| Entity Name: | EDWIN REESE FORSBERG, SR., M.D.,P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Feb 2000 (25 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P00000013801 |
| FEI/EIN Number | 593648599 |
| Address: | 30 EMERALD LAKE DR, PALM COAST, FL, 32137 |
| Mail Address: | 30 EMERALD LAKE DR, PALM COAST, FL, 32137 |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| FORSBERG EDWIN R | Agent | 30 EMERALD LAKE DR, PALM COAST, FL, 32137 |
| Name | Role | Address |
|---|---|---|
| FORSBERG EDWIN R | President | 30 EMERALD LAKE DR, PALM COAST, FL, 32137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-12 | FORSBERG, EDWIN RPRES. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-03-08 | 30 EMERALD LAKE DR, PALM COAST, FL 32137 | No data |
| CHANGE OF MAILING ADDRESS | 2005-03-08 | 30 EMERALD LAKE DR, PALM COAST, FL 32137 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-03-08 | 30 EMERALD LAKE DR, PALM COAST, FL 32137 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-14 |
| ANNUAL REPORT | 2009-04-12 |
| ANNUAL REPORT | 2008-04-27 |
| ANNUAL REPORT | 2007-04-24 |
| ANNUAL REPORT | 2006-02-09 |
| ANNUAL REPORT | 2005-03-08 |
| ANNUAL REPORT | 2004-01-10 |
| ANNUAL REPORT | 2003-01-03 |
| ANNUAL REPORT | 2002-01-20 |
| ANNUAL REPORT | 2001-07-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
