| Entity Name: | FAU/BROWARD HEALTH ACADEMIC PRACTICE PLAN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Jun 2023 (2 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 01 Dec 2023 (a year ago) |
| Document Number: | N23000007951 |
| FEI/EIN Number | 93-4633006 |
| Address: | ADMINISTRATION BUILDING, ROOM 370, 777 GLADES ROAD, BOCA RATON, FL 33431 |
| Mail Address: | 201 E SAMPLE RD, C/O ADMINISTRATION, DEERFIELD BEACH, FL 33064 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| KIAN, DAVID L | Agent | ADMINISTRATION BUILDING, ROOM 370, 777 GLADES ROAD, BOCA RATON, FL 33431 |
| Name | Role | Address |
|---|---|---|
| Volnick, Stacy, Dr. | Chairperson | ADMINISTRATION BUILDING, ROOM 370, 777 GLADES ROAD BOCA RATON, FL 33431 |
| Name | Role | Address |
|---|---|---|
| Strum, Shane | Vice Chair | 1800 N.W. 49th Street, Suite 120 Fort Lauderdale, FL 33309 |
| Name | Role | Address |
|---|---|---|
| Bert, Alisa | Secretary | 1800 N.W. 49th Street, Suite 120 Fort Lauderdale, FL 33309 |
| Name | Role | Address |
|---|---|---|
| Bert, Alisa | Treasurer | 1800 N.W. 49th Street, Suite 120 Fort Lauderdale, FL 33309 |
| Name | Role | Address |
|---|---|---|
| FLORIDA ATLANTIC UNIVERSITY BOARD OF TRUST | Member | 201 E SAMPLE RD, DEERFIELD BEACH, FL 33064 |
| NORTH BROWARD HOSPITAL DISTRICT | Member | 201 E SAMPLE RD, DEERFIELD BEACH, FL 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2023-12-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-12-01 | ADMINISTRATION BUILDING, ROOM 370, 777 GLADES ROAD, BOCA RATON, FL 33431 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-12-01 | KIAN, DAVID L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-12-01 | ADMINISTRATION BUILDING, ROOM 370, 777 GLADES ROAD, BOCA RATON, FL 33431 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| Amendment | 2023-12-01 |
| Domestic Non-Profit | 2023-06-30 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
