| Entity Name: | DOCTOR WALTER GRAND NEUROSURGICAL FORUM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Non-Profit |
| Status: | Active |
| Date Filed: | 05 May 2017 (8 years ago) |
| Branch of: | DOCTOR WALTER GRAND NEUROSURGICAL FORUM, INC., NEW YORK (Company Number 4989060) |
| Document Number: | F17000002059 |
| FEI/EIN Number | 813708823 |
| Address: | 298 FAREWAY LANE, GRAND ISLAND, NY, 14072, US |
| Mail Address: | 298 FAREWAY LANE, GRAND ISLAND, NY, 14072, US |
| Place of Formation: | NEW YORK |
| Name | Role | Address |
|---|---|---|
| Wynne & Wynne, CPA's | Agent | 2935 Fix Road, Grand Island, NY, FL, 14072 |
| Name | Role | Address |
|---|---|---|
| KELLER JENNIFER | Chief Executive Officer | 298 FAREWAY LANE, GRAND ISLAND, NY, 14072 |
| Name | Role | Address |
|---|---|---|
| LEONARDO JODY Dr. | President | 2845 RAILROAD STREET, PITTSBURGH, PA, 15222 |
| Name | Role | Address |
|---|---|---|
| TAWK RABIH Dr. | Director | 4600 SAN PABLO ROAD SOUTH, JACKSONVILLE, FL, 32224 |
| Villalobos Hunaldo | Director | 801 North Orange Ave, Orlando, FL, 32801 |
| Conti Pat | Director | 10553 South Rd., Corning, NY, 14830 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-01-20 | Wynne & Wynne, CPA's | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-20 | 2935 Fix Road, Grand Island, NY, FL 14072 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-04-26 |
| Foreign Non-Profit | 2017-05-05 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
