| Entity Name: | FLORIDA PUBLIC HEALTH INSTITUTE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 07 Sep 2001 (23 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | N01000006517 |
| FEI/EIN Number | 30-0051514 |
| Address: | 2701 N. Australian Ave., Suite 204, West Palm Beach, FL 33407 |
| Mail Address: | 2701 N. Australian Ave., Suite 204, West Pallm Beach, FL 33407 |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA PUBLIC HEALTH INSTITUTE 401(K) PLAN | 2017 | 300051514 | 2018-03-26 | FLORIDA PUBLIC HEALTH INSTITUTE | 2 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2018-03-26 |
| Name of individual signing | FAY GLASGOW |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 541700 |
| Sponsor’s telephone number | 5618384444 |
| Plan sponsor’s address | 2701 N AUSTRALIAN AVE STE 204, WEST PALM BEACH, FL, 33407 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-20 |
| Name of individual signing | FAY GLASGOW |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 541700 |
| Sponsor’s telephone number | 5618384444 |
| Plan sponsor’s address | 2701 N AUSTRALIAN AVE STE 204, WEST PALM BEACH, FL, 33407 |
Signature of
| Role | Plan administrator |
| Date | 2016-05-19 |
| Name of individual signing | DR RODERICK KING |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2016-05-19 |
| Name of individual signing | DR RODERICK KING |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| West, Joseph, Scd | Agent | 2701 N. Australian Ave., Suite 204, West Palm Beach, FL 33407 |
| Name | Role | Address |
|---|---|---|
| ALONSO, ALINA MD | Chairman | 800 CLEMATIS STREET, WEST PALM BEACH, FL 33401 |
| Name | Role | Address |
|---|---|---|
| Dennis, MD, Michael | Secretary | 1231 North Lake Way, Palm Beach, FL 33480 |
| Name | Role | Address |
|---|---|---|
| West, Joseph, Scd | Chief Executive Officer | 2701 N. Australian Ave., Suite 204 West Palm Beach, FL 33407 |
| Name | Role | Address |
|---|---|---|
| Villalta, Yesenia, Dr. | Officer | 8323 NW 12th Street, Suite 212 Miami, FL 33126 |
| Howell, James, Dr. | Officer | 3200 S. University Drive, Fort Lauderdale, FL 33328 |
| Gilmore, Karen | Officer | 9100 NW 36 Street, Miami, FL 33178 |
| Catalanotto, Sarah | Officer | 14646 NW 151st Blvd., Alachua, FL 32615 |
| McCoy, Clyde, Dr. | Officer | 219 NW 12th Ave, Apt. 612 Miami, FL 33128 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000018658 | FLORIDA INSTITUTE FOR HEALTH INNOVATION | EXPIRED | 2014-02-21 | 2024-12-31 | No data | 2701 N. AUSTRALIAN AVENUE, SUITE 204, WEST PALM BEACH, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-22 | West, Joseph, Scd | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-14 | 2701 N. Australian Ave., Suite 204, West Palm Beach, FL 33407 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-14 | 2701 N. Australian Ave., Suite 204, West Palm Beach, FL 33407 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-14 | 2701 N. Australian Ave., Suite 204, West Palm Beach, FL 33407 | No data |
| AMENDMENT | 2008-10-09 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2006-05-25 | FLORIDA PUBLIC HEALTH INSTITUTE, INC. | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-01-14 |
| ANNUAL REPORT | 2013-02-26 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
