| Entity Name: | JACKSON HOSPITAL QALICB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Mar 2021 (4 years ago) |
| Document Number: | N21000003061 |
| FEI/EIN Number | 86-3052869 |
| Mail Address: | PO BOX 1508, MARIANNA, FL 32446 |
| Address: | 4250 HOSPITAL DRIVE, MARIANNA, FL |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| FUQUA, H. MATTHEW | Agent | 4450 LAFAYETTE STREET, MARIANNA, FL 32446 |
| Name | Role | Address |
|---|---|---|
| Williams , Keith | President | 4250 Hospital Drive, Marianna, FL 32446 |
| Name | Role | Address |
|---|---|---|
| Garcia, Jorge | Secretary | 4250 Hospital Drive, Marianna, FL 32446 |
| Name | Role | Address |
|---|---|---|
| Reiff, Robert | Treasurer | 4250 Hospital Drive, Marianna, FL 32446 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-04-21 |
| Domestic Non-Profit | 2021-03-18 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
