| Entity Name: | FORGOTTEN MOM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 22 Sep 2016 (8 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | N16000009338 |
| FEI/EIN Number | 81-3927817 |
| Address: | 2574 TREANOR TERRACE, WELLINGTON, FL, 33414, US |
| Mail Address: | 2574 TREANOR TERRACE, WELLINGTON, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720722945 | 2022-04-25 | 2022-04-25 | 2574 TREANOR TER, WELLINGTON, FL, 334146407, US | 2574 TREANOR TER, WELLINGTON, FL, 334146407, US | |||||||||||||
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| Phone | +1 561-704-9558 |
Authorized person
| Name | DR. BIANCA S GERENA |
| Role | ADMINISTRATION |
| Phone | 5617049558 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DALLAL FARID | Agent | 2574 TREANOR TERRACE, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| Dallal farid | President | 2574 TREANOR TERRACE, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-01 | 2574 TREANOR TERRACE, WELLINGTON, FL 33414 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-13 | 2574 TREANOR TERRACE, WELLINGTON, FL 33414 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-13 | 2574 TREANOR TERRACE, WELLINGTON, FL 33414 | No data |
| AMENDMENT | 2016-12-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-02-07 |
| AMENDED ANNUAL REPORT | 2018-10-09 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-01-06 |
| Amendment | 2016-12-23 |
| Domestic Non-Profit | 2016-09-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
