| Entity Name: | POLK HEALTH INFORMATION EXCHANGE ORGANIZATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 10 Jul 2009 (16 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | N09000006751 |
| FEI/EIN Number | 273841777 |
| Address: | 4315 HIGHLAND PARK BLVD, LAKELAND, FL, 33813, US |
| Mail Address: | 4315 HIGHLAND PARK BLVD, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| BLALOCK WALTERS, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| PITTMAN C. CHRISTOPHER | Director | 4315 HIGHLAND PARK BLVD, LAKELAND, FL, 33813 |
| SCHEMMER GARY | Director | 4315 HIGHLAND PARK BLVD, LAKELAND, FL, 33813 |
| CORY MATTHEW | Director | 4315 HIGHLAND PARK BLVD, LAKELAND, FL, 33813 |
| CARRILLO LUIS | Director | 4315 HIGHLAND PARK BLVD, LAKELAND, FL, 33813 |
| NOBO RAFAEL J | Director | 4315 HIGHLAND PARK BLVD, LAKELAND, FL, 33813 |
| SEOANE SERGIO | Director | 4315 HIGHLAND PARK BLVD, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-25 | 4315 HIGHLAND PARK BLVD, SUITE B, LAKELAND, FL 33813 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-25 | 4315 HIGHLAND PARK BLVD, SUITE B, LAKELAND, FL 33813 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-08-11 | BLALOCK WALTERS, P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-08-11 | 802 11TH STREET WEST, BRADENTON, FL 34205 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-03-05 |
| ANNUAL REPORT | 2013-04-25 |
| ANNUAL REPORT | 2012-02-27 |
| ANNUAL REPORT | 2011-08-11 |
| ANNUAL REPORT | 2010-08-06 |
| Domestic Non-Profit | 2009-07-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
