| Entity Name: | POLK-HIGHLANDS-HARDEE PROFESSIONAL STANDARDS REVIEW ORGANIZATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 25 Apr 1977 (48 years ago) |
| Document Number: | 738832 |
| FEI/EIN Number | 591753247 |
| Address: | 1424 COMMERCIAL PK. DR., SUITE 7, P.O. BOX 2215, LAKELAND, FL, 33803 |
| Mail Address: | 1424 COMMERCIAL PK. DR., SUITE 7, P.O. BOX 2215, LAKELAND, FL, 33803 |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BARRANCO, SAM J. | Agent | 1424 COMMERCIAL PK. DR., LAKELAND, FL, 33802 |
| Name | Role | Address |
|---|---|---|
| BARRANCO, SAM J | Director | 160 E. LAKE HOWARD DR., WINTER HAVEN, FL |
| PALMER, ERNEST P. | Director | 214 WEST PALMETTO, WAUCHULA FL |
| CLARK, SAM J. | Director | 130 PABLO STREET, LAKELAND, FL |
| Name | Role | Address |
|---|---|---|
| PALMER, ERNEST P. | President | 214 WEST PALMETTO, WAUCHULA FL |
| Name | Role | Address |
|---|---|---|
| DORNAM, FRED I | Vice President | 1545 LAKELAND HILLS BLVD, LAKELAND, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| INVOLUNTARILY DISSOLVED | 1982-12-14 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
