| Entity Name: | PROVIDENCE FAMILY LIFE CENTER CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Apr 2016 (9 years ago) |
| Document Number: | F16000001820 |
| FEI/EIN Number | 80-0933776 |
| Address: | 3592 Broadway Ste 100, Fort Myers, FL 33901 |
| Mail Address: | 3049 CLEVELAND AVE, 277, FORT MYERS, FL 33901 |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | MICHIGAN |
| Name | Role | Address |
|---|---|---|
| KRUSE, DANIEL | Agent | 3049 Cleveland Avenue, 277, FORT MYERS, FL 33901 |
| Name | Role | Address |
|---|---|---|
| Kruse, ANTOINETTE | Chairman | 6004 Tierra Entrada, North Fort Myers, FL 33903 |
| Name | Role | Address |
|---|---|---|
| Kruse, ANTOINETTE | President | 6004 Tierra Entrada, North Fort Myers, FL 33903 |
| Name | Role | Address |
|---|---|---|
| KRUSE, DANIEL | Vice Chairman | 6004 TIERRA ENTRADA, NORTH FORT MYERS, FL 33903 |
| Name | Role | Address |
|---|---|---|
| KRUSE, DANIEL | Treasurer | 6004 TIERRA ENTRADA, NORTH FORT MYERS, FL 33903 |
| Name | Role | Address |
|---|---|---|
| BRISBON, ANGELA | Director | 20 GARRETT ROAD, NEWARK, DE 19713 |
| ADAMS, CHAD | Director | 6004 TIERRA ENTRADA, NORTH FORT MYERS, FL 33903 |
| Name | Role | Address |
|---|---|---|
| BRISBON, ANGELA | Secretary | 20 GARRETT ROAD, NEWARK, DE 19713 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000087977 | CENTER FOR INTEGRATED HEALTH AND WELLNESS | ACTIVE | 2022-07-26 | 2027-12-31 | No data | 3049 CLEVELAND AVE STE 277, FORT MYERS, FL, 33901--705 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-15 | 3592 Broadway Ste 100, Fort Myers, FL 33901 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-08 | 3592 Broadway Ste 100, Fort Myers, FL 33901 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-08 | 3049 Cleveland Avenue, 277, FORT MYERS, FL 33901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-01-19 |
| Reg. Agent Change | 2016-11-28 |
| Foreign Non-Profit | 2016-04-15 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
