| Entity Name: | FORMATIV HEALTH MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 06 Mar 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Oct 2022 (2 years ago) |
| Document Number: | F17000001032 |
| FEI/EIN Number | 81-3454243 |
| Address: | 2000 Marcus Avenue, New Hyde Park, NY, 11042, US |
| Mail Address: | 2000 Marcus Avenue, New Hyde Park, NY, 11042, US |
| Place of Formation: | DELAWARE |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| Koehler Holly | Director | 2000 Marcus Avenue, New Hyde Park, NY, 11042 |
| Solazzo Mark J | Director | 2000 Marcus Avenue, New Hyde Park, NY, 11042 |
| Tangney Eugene S | Director | 2000 Marcus Avenue, New Hyde Park, NY, 11042 |
| Moscola P.A. Joseph | Director | 2000 Marcus Avenue, New Hyde Park, NY, 11042 |
| Cusack Michele L | Director | 2000 Marcus Avenue, New Hyde Park, NY, 11042 |
| Kraemer Laurence | Director | 2000 Marcus Avenue, New Hyde Park, NY, 11042 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000131571 | NORTHWELL HEALTH | ACTIVE | 2020-10-09 | 2025-12-31 | No data | 4875 BELFORT RD, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-16 | 2000 Marcus Avenue, New Hyde Park, NY 11042 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-16 | 2000 Marcus Avenue, New Hyde Park, NY 11042 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-10-10 | CT CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-10 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| REINSTATEMENT | 2022-10-07 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000009256 | ACTIVE | 1000000808246 | COLUMBIA | 2018-12-19 | 2029-01-02 | $ 265.33 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| J18000741538 | TERMINATED | 1000000802412 | COLUMBIA | 2018-10-30 | 2038-11-07 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| J18000543348 | TERMINATED | 1000000789112 | COLUMBIA | 2018-07-25 | 2028-08-02 | $ 429.19 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| J18000428284 | TERMINATED | 1000000782473 | COLUMBIA | 2018-06-13 | 2028-06-20 | $ 2,257.56 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-16 |
| Reg. Agent Change | 2023-10-10 |
| ANNUAL REPORT | 2023-03-15 |
| AMENDED ANNUAL REPORT | 2022-11-14 |
| REINSTATEMENT | 2022-10-07 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-02-08 |
| Foreign Profit | 2017-03-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
