| Entity Name: | FORUM FLORIDA HEALTHCARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Dec 1985 (39 years ago) |
| Document Number: | H88978 |
| FEI/EIN Number | 651663842 |
| Address: | C/O THE PRENTICE-HALL CORPORATION SYSTEM, SUITE 420, FIRST FLORIDA BANK BLDG., TALLAHASSEE, FL, 32301 |
| Mail Address: | C/O THE PRENTICE-HALL CORPORATION SYSTEM, SUITE 420, FIRST FLORIDA BANK BLDG., TALLAHASSEE, FL, 32301 |
| ZIP code: | 32301 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| THE PRENTICE-HALL CORPORATION SYSTEM, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MUTZ, O. U. | President | 8900 KEYSTONE CROSSING, INDIANAPOLIS, IN |
| Name | Role | Address |
|---|---|---|
| KARR, BRUCE R. | Secretary | 8900 KEYSTONE CROSSING, INDIANOPLIS, IN |
| Name | Role | Address |
|---|---|---|
| SHIVELY, PAUL A. | Vice President | 8900 KEYSTONE CROSSING, INDIANAPOLIS, IN |
| Name | Role | Address |
|---|---|---|
| SHIVELY, PAUL A. | Treasurer | 8900 KEYSTONE CROSSING, INDIANAPOLIS, IN |
| Name | Role | Address |
|---|---|---|
| RISK, J. FRED | Director | 8900 KEYSTONE CROSSING, INDIANAPOLIS, IN |
| MUTZ, O. U. | Director | 8900 KEYSTONE CROSSING, INDIANAPOLIS, IN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1992-10-09 | No data | No data |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
