| Entity Name: | FELLOWS FORUM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 13 Feb 2023 (2 years ago) |
| Document Number: | N23000001535 |
| FEI/EIN Number | 92-2403487 |
| Address: | ONE BOCA PLACE, 2255 GLADES ROAD, #228W, BOCA RATON, FL 33431 |
| Mail Address: | ONE BOCA PLACE, 2255 GLADES ROAD, #228W, BOCA RATON, FL 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| CHESTNUT BUSINESS SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ROBERT LEVIN, M.D. | DCHM | 1831 N. BELCHER RD, SUITE D, CLEARWATER, FL 33765 |
| Name | Role | Address |
|---|---|---|
| SUNNY PATEL, M.D. | Vice President | DFW RHEUMATOLOIGY, 106 PLAZA DRIVE, RED OAK, TX 75154 |
| Name | Role | Address |
|---|---|---|
| ANDREW RIPPS | Director | ONE BOCA PLACE, 2255 GLADES ROAD, #228W, BOCA RATON, FL 33431 |
| YOSHI BARREIRINHAS | Director | 1701 HIGHWAY A1A, SUITE 300, VERO BEACH, FL 32963 |
| SUNNY PATEL, M.D. | Director | DFW RHEUMATOLOIGY, 106 PLAZA DRIVE, RED OAK, TX 75154 |
| RODNEY DANIEL, M.D. | Director | 106 STATE STREET EAST, OLDSMAR, FL 34677 |
| Name | Role | Address |
|---|---|---|
| ANDREW RIPPS | Secretary | ONE BOCA PLACE, 2255 GLADES ROAD, #228W, BOCA RATON, FL 33431 |
| Name | Role | Address |
|---|---|---|
| YOSHI BARREIRINHAS | Treasurer | 1701 HIGHWAY A1A, SUITE 300, VERO BEACH, FL 32963 |
| Name | Role | Address |
|---|---|---|
| RODNEY DANIEL, M.D. | President | 106 STATE STREET EAST, OLDSMAR, FL 34677 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| Domestic Non-Profit | 2023-02-13 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
