| Entity Name: | XCELLENT PHARMACY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Oct 2006 (18 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 Aug 2010 (14 years ago) |
| Document Number: | P06000130810 |
| FEI/EIN Number | 205736282 |
| Address: | 11880 SW 40 ST RD, SUITE 119, MIAMI, FL, 33175 |
| Mail Address: | 11880 SW 40 ST RD, SUITE 119, MIAMI, FL, 33175 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982452264 | 2024-05-10 | 2024-05-10 | 11880 SW 40TH ST STE 119, MIAMI, FL, 331753573, US | 11880 SW 40TH ST STE 119, MIAMI, FL, 331753573, US | |||||||||||||
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| Phone | +1 305-229-1496 |
Authorized person
| Name | AYMED GONZALEZ |
| Role | PRESIDENT |
| Phone | 3052291496 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| XCELLENT PHARMACY 401(K) PROFIT SHARING PLAN & TRUST | 2022 | 205736282 | 2023-10-10 | XCELLENT PHARMACY | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-10-10 |
| Name of individual signing | AYMED MI GONZALEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 3052291496 |
| Plan sponsor’s address | 11880 SW 40 ST., MIAMI, FL, 33177 |
Signature of
| Role | Plan administrator |
| Date | 2022-04-07 |
| Name of individual signing | AYMED GONZALEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 3052291496 |
| Plan sponsor’s address | 11880 SW 40 ST., MIAMI, FL, 33177 |
Signature of
| Role | Plan administrator |
| Date | 2021-05-05 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 3052291496 |
| Plan sponsor’s address | 11880 SW 40 ST., MIAMI, FL, 33177 |
Signature of
| Role | Plan administrator |
| Date | 2020-05-19 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GONZALEZ AYMED | Agent | 11880 SW 40 ST RD, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ AYMED | President | 11880 SW 40 ST RD #119, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2010-08-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-08-20 | GONZALEZ, AYMED | No data |
| AMENDMENT | 2007-12-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-19 | 11880 SW 40 ST RD, SUITE 119, MIAMI, FL 33175 | No data |
| CHANGE OF MAILING ADDRESS | 2007-01-19 | 11880 SW 40 ST RD, SUITE 119, MIAMI, FL 33175 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-19 | 11880 SW 40 ST RD, SUITE 119, MIAMI, FL 33175 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000725216 | ACTIVE | CONO-24-040421 | BROWARD COUNTY CIVIL | 2024-10-15 | 2029-11-18 | $$21,500.13 | PAYROLL, LLC, 8409 N MILITARY TRAIL, SUITE 119, PALM BEACH GARDENS, FL 33410 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-03-11 |
| ANNUAL REPORT | 2019-03-29 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-04-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
