| Entity Name: | MEDICAL & DIABETIC SUPPLIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Aug 2002 (22 years ago) |
| Date of dissolution: | 08 Nov 2016 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Nov 2016 (8 years ago) |
| Document Number: | P02000091223 |
| FEI/EIN Number | 010741428 |
| Address: | 197 HAMPTON CIRCLE, JUPITER, FL, 33458 |
| Mail Address: | 197 HAMPTON CIRCLE, JUPITER, FL, 33458 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184650780 | 2006-06-24 | 2008-07-29 | 197 HAMPTON CIR, JUPITER, FL, 334588145, US | 1829 PARK LN S, SUITE 2, JUPITER, FL, 334588086, US | |||||||||||||||||||
|
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| Phone | +1 561-745-9167 |
| Fax | 5617474647 |
Authorized person
| Name | MRS. LINDA SUE PENCHANSKY |
| Role | PRESIDENT |
| Phone | 5617459167 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 4560810001 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL DIABETIC SUPPLIES | 2011 | 010741428 | 2013-07-17 | MEDICAL DIABETIC SUPPLIES | 18 | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 010741428 |
| Plan administrator’s name | MEDICAL DIABETIC SUPPLIES |
| Plan administrator’s address | 197 HAMPTON CIR, JUPITER, FL, 33458 |
| Administrator’s telephone number | 5617459167 |
Number of participants as of the end of the plan year
| Active participants | 0 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-17 |
| Name of individual signing | SUE PENCHANSKY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-07-17 |
| Name of individual signing | SUE PENCHANSKY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 5617459167 |
| Plan sponsor’s mailing address | 197 HAMPTON CIR, JUPITER, FL, 33458 |
| Plan sponsor’s address | 197 HAMPTON CIR, JUPITER, FL, 33458 |
Plan administrator’s name and address
| Administrator’s EIN | 010741428 |
| Plan administrator’s name | MEDICAL DIABETIC SUPPLIES |
| Plan administrator’s address | 197 HAMPTON CIR, JUPITER, FL, 33458 |
| Administrator’s telephone number | 5617459167 |
Number of participants as of the end of the plan year
| Active participants | 18 |
| Number of participants with account balances as of the end of the plan year | 18 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-17 |
| Name of individual signing | SUE PENCHANSKY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-07-17 |
| Name of individual signing | SUE PENCHANSKY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 5617459167 |
| Plan sponsor’s address | 1829 PARK LANE SOUTH, STE 2, JUPITER, FL, 33458 |
Plan administrator’s name and address
| Administrator’s EIN | 010741428 |
| Plan administrator’s name | MEDICAL DIABETIC SUPPLIES |
| Plan administrator’s address | 1829 PARK LANE SOUTH, STE 2, JUPITER, FL, 33458 |
| Administrator’s telephone number | 5617459167 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-28 |
| Name of individual signing | MEDICAL DIABETIC SUPPLIES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PENCHANSKY LINDA S | Agent | 197 HAMPTON CIRCLE, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| PENCHANSKY LINDA | President | 197 HAMPTON CIRCLE, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-11-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-10-24 | 197 HAMPTON CIRCLE, JUPITER, FL 33458 | No data |
| CHANGE OF MAILING ADDRESS | 2011-10-24 | 197 HAMPTON CIRCLE, JUPITER, FL 33458 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-01-28 |
| ANNUAL REPORT | 2014-01-21 |
| ANNUAL REPORT | 2013-01-22 |
| ANNUAL REPORT | 2012-03-15 |
| ANNUAL REPORT | 2011-02-17 |
| ANNUAL REPORT | 2010-02-19 |
| ANNUAL REPORT | 2009-03-19 |
| ANNUAL REPORT | 2008-01-17 |
| ANNUAL REPORT | 2007-01-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
