan administrator’s address | 2900 N. MILITARY TRAIL, SUITE 195, BOCA RATON, FL, 33431 |
| Administrator’s telephone number | 5612416667 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-11 |
| Name of individual signing | CRAIG STEMMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-11 |
| Name of individual signing | CRAIG STEMMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| TAYON KATHY J | Agent | 1200 EAST LAS OLAS BLVD, FT LAUDERDALE, FL, 33301 |
| Name | Role | Address |
|---|---|---|
| STEMMER CRAIG L | Director | 2900 N MILITARY TRAIL #195, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-01-21 | TAYON, KATHY JESQ. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-01-21 | 1200 EAST LAS OLAS BLVD, 400, FT LAUDERDALE, FL 33301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-01-16 |
| ANNUAL REPORT | 2008-01-21 |
| ANNUAL REPORT | 2007-01-19 |
| ANNUAL REPORT | 2006-01-11 |
| ANNUAL REPORT | 2005-02-01 |
| ANNUAL REPORT | 2004-02-06 |
| ANNUAL REPORT | 2003-01-09 |
| ANNUAL REPORT | 2002-01-11 |
| ANNUAL REPORT | 2001-03-01 |
| Domestic Profit | 2000-12-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
