| Entity Name: | FAITH WORKS IN MOTION, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Jun 2022 (3 years ago) |
| Document Number: | N22000007289 |
| FEI/EIN Number | 88-3053110 |
| Address: | 678 SE Baya Dr, LAKE CITY, FL 33025 |
| Mail Address: | 678 SE Baya Dr, LAKE CITY, FL 33025 |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457115222 | 2024-02-12 | 2024-02-12 | 678 SE BAYA DR, LAKE CITY, FL, 320256038, US | 678 SE BAYA DR, LAKE CITY, FL, 320256038, US | |||||||||||||
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| Phone | +1 229-319-6755 |
Authorized person
| Name | TERESA EDGE |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 2293196755 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EDGE, TERESA D | Agent | 104 TWIN LAKES DR, MOULTRIE, GA, FL 31768 |
| Name | Role | Address |
|---|---|---|
| JACKSON, RAVEN | President | 2529 PREST CT, TALLAHASSEE, FL 32301 |
| Name | Role | Address |
|---|---|---|
| LEE, PATRICIA A | Vice President | 4701 GA HWY 122 E, HAHIRA, GA 31632 |
| Name | Role | Address |
|---|---|---|
| Edge, Teresa D | Treasure | 104 Twin Lakes Drive, Moultrie, GA 31768 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, SHETIVA | Director | 3612 HARWELL PLACE, TALLAHASSEE, FL 32303 |
| BLENDA, CARTER | Director | 219 SE JEREMY PLACE, LAKE CITY, FL 32025 |
| Name | Role | Address |
|---|---|---|
| HAYES, SYNTHIA | Secretary | 516 6TH STREET NW, MOULTRIE, GA 31768 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-17 | 678 SE Baya Dr, LAKE CITY, FL 33025 | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-17 | 678 SE Baya Dr, LAKE CITY, FL 33025 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-29 | 104 TWIN LAKES DR, MOULTRIE, GA, FL 31768 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-04-29 |
| Domestic Non-Profit | 2022-06-27 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
