| Entity Name: | BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 01 Jul 1980 (45 years ago) |
| Document Number: | 753198 |
| FEI/EIN Number | 592015694 |
| Address: | 4800 DEERWOOD CAMPUS PARKWAY, JACKSONVILLE, FL, 32246, US |
| Mail Address: | P.O. BOX 60729, JACKSONVILLE, FL, 32236 |
| ZIP code: | 32246 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CY3CIREO3HYBKXC2HK74 | 753198 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
|
||||||||||||||||||||||||
| Legal | C/O Chief Financial Officer, PO Box 6200, 200 East Gaines Street, Tallahassee, US-FL, US, 32314 |
| Headquarters | C/O Chief Financial Officer, 200 East Gaines Street, Tallahassee, US-FL, US, 32399 |
Registration details
| Registration Date | 2012-06-06 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2018-04-10 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 753198 |
| Name | Role | Address |
|---|---|---|
| CHIEF FINANCIAL OFFICER | Agent | P O BOX 6200 (32314-6200), TALLAHASSEE, FL, 323990000 |
| Name | Role | Address |
|---|---|---|
| DIVITA CHARLES III | Chief Financial Officer | 4800 DEERWOOD CAMPUS PARKWAY, DC1-8, JACKSONVILLE, FL, 32246 |
| Name | Role | Address |
|---|---|---|
| JOSEPH CHARLES | Secretary | 4800 DEERWOOD CAMPUS PARKWAY, DC1-8, JACKSONVILLE, FL, 32246 |
| Name | Role | Address |
|---|---|---|
| COATS WILLIAM A | Treasurer | 4800 DEERWOOD CAMPUS PARKWAY, DC1-6, JACKSONVILLE, FL, 32246 |
| Name | Role | Address |
|---|---|---|
| HALVERSON STEVEN T | Director | 111 Riverside Avenue, Jacksonville, FL, 32202 |
| JENKINS LEERIE JR | Director | 10748 Deerwood Park Blvd., S., Jacksonville, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| GERAGHTY PATRICK | Chief Executive Officer | 4800 DEERWOOD CAMPUS PARKWAY, DC1-8, JACKSONVILLE, FL, 32246 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000098065 | BLUECROSS BLUESHIELD FL | ACTIVE | 2013-10-03 | 2028-12-31 | No data | 4800 DEERWOOD CAMPUS PARKWAY 100-7, JACKSONVILLE, FL, 32246 |
| G11000110399 | FLORIDA BLUE | ACTIVE | 2011-11-14 | 2026-12-31 | No data | 4800 DEERWOOD CAMPUS PARKWAY, 107, JACKSONVILLE, FL, 32246 |
| G11000020851 | BLUE CROSS AND BLUE SHIELD OF FLORIDA | ACTIVE | 2011-02-25 | 2026-12-31 | No data | 4800 DEERWOOD CAMPUS PARKWAY, 107, JACKSONVILLE, FL, 32246, US |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2013-12-11 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS P20000012831. CONVERSION NUMBER 100000200091 |
| AMENDED AND RESTATEDARTICLES | 2013-12-11 | No data | No data |
| REINSTATEMENT | 1989-12-21 | No data | No data |
| INVOL DISSOLUTION FOR ANNUAL REPORT | 1989-10-13 | No data | No data |
| AMENDMENT | 1987-10-27 | No data | No data |
| AMENDMENT | 1982-10-01 | No data | No data |
| CONSOLIDATION | 1980-07-01 | No data | CONSOLIDATION RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 2. CONSOLIDATION NUMBER 500000133745 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
