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KATHERINE CLAY MOSS, INC.

Company Details

Entity Name: KATHERINE CLAY MOSS, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit Corporation
Status: Inactive
Date Filed: 19 Nov 2009 (15 years ago)
Date of dissolution: 07 Oct 2013 (11 years ago)
Last Event: WITHDRAWAL
Event Date Filed: 07 Oct 2013 (11 years ago)
Document Number: F09000004559
FEI/EIN Number 27-1234957
Address: 499-6 N.E. SPANISH RIVER BLVD., BOCA RATON, FL 33431
Mail Address: 499-6 N.E. SPANISH RIVER BLVD., BOCA RATON, FL 33431
ZIP code: 33431
County: Palm Beach
Place of Formation: WYOMING

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083930549 2010-04-08 2010-04-08 499 NE SPANISH RIVER BLVD STE 6, BOCA RATON, FL, 334314503, US 499 NE SPANISH RIVER BLVD STE 6, BOCA RATON, FL, 334314503, US

Contacts

Phone +1 561-395-3818
Fax 5613953819

Authorized person

Name MS. KAY ANN BLACKMON-OXLEY
Role PRESIDENT
Phone 3022701770

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Agent

Name Role
DETWEILER, GERRI Agent

Chairman

Name Role Address
BLACKMON-OXLEY, KAY A Chairman 499-6 NE SPANISH RIVER BLVD, BOCA RATON, FL 33431

Director

Name Role Address
BLACKMON-OXLEY, KAY A Director 499-6 NE SPANISH RIVER BLVD, BOCA RATON, FL 33431

President

Name Role Address
BLACKMON-OXLEY, KAY A President 499-6 NE SPANISH RIVER BLVD, BOCA RATON, FL 33431

Secretary

Name Role Address
BLACKMON-OXLEY, KAY A Secretary 499-6 NE SPANISH RIVER BLVD, BOCA RATON, FL 33431

Treasurer

Name Role Address
BLACKMON-OXLEY, KAY A Treasurer 499-6 NE SPANISH RIVER BLVD., BOCA RATON, FL 33431

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000177430 SENIOR HELPERS EXPIRED 2009-11-20 2014-12-31 No data POST OFFICE BOX 2869, JACKSON, WY, 83001

Events

Event Type Filed Date Value Description
WITHDRAWAL 2013-10-07 No data No data
CHANGE OF MAILING ADDRESS 2013-10-07 499-6 N.E. SPANISH RIVER BLVD., BOCA RATON, FL 33431 No data
CHANGE OF PRINCIPAL ADDRESS 2010-03-12 499-6 N.E. SPANISH RIVER BLVD., BOCA RATON, FL 33431 No data

Documents

Name Date
Reg. Agent Resignation 2017-09-25
WITHDRAWAL 2013-10-07
ANNUAL REPORT 2013-01-31
ANNUAL REPORT 2012-01-03
ANNUAL REPORT 2011-03-24
ANNUAL REPORT 2010-03-12
ADDRESS CHANGE 2010-01-21
ANNUAL REPORT 2010-01-19
Foreign Profit 2009-11-19

Date of last update: 25 Jan 2025

Sources: Florida Department of State