Entity Name: | LAMB OF GOD MINISTRIES, INCORPORATED |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Inactive |
Date Filed: | 01 Jul 1986 (39 years ago) |
Document Number: | N15678 |
FEI/EIN Number | 650009750 |
Address: | 14512 SW Divot Dr, Indiantown, FL, 34956, US |
Mail Address: | 14512 SW Divot Dr, Indiantown, FL, 34956, US |
ZIP code: | 34956 |
County: | Martin |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1174815583 | 2011-05-04 | 2011-05-04 | 1012 S PARROTT AVE, OKEECHOBEE, FL, 349745268, US | 1012 S PARROTT AVE, OKEECHOBEE, FL, 349745268, US | |||||||||||||||||||
|
Phone | +1 863-467-2677 |
Fax | 8634670677 |
Authorized person
Name | MR. LYLE R FRIED |
Role | DIRECTOR |
Phone | 8634672677 |
Taxonomy
Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
License Number | 1947AD975000 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
FUGATE JAMES D | Agent | 14512 SW Divot Dr, Indiantown, FL, 34956 |
Name | Role | Address |
---|---|---|
FUGATE JAMES D | Chief Executive Officer | 14512 SW Divot Dr, Indiantown, FL, 34956 |
Name | Role | Address |
---|---|---|
KNOWLES LANCE | Vice President | 14512 SW Divot Dr, Indiantown, FL, 34956 |
Name | Role | Address |
---|---|---|
FUGATE JANET E | Director | 14512 SW DIVOT DRIVE, INDIANTOWN, FL, 34956 |
LANG PAT | Director | 14512 SW Divot Dr, Indiantown, FL, 34956 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
REINSTATEMENT | 2017-09-29 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
AMENDMENT | 2014-04-21 | No data | No data |
AMENDMENT | 2006-05-12 | No data | No data |
AMENDMENT | 1989-11-08 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State