| Entity Name: | THE PACS PROVIDERS FORUM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Feb 1996 (29 years ago) |
| Date of dissolution: | 22 Sep 2000 (24 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2000 (24 years ago) |
| Document Number: | F96000001008 |
| FEI/EIN Number | 65-0637148 |
| 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 |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| WHITE, ROBERT G | President | 445 SOUTH ST., MORRISTOWN, NJ 07960 |
| Name | Role | Address |
|---|---|---|
| PATEL, VINANY | Vice President | 11717 EXPLORATION LANE, GERMANTOWN, MD |
| Name | Role | Address |
|---|---|---|
| WELTON, DEREK | Secretary | 2550 DENALI ST., STE. 1000, ANCHORAGE, AK 99503 |
| Name | Role | Address |
|---|---|---|
| SARUBBE, KRISTEN | Treasurer | 900 BROKEN SOUND PKWY, BOCA RATON, FL |
| Name | Role | Address |
|---|---|---|
| KOMURO, MARK | Director | 2001 WESTSIDE PARKWAY, STE. 260, ALPHARETTA, GA 30201 |
| SIVITZ, STEVEN C | Director | 9645 SCRANTON ROAD, SAN DIEGO, CA 92121 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
| 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: 02 Feb 2025
Sources: Florida Department of State
