MAGELLAN MEDICAID ADMINISTRATION, INC. - Florida Company Profile
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| Entity Name: | MAGELLAN MEDICAID ADMINISTRATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 26 Jan 1978 (48 years ago) |
| Date of dissolution: | 08 Dec 2022 (3 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 08 Dec 2022 (3 years ago) |
| Document Number: | 839906 |
| FEI/EIN Number | 540849793 |
| Mail Address: | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD, 21046, US |
| Address: | 11013 W. BROAD STREET, STE. 500, GLEN ALLEN, VA, 23060, US |
| Place of Formation: | VIRGINIA |
| Name | Role | Address |
|---|---|---|
| FASOLA KENNETH | Director | 4801 E. Washington Street, Phoenix, AZ, 85034 |
| Duke Derrick | Vice President | 4801 E. Washington Street, Phoenix, AZ, 85034 |
| MCQUILLEN MICHAEL | Vice President | 8621 ROBERT FULTON DR, COLUMBIA, MD, 21046 |
| - | Agent | - |
| KAMAL MOSTAFA | President | 11013 W. BROAD STREET, GLEN ALLEN, VA, 23060 |
| ALCORN TERESA | Vice President | 4800 N. SCOTTSDALE ROAD, SCOTTSDALE, AZ, 85251 |
| DELK MEREDITH | SENI | 4800 N Scottsdale Road, SCOTTSDALE, AZ, 85251 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT CHANGED | 2022-12-08 | REGISTERED AGENT REVOKED | - |
| WITHDRAWAL | 2022-12-08 | - | - |
| CHANGE OF MAILING ADDRESS | 2019-04-11 | 11013 W. BROAD STREET, STE. 500, GLEN ALLEN, VA 23060 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-25 | 11013 W. BROAD STREET, STE. 500, GLEN ALLEN, VA 23060 | - |
| NAME CHANGE AMENDMENT | 2010-06-15 | MAGELLAN MEDICAID ADMINISTRATION, INC. | - |
| REGISTERED AGENT NAME CHANGED | 2009-10-29 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-10-29 | 1201 HAYS ST, TALLASSAEE, FL 32301 | - |
| REINSTATEMENT | 2006-02-10 | - | - |
| REVOKED FOR ANNUAL REPORT | 2005-09-16 | - | - |
| NAME CHANGE AMENDMENT | 1991-12-11 | FIRST HEALTH SERVICES CORPORATION | - |
| Name | Date |
|---|---|
| Withdrawal | 2022-12-08 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-25 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-03 |
| ANNUAL REPORT | 2014-04-09 |
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Date of last update: 02 Aug 2025
Sources: Florida Department of State