| Entity Name: | FLORIDA PARTNERSHIP FOR TELEHEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 23 Mar 2012 (13 years ago) |
| Date of dissolution: | 16 Mar 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Mar 2021 (4 years ago) |
| Document Number: | N12000003164 |
| FEI/EIN Number | 45-4863817 |
| Address: | 3599 Plant Ave Ext, Blackshear, GA 31516 |
| Mail Address: | PO Box 1408, WAYCROSS, GA 31502 |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| STORY, JAMES L, Dr. | Board | 915 GORDON AVENUE, THOMASVILLE, GA 31792 |
| LISTER, DEBRA, Dr. | Board | 1101 OCILLA RD, DOUGLAS, GA 31533 |
| Barrow, Joseph C, Dr. | Board | PO Box 879, Fayetteville, GA 30214 |
| LEWIS, JIMMY | Board | 3280 CHERRY OAK LANE, SUITE 100, CUMMING, GA 30041 |
| CHAPMAN, JACK M, Dr. | Board | 2061 BEVERLY RD, GAINESVILLE, GA 30501 |
| Frias, Patrick, Dr. | Board | 2814 Mabry Rd NE, Atlanta, GA 30319 |
| Sumner, Jean, Dr | Board | 870 Ohoopee River Rd, Wrightsville, GA 31096 |
| Name | Role | Address |
|---|---|---|
| Brewer, Rena | Chief Executive Officer | PO Box 1408, WAYCROSS, GA 31502 |
| Name | Role | Address |
|---|---|---|
| Williams, Sherrie | Chief Operating Officer | 168 Oak Ridge Dr, Nashville, GA 31639 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-03-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-13 | 3599 Plant Ave Ext, Blackshear, GA 31516 | No data |
| AMENDMENT | 2013-05-21 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-05-01 | 3599 Plant Ave Ext, Blackshear, GA 31516 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-03-16 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-01-10 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-26 |
| ANNUAL REPORT | 2016-03-03 |
| AMENDED ANNUAL REPORT | 2015-12-17 |
| ANNUAL REPORT | 2015-01-22 |
| ANNUAL REPORT | 2014-02-13 |
| Amendment | 2013-05-22 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
