| Entity Name: | PROACT HEALTH SOLUTIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 24 May 2012 (13 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | F12000002211 |
| FEI/EIN Number | 45-4118364 |
| Address: | 2940 Mallory Circle, Celebration, FL, 34747, US |
| Mail Address: | 2940 Mallory Circle, Celebration, FL, 34747, US |
| ZIP code: | 34747 |
| County: | Osceola |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295074185 | 2013-02-12 | 2017-11-29 | 2940 MALLORY CIR, SUITE 201, CELEBRATION, FL, 347471818, US | 2940 MALLORY CIR, SUITE 201, CELEBRATION, FL, 347471818, US | |||||||||||||||||||||||||||
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| Phone | +1 855-672-2929 |
| Fax | 8774710406 |
Authorized person
| Name | MR. SCOTT ADAMS |
| Role | PRESIDENT |
| Phone | 7069749111 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QS1200X - Sleep Disorder Diagnostic Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPIN-OFF TERMINATION PLAN FOR PROACT HEALTH SOLUTIONS, INC. | 2020 | 454118364 | 2021-11-03 | PROACT HEALTH SOLUTIONS, INC. | 2 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-11-03 |
| Name of individual signing | SHERYL SOUTHWICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 444200 |
| Sponsor’s telephone number | 8005707417 |
| Plan sponsor’s address | 2940 MALLORY CIR STE 201, CELEBRATION, FL, 347471818 |
Signature of
| Role | Plan administrator |
| Date | 2018-09-17 |
| Name of individual signing | RICK MAGAR |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2018-09-17 |
| Name of individual signing | RICK MAGAR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 444200 |
| Sponsor’s telephone number | 8005707417 |
| Plan sponsor’s address | 2940 MALLORY CIR STE 201, CELEBRATION, FL, 347471818 |
Signature of
| Role | Plan administrator |
| Date | 2016-07-27 |
| Name of individual signing | RICK MAGAR |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2016-07-27 |
| Name of individual signing | RICK MAGAR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| ADAMS J. SCOTT | Director | 57 STONE CLIFF COVE DRIVE, DAWSONVILLE, GA, 30534 |
| Name | Role | Address |
|---|---|---|
| ADAMS J. SCOTT | President | 57 STONE CLIFF COVE DRIVE, DAWSONVILLE, GA, 30534 |
| AMADOR MADELIN | President | 2940 Mallory Circle, Celebration, FL, 34747 |
| Name | Role | Address |
|---|---|---|
| ADAMS J. SCOTT | Secretary | 57 STONE CLIFF COVE DRIVE, DAWSONVILLE, GA, 30534 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000035213 | RALPH M. WURSTER, D.O, PA | EXPIRED | 2015-04-07 | 2020-12-31 | No data | 2940 MALLORY CIRCLE, SUITE 201, CELEBRATION, FL, 34747 |
| G14000065684 | CELEBRATION DENTAL | EXPIRED | 2014-06-25 | 2019-12-31 | No data | 2940 MALLORY CIRCLE, SUITE 201, CELEBRATION, FL, 34747 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-19 | 2940 Mallory Circle, Suite 201, Celebration, FL 34747 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-27 | 2940 Mallory Circle, Suite 201, Celebration, FL 34747 | No data |
| Name | Date |
|---|---|
| Off/Dir Resignation | 2020-03-23 |
| AMENDED ANNUAL REPORT | 2019-05-07 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-01-27 |
| ANNUAL REPORT | 2014-04-18 |
| ANNUAL REPORT | 2013-03-15 |
| Foreign Profit | 2012-05-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
