| Entity Name: | DEEP BLUE DIVE THERAPY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 10 Dec 2021 (3 years ago) |
| Document Number: | N21000014077 |
| FEI/EIN Number | 87-3930868 |
| Address: | 13506 Summerport Village Pkwy, 768, Windermere, FL 34786 |
| Mail Address: | 13506 SUMMERPORT VILLAGE PKWY, 768, WINDERMERE, FL 34786 |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| WILSON, LARRY O, III | Agent | 13506 SUMMERPORT VILLAGE PKWY, 768, WINDERMERE, FL 34786 |
| Name | Role | Address |
|---|---|---|
| WILSON, LARRY | Board of Directors | 13506 SUMMERPORT VILLAGE PKWY, 768 WINDERMERE, FL 34786 |
| Fritz, David | Board of Directors | 13506 SUMMERPORT VILLAGE PKWY, 768 WINDERMERE, FL 34786 |
| hilyard, kasey | Board of Directors | 13506 SUMMERPORT VILLAGE PKWY, 768 WINDERMERE, FL 34786 |
| conklin, kenyon | Board of Directors | 13506 SUMMERPORT VILLAGE PKWY, 768 WINDERMERE, FL 34786 |
| Ali, Aziz | Board of Directors | 13506 SUMMERPORT VILLAGE PKWY, 768 WINDERMERE, FL 34786 |
| Name | Role | Address |
|---|---|---|
| WILSON, LARRY | Chairman | 13506 SUMMERPORT VILLAGE PKWY, 768 WINDERMERE, FL 34786 |
| Name | Role | Address |
|---|---|---|
| WILSON, LARRY | Chief Executive Officer | 13506 SUMMERPORT VILLAGE PKWY, 768 WINDERMERE, FL 34786 |
| Name | Role | Address |
|---|---|---|
| Fritz, David | Vice President | 13506 SUMMERPORT VILLAGE PKWY, 768 WINDERMERE, FL 34786 |
| Name | Role | Address |
|---|---|---|
| hilyard, kasey | Chief Operating Officer | 13506 SUMMERPORT VILLAGE PKWY, 768 WINDERMERE, FL 34786 |
| Name | Role | Address |
|---|---|---|
| conklin, kenyon | Officer | 13506 SUMMERPORT VILLAGE PKWY, 768 WINDERMERE, FL 34786 |
| Ali, Aziz | Officer | 13506 SUMMERPORT VILLAGE PKWY, 768 WINDERMERE, FL 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-08 | 13506 Summerport Village Pkwy, 768, Windermere, FL 34786 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-08 | 13506 SUMMERPORT VILLAGE PKWY, 768, WINDERMERE, FL 34786 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-02-04 |
| Domestic Non-Profit | 2021-12-10 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
