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PINNACLE HOME CARE, INC.

Company Details

Entity Name: PINNACLE HOME CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 14 Feb 2003 (22 years ago)
Date of dissolution: 15 May 2024 (9 months ago)
Last Event: CONVERSION
Event Date Filed: 15 May 2024 (9 months ago)
Document Number: P03000018114
FEI/EIN Number 450502569
Mail Address: 4023 Tampa Rd, Suite 2200, Oldsmar, FL, 34677, US
Address: 2505 Seven Springs Blvd, Trinity, FL, 34655, US
ZIP code: 34655
County: Pasco
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PINNACLE HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2020 450502569 2021-12-24 PINNACLE HOME CARE, INC. 100
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 7278461919
Plan sponsor’s address 5286 APPLEGATE DR, SPRING HILL, FL, 34606
PINNACLE HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2017 450502569 2018-10-15 PINNACLE HOME CARE, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 7278461919
Plan sponsor’s address 5286 APPLEGATE DR, SPRING HILL, FL, 34606
PINNACLE HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2016 450502569 2018-01-31 PINNACLE HOME CARE, INC. 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 7278461919
Plan sponsor’s address 5286 APPLEGATE DR, SPRING HILL, FL, 34606
PINNACLE HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2015 450502569 2016-10-10 PINNACLE HOME CARE, INC. 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 7278461919
Plan sponsor’s address 5286 APPLEGATE DR, SPRING HILL, FL, 34606
PINNACLE HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2014 450502569 2015-08-26 PINNACLE HOME CARE, INC. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 7278461919
Plan sponsor’s address 5286 APPLEGATE DR, SPRING HILL, FL, 34606

Signature of

Role Plan administrator
Date 2015-08-26
Name of individual signing SHANE DONALDSON
Valid signature Filed with authorized/valid electronic signature
PINNACLE HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2013 450502569 2014-06-04 PINNACLE HOME CARE, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 7278461919
Plan sponsor’s address 5286 APPLEGATE DR, SPRING HILL, FL, 34606

Signature of

Role Plan administrator
Date 2014-06-04
Name of individual signing SHANE DONALDSON
Valid signature Filed with authorized/valid electronic signature
PINNACLE HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2012 450502569 2013-08-06 PINNACLE HOME CARE, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 7278461919
Plan sponsor’s address 6645 RIDGE ROAD, PORT RICHEY, FL, 34668

Signature of

Role Plan administrator
Date 2013-08-06
Name of individual signing SHANE DONALDSON
Valid signature Filed with authorized/valid electronic signature
PINNACLE HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2011 450502569 2012-10-15 PINNACLE HOME CARE, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 7278461919
Plan sponsor’s address 4821 U.S. HIGHWAY 19, SUITE 2-A, NEW PORT RICHEY, FL, 34652

Plan administrator’s name and address

Administrator’s EIN 450502569
Plan administrator’s name PINNACLE HOME CARE, INC.
Plan administrator’s address 4821 U.S. HIGHWAY 19, SUITE 2-A, NEW PORT RICHEY, FL, 34652
Administrator’s telephone number 7278461919

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing PAUL WORTHINGTON
Valid signature Filed with authorized/valid electronic signature
PINNACLE HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2010 450502569 2011-10-17 PINNACLE HOME CARE, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 7278461919
Plan sponsor’s address 4821 U.S. HIGHWAY 19, SUITE 2-A, NEW PORT RICHEY, FL, 34652

Plan administrator’s name and address

Administrator’s EIN 450502569
Plan administrator’s name PINNACLE HOME CARE, INC.
Plan administrator’s address 4821 U.S. HIGHWAY 19, SUITE 2-A, NEW PORT RICHEY, FL, 34652
Administrator’s telephone number 7278461919

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing PAUL WORTHINGTON
Valid signature Filed with authorized/valid electronic signature
PINNACLE HOME CARE, INC. 401(K) PROFIT SHARING PLAN 2009 450502569 2010-10-13 PINNACLE HOME CARE, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 7278461919
Plan sponsor’s address 4821 U.S. HIGHWAY 19, SUITE 2-A, NEW PORT RICHEY, FL, 34652

Plan administrator’s name and address

Administrator’s EIN 450502569
Plan administrator’s name PINNACLE HOME CARE, INC.
Plan administrator’s address 4821 U.S. HIGHWAY 19, SUITE 2-A, NEW PORT RICHEY, FL, 34652
Administrator’s telephone number 7278461919

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing PAUL WORTHINGTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Donaldson Shane D Agent 4023 Tampa Rd, Suite 2200, Oldsmar, FL, 34677

Chief Executive Officer

Name Role Address
DONALDSON SHANE Chief Executive Officer 4023 Tampa Rd, Suite 2200, Oldsmar, FL, 34677

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000037807 PINNACLE HOME CARE EXPIRED 2016-04-14 2021-12-31 No data 2505 SEVEN SPRINGS BLVD, TRINITY, FL, 34655
G09000190291 PINNACLE HOME CARE EXPIRED 2010-01-20 2015-12-31 No data 4821 US HIGHWAY 19, SUITE 2, NEW PORT RICHEY, FL, 34652

Events

Event Type Filed Date Value Description
CONVERSION 2024-05-15 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L24000222342. CONVERSION NUMBER 100000254031
CHANGE OF MAILING ADDRESS 2018-04-29 2505 Seven Springs Blvd, Trinity, FL 34655 No data
REGISTERED AGENT ADDRESS CHANGED 2018-04-29 4023 Tampa Rd, Suite 2200, Oldsmar, FL 34677 No data
CHANGE OF PRINCIPAL ADDRESS 2014-04-24 2505 Seven Springs Blvd, Trinity, FL 34655 No data
REGISTERED AGENT NAME CHANGED 2013-01-11 Donaldson, Shane D No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-03-05
ANNUAL REPORT 2018-04-29
ANNUAL REPORT 2017-04-19
AMENDED ANNUAL REPORT 2016-07-08
ANNUAL REPORT 2016-04-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State