| Entity Name: | K & M LAKE PLACID, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Nov 2008 (16 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P08000102919 |
| FEI/EIN Number | 263776465 |
| Address: | 133 TOWER STREET, LAKE PLACID, FL, 33852 |
| Mail Address: | 340 East Sugarland Highway, Clewiston, FL, 33440, US |
| ZIP code: | 33852 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326344516 | 2011-02-04 | 2011-02-04 | 133 TOWER ST, LAKE PLACID, FL, 338526836, US | 133 TOWER ST, LAKE PLACID, FL, 338526836, US | |||||||||||||||
|
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| Phone | +1 863-260-0100 |
| Fax | 8632600164 |
Authorized person
| Name | JOHN MUNSON |
| Role | OWNER |
| Phone | 8632600100 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Kaki Haitham | Agent | 340 East Sugarland Highway, Clewiston, FL, 33440 |
| Name | Role | Address |
|---|---|---|
| Kaki Haitham K | President | 340 East Sugarland Highway, Clewiston, FL, 33440 |
| Name | Role | Address |
|---|---|---|
| Kaki Haitham K | Treasurer | 340 East Sugarland Highway, Clewiston, FL, 33440 |
| Name | Role | Address |
|---|---|---|
| Kaki Ayman K | Vice President | 340 East Sugarland Highway, Clewiston, FL, 33440 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000106131 | K & M DRUGS | EXPIRED | 2009-05-11 | 2014-12-31 | No data | 133 TOWER STREET, LAKE PLACID, FL, 33852 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-29 | 133 TOWER STREET, LAKE PLACID, FL 33852 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-29 | Kaki, Haitham | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-29 | 340 East Sugarland Highway, Clewiston, FL 33440 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-21 | 133 TOWER STREET, LAKE PLACID, FL 33852 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-02-05 |
| ANNUAL REPORT | 2015-02-02 |
| AMENDED ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2014-03-13 |
| ANNUAL REPORT | 2013-03-06 |
| ANNUAL REPORT | 2012-01-14 |
| ANNUAL REPORT | 2011-01-13 |
| ANNUAL REPORT | 2010-01-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
