| Entity Name: | BASIL D. FOSSUM, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BASIL D. FOSSUM, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 22 Jun 1990 (35 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | L82812 |
| FEI/EIN Number |
593014004
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 914 B MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547 |
| Mail Address: | 914 B MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547 |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| FOSSUM CHRISTINE A | Vice President | 914-B MAR WALT DR., FT. WALTON BEACH, FL, 32547 |
| FOSSUM, BASIL D. M.D. | Director | 914-B MAR WALT DRIVE, FORT WALTON BCH, FL |
| FOSSUM, BASIL D., M.D., P.A. | Agent | 914 B MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| REGISTERED AGENT NAME CHANGED | 2009-03-27 | FOSSUM, BASIL D., M.D., P.A. | - |
| REINSTATEMENT | 2008-08-07 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 1992-09-02 | 914 B MAR WALT DRIVE, FT. WALTON BEACH, FL 32547 | - |
| CHANGE OF MAILING ADDRESS | 1992-09-02 | 914 B MAR WALT DRIVE, FT. WALTON BEACH, FL 32547 | - |
| REGISTERED AGENT ADDRESS CHANGED | 1992-09-02 | 914 B MAR WALT DRIVE, FORT WALTON BEACH, FL 32547 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J11000836820 | ACTIVE | 1000000244700 | OKALOOSA | 2011-12-16 | 2031-12-21 | $ 60,974.23 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE/CENTRAL COLLECTIONS UNIT, 5050 W TENNESSEE ST, TALLAHASSEE FL323996586 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-15 |
| ANNUAL REPORT | 2009-03-27 |
| REINSTATEMENT | 2008-08-07 |
| ANNUAL REPORT | 2006-07-05 |
| ANNUAL REPORT | 2005-03-21 |
| ANNUAL REPORT | 2004-01-12 |
| ANNUAL REPORT | 2003-02-07 |
| ANNUAL REPORT | 2002-04-02 |
| ANNUAL REPORT | 2001-02-02 |
| ANNUAL REPORT | 2000-01-28 |
Date of last update: 01 May 2025
Sources: Florida Department of State
