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SAISAI, INC

Company Details

Entity Name: SAISAI, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Sep 2009 (15 years ago)
Document Number: P09000080860
FEI/EIN Number 271037014
Address: 252 W SR 434, LONGWOOD, FL, 32750
Mail Address: 252 W SR 434, LONGWOOD, FL, 32750
ZIP code: 32750
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972827996 2010-03-19 2016-03-24 5660 CURRY FORD ROAD, ORLANDO, FL, 32822, US 5660 CURRY FORD RD, ORLANDO, FL, 328221445, US

Contacts

Phone +1 407-249-0246

Authorized person

Name KETAL KAPADIA
Role OWNER/PRESIDENT
Phone 4074743393

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH24520
State FL
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No

Other Provider Identifiers

Issuer PK
Number 2124239
Issuer MEDICAID
Number 002501700
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAISAI, INC. 401(K) PLAN 2023 271037014 2024-09-04 SAISAI, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 4074743393
Plan sponsor’s address 252 W SR 434, LONGWOOD, FL, 32750
SAISAI, INC. 401(K) PLAN 2022 271037014 2023-05-22 SAISAI, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 4074743393
Plan sponsor’s address 252 W SR 434, LONGWOOD, FL, 32750
SAISAI, INC. 401(K) PLAN 2021 271037014 2022-08-18 SAISAI, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 4074743393
Plan sponsor’s address 252 W SR 434, LONGWOOD, FL, 32750
SAISAI, INC. 401(K) PLAN 2020 271037014 2021-05-28 SAISAI, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 4074743393
Plan sponsor’s address 252 W SR 434, LONGWOOD, FL, 32750
SAISAI, INC. 401(K) PLAN 2019 271037014 2020-06-25 SAISAI, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 4074743393
Plan sponsor’s address 252 W SR 434, LONGWOOD, FL, 32750
SAISAI, INC. 401(K) PLAN 2018 271037014 2019-07-25 SAISAI, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 4074743393
Plan sponsor’s address 252 W SR 434, LONGWOOD, FL, 32750
SAISAI, INC. 401(K) PLAN 2017 271037014 2018-07-12 SAISAI, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 4073329753
Plan sponsor’s address 252 W SR 434, LONGWOOD, FL, 32750

Signature of

Role Plan administrator
Date 2018-07-12
Name of individual signing KETAL KEPADIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-12
Name of individual signing KETAL KEPADIA
Valid signature Filed with authorized/valid electronic signature
SAISAI, INC. 401(K) PLAN 2016 271037014 2017-07-07 SAISAI, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 4073329753
Plan sponsor’s address 252 W SR 434, LONGWOOD, FL, 32750

Signature of

Role Plan administrator
Date 2017-07-07
Name of individual signing KETAL KEPADIA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-07
Name of individual signing KETAL KEPADIA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SINGHVI SANDEEP Agent 252 W SR 434, LONGWOOD, FL, 32750

Vice President

Name Role Address
SINGHVI SANDEEP Vice President 252 W SR 434, LONGWOOD, FL, 32750

President

Name Role Address
KAPADIA KETAL President 252 W SR 434, LONGWOOD, FL, 32750

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000011887 RX CARE PHARMACY ACTIVE 2010-02-05 2025-12-31 No data 5660 CURRY FORD ROAD, ORLANDO, FL, 32822
G09000167074 LONGWOOD PHARMACY ACTIVE 2009-10-20 2029-12-31 No data 252 W SR 434, LONGWOOD, FL, 32750

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2012-02-26 SINGHVI, SANDEEP No data
REGISTERED AGENT ADDRESS CHANGED 2012-02-26 252 W SR 434, LONGWOOD, FL 32750 No data
CHANGE OF MAILING ADDRESS 2011-04-30 252 W SR 434, LONGWOOD, FL 32750 No data

Documents

Name Date
ANNUAL REPORT 2025-01-15
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State