| Entity Name: | FOUR SEASONS BEHAVIORAL HEALTH COLLABORATIVE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 20 Sep 2010 (14 years ago) |
| Date of dissolution: | 12 Dec 2014 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Dec 2014 (10 years ago) |
| Document Number: | N10000008868 |
| FEI/EIN Number | 27-4633878 |
| Address: | 4612 NORTH 56TH ST, TAMPA, FL 33610 |
| Mail Address: | 4612 NORTH 56TH ST, TAMPA, FL 33610 |
| ZIP code: | 33610 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073819850 | 2011-01-27 | 2011-01-27 | 3107 N 50TH ST STE A, TAMPA, FL, 336192302, US | 3107 N 50TH ST STE A, TAMPA, FL, 336192302, US | |||||||||||||
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| Phone | +1 813-367-2316 |
Authorized person
| Name | RICHARD BROWN |
| Role | CEO |
| Phone | 8133672316 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROWN, RICHARD E | Agent | 4612 NORTH 56TH ST, TAMPA, FL 33610 |
| Name | Role | Address |
|---|---|---|
| BROWN, MARSHA LEWIS | Director | 12512 BRUCE B DOWNS BLVD, TAMPA, FL 33612 |
| BROWN, RICHARD E | Director | 4612 NORTH 56TH ST, TAMPA, FL 33610 |
| RUTHERFORD, JOE | Director | 5707 N 22ND ST, TAMPA, FL 33610 |
| ULREY, MARY LYNN | Director | 4422 E COLUMBUS DR, TAMPA, FL 33605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-12-12 | No data | No data |
| AMENDMENT | 2012-01-30 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-12-12 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-31 |
| Amendment | 2012-01-30 |
| ANNUAL REPORT | 2012-01-04 |
| ANNUAL REPORT | 2011-01-03 |
| Domestic Non-Profit | 2010-09-20 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
