| Entity Name: | AVICENNA FREE CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 25 Jul 2017 (8 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 25 Jan 2018 (7 years ago) |
| Document Number: | N17000007675 |
| FEI/EIN Number | 82-2554695 |
| Address: | 1838 Frankford Avenue, PANAMA CITY, FL, 32405, US |
| Mail Address: | P.O. BOX 16477, PANAMA CITY, FL, 32406 |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| MALLORY LAW FIRM, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| ABOULELA AYMAN M.D. | President | 109 W. 23RD STREET, SUITE N-5, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| ABOULELA WASIMA | Vice President | 109 W. 23RD STREET, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| ELMESKY MEDHAT | Treasurer | 3317 JENKS AVENUE, PANAMA CITY, FL, 32405 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000105902 | AVICENNA FREE CLINIC | EXPIRED | 2018-09-26 | 2023-12-31 | No data | P.O. BOX 16477, PANAMA CITY, FL, 32406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-22 | 936 Jenks Avenue, PANAMA CITY, FL 32401 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-15 | 1838 Frankford Avenue, PANAMA CITY, FL 32405 | No data |
| AMENDMENT | 2018-01-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-03-30 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-24 |
| Amendment | 2018-01-25 |
| Domestic Non-Profit | 2017-07-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
