| Entity Name: | AKM CARE SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Feb 2008 (17 years ago) |
| Date of dissolution: | 18 Jun 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Jun 2019 (6 years ago) |
| Document Number: | P08000018331 |
| FEI/EIN Number | 262015302 |
| Address: | 2240 ASHBURY DR, CLEARWATER, FL, 33764, US |
| Mail Address: | 2240 ASHBURY DR, CLEARWATER, FL, 33764, US |
| ZIP code: | 33764 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033375233 | 2008-08-06 | 2008-08-06 | 1773 EMERALD DR, CLEARWATER, FL, 337563668, US | 1773 EMERALD DR, CLEARWATER, FL, 337563668, US | |||||||||||||||||||||||||||||||
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| Phone | +1 727-215-3101 |
| Fax | 7279536400 |
Authorized person
| Name | DARYLL ADSIT |
| Role | VICE PRESIDENT |
| Phone | 7272153101 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 230717 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 693725096 |
| State | FL |
| Issuer | MEDICAID |
| Number | 693725098 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AKM CARE SERVICES 401 K PROFIT SHARING PLAN TRUST | 2016 | 262015302 | 2017-05-17 | AKM CARE SERVICES | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2017-05-17 |
| Name of individual signing | DARYLL ADSIT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 7272153101 |
| Plan sponsor’s address | 559 S DUNCAN AVE, CLEARWATER, FL, 33756 |
Signature of
| Role | Plan administrator |
| Date | 2016-06-27 |
| Name of individual signing | DARYLL ADSIT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ADSIT DARYLL R | Agent | 2240 ASHBURY DR, CLEARWATER, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| ADSIT Daryll R | President | 2240 ASHBURY DR, CLEARWATER, FL, 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-06-18 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-12 | 2240 ASHBURY DR, CLEARWATER, FL 33764 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-11-15 | 2240 ASHBURY DR, CLEARWATER, FL 33764 | No data |
| CHANGE OF MAILING ADDRESS | 2018-11-15 | 2240 ASHBURY DR, CLEARWATER, FL 33764 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000383123 | LAPSED | 18-006243-CI | PINELLAS COUNTY | 2019-05-14 | 2024-06-03 | $72,481.32 | CAN CAPITAL ASSET SERVICING, INC., 2015 VAUGHN ROAD, SUITE 500, KENNESAW, GA 30144 |
| J12000780497 | TERMINATED | 1000000397228 | PINELLAS | 2012-10-17 | 2032-10-25 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CLEARWATER SERVICE CENTER, 19337 US HIGHWAY 19 N STE 200, CLEARWATER FL337643149 |
| Name | Date |
|---|---|
| DEBIT MEMO# 038069-C | 2019-08-26 |
| VOLUNTARY DISSOLUTION | 2019-06-18 |
| ANNUAL REPORT [CANCELLED] | 2019-03-12 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-23 |
| ANNUAL REPORT | 2015-02-26 |
| ANNUAL REPORT | 2014-02-28 |
| ANNUAL REPORT | 2013-03-22 |
| ANNUAL REPORT | 2012-01-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
