| Entity Name: | PIONEER MEDICAL GROUP CLINIC FOUNDATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 25 May 2016 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Mar 2020 (5 years ago) |
| Document Number: | N16000005331 |
| FEI/EIN Number | 81-2781401 |
| Address: | 13067 N Telecom Pkwy, Tampa, FL, 33637, US |
| Mail Address: | 13067 N Telecom Pkwy, Tampa, FL, 33637, US |
| ZIP code: | 33637 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| Ali Syed M | Agent | Syed Ali, Tampa, FL, 33637 |
| Name | Role | Address |
|---|---|---|
| MERCADO RONNIEL | Director | 30595 Ivy FOrge Ct, WESLEY CHAPEL, FL, 33543 |
| ALI SYED | Director | 17324 Ballmont Park Dr, Odessa, FL, 33556 |
| SHAUKAT KHIZZAR | Director | 10528 MARTINIQUE ISLE DR., TAMPA, FL, 33647 |
| BROWN MILTON | Director | 10555 Cory Lake Dr, TAMPA, FL, 33647 |
| MEHTA DIPTI | Director | 4201 Bayshore Blvd, Tampa, FL, 33611 |
| KHAN MASOOD | Director | 20114 Natures hike Way, Tampa, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| MERCADO RONNIEL | Treasurer | 30595 Ivy FOrge Ct, WESLEY CHAPEL, FL, 33543 |
| Name | Role | Address |
|---|---|---|
| ALI SYED | President | 17324 Ballmont Park Dr, Odessa, FL, 33556 |
| Name | Role | Address |
|---|---|---|
| SHAUKAT KHIZZAR | Vice President | 10528 MARTINIQUE ISLE DR., TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| BROWN MILTON | Secretary | 10555 Cory Lake Dr, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-15 | Ali, Syed M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-15 | Syed Ali, 13067 N telecom Parkway, Tampa, FL 33637 | No data |
| AMENDMENT | 2020-03-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-02 | 13067 N Telecom Pkwy, Tampa, FL 33637 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-02 | 13067 N Telecom Pkwy, Tampa, FL 33637 | No data |
| AMENDMENT | 2016-08-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-07-11 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-05-01 |
| Amendment | 2020-03-16 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-09 |
| ANNUAL REPORT | 2017-01-18 |
| Amendment | 2016-08-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
