| Entity Name: | SANTA ROSA HOSPITAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 22 Jun 1984 (41 years ago) |
| Document Number: | N03842 |
| FEI/EIN Number | 000000000 |
| Address: | %JOHN I. FREDERICK, 1450 BERRYHILL ROAD, MILTON, FL, 32570 |
| Mail Address: | %JOHN I. FREDERICK, 1450 BERRYHILL ROAD, MILTON, FL, 32570 |
| ZIP code: | 32570 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| TREZONA, JON C | Agent | 1450 BERRY HILL ROAD, MILTON, FL, 32570 |
| Name | Role | Address |
|---|---|---|
| POOLEY, BEN HENRY | Chairman | WOODVILLE ROAD, MILTON, FL |
| Name | Role | Address |
|---|---|---|
| NORTHROP, IKE H., JR. | Director | ROUTE 9, BOX 382-A, MILTON, FL |
| WILLIAMS, DAISY | Director | 717 GLENDALE DR, MILTON, FL |
| JARVIS, WARREN B. | Director | 3000 GREENWOOD DRIVE, MILTON, FL |
| POOLEY, BEN HENRY | Director | WOODVILLE ROAD, MILTON, FL |
| WILLEY, BETTY R. | Director | 600 LAKESHORE DRIVE, MILTON, FL |
| MADDUX, RONALD A., M.D. | Director | 603 OSAGE TRAIL, MILTON, FL |
| Name | Role | Address |
|---|---|---|
| JARVIS, WARREN B. | Vice President | 3000 GREENWOOD DRIVE, MILTON, FL |
| Name | Role | Address |
|---|---|---|
| POOLEY, BEN HENRY | President | WOODVILLE ROAD, MILTON, FL |
| Name | Role | Address |
|---|---|---|
| WILLEY, BETTY R. | Secretary | 600 LAKESHORE DRIVE, MILTON, FL |
| Name | Role | Address |
|---|---|---|
| WILLEY, BETTY R. | Treasurer | 600 LAKESHORE DRIVE, MILTON, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| INVOLUNTARILY DISSOLVED | 1986-11-14 | No data | No data |
| AMENDMENT | 1984-10-29 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
