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  5. DNA PHARMACY SERVICES, INC.

DNA PHARMACY SERVICES, INC.

Company Details

Entity Name: DNA PHARMACY SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 Nov 2003 (21 years ago)
Date of dissolution: 28 May 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 28 May 2022 (3 years ago)
Document Number: P03000140711
FEI/EIN Number 200423862
Address: 2151 S. ALTERNATE A1A, SUITE 1500, JUPITER, FL, 33477, US
Mail Address: 2151 S. ALTERNATE A1A, SUITE 1500, JUPITER, FL, 33477, US
ZIP code: 33477
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912900226 2005-05-31 2016-06-21 2151 S. HIGHWAY ALT. A1A, SUITE 1500, THREE PALMS CENTER, JUPITER, FL, 33477, US 2151 S. HIGHWAY ALT. A1A, SUITE 1500, THREE PALMS CENTER, JUPITER, FL, 33477, US

Contacts
Phone +1 561-741-1191
Fax 5617411193

Authorized person
Name DAVID UPSON
Role PIC
Phone 5617411191

Taxonomy
Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH20850
State FL
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
Is Primary No

Other Provider Identifiers
Issuer PK
Number 2004039

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DNA PHARMACY SERVICES, INC. 401(K) PLAN 2016 200423862 2017-07-27 DNA PHARMACY SERVICES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 446110
Sponsor’s telephone number 5617411191
Plan sponsor’s address 2151 S HIGHWAY A1A ALT, SUITE 1500, JUPITER, FL, 33477
DNA PHARMACY SERVICES, INC. 401(K) PLAN 2015 200423862 2016-10-04 DNA PHARMACY SERVICES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 446110
Sponsor’s telephone number 5617411191
Plan sponsor’s address 2151 S HIGHWAY A1A ALT, SUITE 1500, JUPITER, FL, 33477
DNA PHARMACY SERVICES, INC. 401(K) PLAN 2014 200423862 2015-09-11 DNA PHARMACY SERVICES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 446110
Sponsor’s telephone number 5617411191
Plan sponsor’s address 155 TONEY PENNA DR., SUITE 1B, JUPITER, FL, 33458
DNA PHARMACY SERVICES, INC. 401(K) PLAN 2013 200423862 2014-05-29 DNA PHARMACY SERVICES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 446110
Sponsor’s telephone number 5617411191
Plan sponsor’s address 155 TONEY PENNA DR., SUITE 1B, JUPITER, FL, 33458
DNA PHARMACY SERVICES, INC. 401(K) PLAN 2012 200423862 2013-09-23 DNA PHARMACY SERVICES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 446110
Sponsor’s telephone number 5617411191
Plan sponsor’s address 155 TONEY PENNA DR., SUITE 1B, JUPITER, FL, 33458

Signature of
Role Plan administrator
Date 2013-09-23
Name of individual signing DAVID UPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-23
Name of individual signing DAVID UPSON
Valid signature Filed with authorized/valid electronic signature
DNA PHARMACY SERVICES, INC. 401(K) PLAN 2011 200423862 2012-07-30 DNA PHARMACY SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 446110
Sponsor’s telephone number 5617411191
Plan sponsor’s address 155 TONEY PENNA DR., SUITE 1B, JUPITER, FL, 33458

Plan administrator’s name and address
Administrator’s EIN 200423862
Plan administrator’s name DNA PHARMACY SERVICES, INC.
Plan administrator’s address 155 TONEY PENNA DR., SUITE 1B, JUPITER, FL, 33458
Administrator’s telephone number 5617411191

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing DAVID UPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-30
Name of individual signing DAVID UPSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Montgomery Elizabeth AEsq. Agent 2151 S. ALTERNATE A1A, SUITE 1500, JUPITER, FL, 33477

President

Name Role Address
UPSON DAVID R President 2151 S. ALTERNATE A1A, SUITE 1500, JUPITER, FL, 33477

Director

Name Role Address
UPSON DAVID R Director 2151 S. ALTERNATE A1A, SUITE 1500, JUPITER, FL, 33477

Vice President

Name Role Address
MONTGOMERY ELIZABETH AEsq. Vice President 2151 S. ALTERNATE A1A - STE. 1500, JUPITER, FL, 33477

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000035040 PALM BEACH COMPOUNDING PHARMACY EXPIRED 2016-04-06 2021-12-31 No data 2151 S. ALTERNATE A1A, SUITE 1500, JUPITER, FL, 33477
G04131900082 PALM BEACH COMPOUNDING EXPIRED 2004-05-08 2024-12-31 No data 2151 S. ALTERNATE A1A, 1500, JUPITER, FL, 33477

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-05-28 No data No data
REGISTERED AGENT NAME CHANGED 2021-04-03 Montgomery, Elizabeth A, Esq. No data
AMENDMENT 2016-04-04 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-03-25 2151 S. ALTERNATE A1A, SUITE 1500, JUPITER, FL 33477 No data
CHANGE OF MAILING ADDRESS 2015-03-25 2151 S. ALTERNATE A1A, SUITE 1500, JUPITER, FL 33477 No data
REGISTERED AGENT ADDRESS CHANGED 2015-03-25 2151 S. ALTERNATE A1A, SUITE 1500, JUPITER, FL 33477 No data
AMENDMENT 2009-03-23 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-05-28
ANNUAL REPORT 2021-04-03
ANNUAL REPORT 2020-06-11
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-05
Amendment 2016-04-04
ANNUAL REPORT 2016-03-01
ANNUAL REPORT 2015-03-25
ANNUAL REPORT 2014-02-26

Related by officers

MONTGOMERY ELIZABETH AEsq.

ELIZABETH A. MONTGOMERY, P.A.

Montgomery Elizabeth AEsq.

DNA PROPERTY HOLDINGS, LLC

Related by address

2151 S. ALTERNATE A1A, SUITE 1500, JUPITER, FL, 33477, US

DNA PROPERTY HOLDINGS, LLC

2151 S. ALTERNATE A1A, SUITE 1500, JUPITER, FL, 33477, US

DNA PROPERTY HOLDINGS, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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