| Entity Name: | CAMBODIAN FAMILY HEALTH FORUM, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 01 Aug 2005 (20 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | N05000007823 |
| FEI/EIN Number | 510552519 |
| Address: | C/O 167 WOODCREEK DR W, SAFETY HARBOR, FL, 34695 |
| Mail Address: | PO BOX 15303, CLEARWATER, FL, 33766, 11 |
| ZIP code: | 34695 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| PRAK B.HAP | Agent | 167 WOODCREEK DR W, SAFETY HARBOR, FL, 34695 |
| Name | Role | Address |
|---|---|---|
| PRAK HAP | PMD | 167 WOODCREEK DR W, SAFETY HARBOR, FL, 34695 |
| Name | Role | Address |
|---|---|---|
| HOANG QANG | Director | 4050 41ST N, ST PETERSBURG, FL, 33711 |
| SARIM SAM | Director | P.O BOX 15303, CLEARWATER, FL, 33766 |
| BUN PHORN | Director | 7725 54TH ST N, PINELLAS PARK, FL, 33781 |
| HING SOPHAL | Director | 3056 56TH AVE N, ST PETERSBURG, FL, 33714 |
| Name | Role | Address |
|---|---|---|
| BUN PHORN | Secretary | 7725 54TH ST N, PINELLAS PARK, FL, 33781 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| AMENDMENT | 2008-11-12 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-11-12 | C/O 167 WOODCREEK DR W, SAFETY HARBOR, FL 34695 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-05-06 | PRAK, B.HAP | No data |
| CANCEL ADM DISS/REV | 2007-01-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-08-03 |
| ANNUAL REPORT | 2011-04-29 |
| ANNUAL REPORT | 2010-05-01 |
| ANNUAL REPORT | 2009-05-01 |
| Amendment | 2008-11-12 |
| ANNUAL REPORT | 2008-05-06 |
| REINSTATEMENT | 2007-01-03 |
| Domestic Non-Profit | 2005-08-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
