| Entity Name: | AMEN SHALOM INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 29 Sep 2010 (14 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | N10000009162 |
| FEI/EIN Number | 27-3564183 |
| Address: | 410 ANDERSON AVENUE NE, LIVE OAK, FL 32064 |
| Mail Address: | 410 ANDERSON AVENUE NE, LIVE OAK, FL 32064 |
| ZIP code: | 32064 |
| County: | Suwannee |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| MEDINA, MIGUEL | Agent | 201 SECOND STREET NE, LIVE OAK, FL 32064 |
| Name | Role | Address |
|---|---|---|
| MEDINA, MIGUEL | President | 201 SECOND STREET NE, LIVE OAK, FL 32064 |
| Name | Role | Address |
|---|---|---|
| MEDINA, MELIDA | Treasurer | 201 SECOND STREET NE, LIVE OAK, FL 32064 |
| Name | Role | Address |
|---|---|---|
| DIAZ, FRANK | Director | 12488 CR 49, LIVE OAK, FL 32060 |
| HUBBARD, NICOLE | Director | 299 TIMBER RIDGE, LAKE CITY, FL 32024 |
| HUBBARD, MATTHEW | Director | 299 TIMBER RDGE DR., LAKE CITY, FL 32024 |
| GUZMAN, ELVIN R, Sr. | Director | 410 ANDERSON AVENUE NE, LIVE OAK, FL 32064 |
| Name | Role | Address |
|---|---|---|
| TEJADA, ELVIN R | Secretary | #88 VILLA GONZALEZ, SANTIAGO DR |
| MEDINA, MELIDA J | Secretary | 410 ANDERSON AVENUE NE, LIVE OAK, FL 32064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2014-08-11 | AMEN SHALOM INC. | No data |
| PENDING REINSTATEMENT | 2014-07-14 | No data | No data |
| REINSTATEMENT | 2014-07-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| AMENDMENT | 2011-07-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-02-17 |
| ANNUAL REPORT | 2015-01-05 |
| AMENDED ANNUAL REPORT | 2014-08-15 |
| Amendment and Name Change | 2014-08-11 |
| AMENDED ANNUAL REPORT | 2014-08-07 |
| REINSTATEMENT | 2014-07-11 |
| Amendment | 2011-07-25 |
| Domestic Non-Profit | 2010-09-29 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
