| Entity Name: | THE PACS PROVIDERS FORUM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 26 Feb 1996 (29 years ago) |
| Date of dissolution: | 22 Sep 2000 (25 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2000 (25 years ago) |
| Document Number: | F96000001008 |
| FEI/EIN Number |
650637148
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 900 BROKEN SOUND PARKWAY, BOCA RATON, FL, 33487 |
| Mail Address: | 900 BROKEN SOUND PARKWAY, BOCA RATON, FL, 33487 |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | DISTRICT OF COLUMBIA |
| Name | Role | Address |
|---|---|---|
| WHITE ROBERT G | President | 445 SOUTH ST., MORRISTOWN, NJ, 07960 |
| PATEL VINANY | Vice President | 11717 EXPLORATION LANE, GERMANTOWN, MD |
| WELTON DEREK | Secretary | 2550 DENALI ST., STE. 1000, ANCHORAGE, AK, 99503 |
| SARUBBE KRISTEN | Treasurer | 900 BROKEN SOUND PKWY, BOCA RATON, FL |
| KOMURO MARK | Director | 2001 WESTSIDE PARKWAY, STE. 260, ALPHARETTA, GA, 30201 |
| SIVITZ STEVEN G | Director | 9645 SCRANTON ROAD, SAN DIEGO, CA, 92121 |
| C T CORPORATION SYSTEM | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2000-09-22 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 1999-05-05 |
| ANNUAL REPORT | 1998-07-10 |
| ANNUAL REPORT | 1997-02-28 |
| DOCUMENTS PRIOR TO 1997 | 1996-02-26 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
