| Entity Name: | LAKE WORTH ASC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Apr 2000 (25 years ago) |
| Date of dissolution: | 07 Jan 2022 (3 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 07 Jan 2022 (3 years ago) |
| Document Number: | P00000036516 |
| FEI/EIN Number | 651001318 |
| Address: | 44 Barkley Circle, Fort Myers, FL, 33907, US |
| Mail Address: | 44 Barkley Circle, Fort Myers, FL, 33907, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| COFFMAN TOM M | Agent | 2889 10TH AVE N., PALM SPRINGS, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| Quigley Mark L | Chief Executive Officer | 44 Barkley Circle, Fort Myers, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| Goldsberry Matt | Chief Financial Officer | 44 Barkley Circle, Fort Myers, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| Stanley Jocelyn | Asst | 44 Barkley Circle, Fort Myers, FL, 33907 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000099427 | PALM BEACH OUTPATIENT SURGICAL CENTER, INC | EXPIRED | 2017-09-01 | 2022-12-31 | No data | 2889 10TH AVE NORTH, SUITE 203, LAKE WORTH, FL, 33461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2022-01-07 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L22000006037. CONVERSION NUMBER 100000222271 |
| CHANGE OF MAILING ADDRESS | 2022-01-06 | 44 Barkley Circle, Fort Myers, FL 33907 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-06 | 44 Barkley Circle, Fort Myers, FL 33907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-05-31 | 2889 10TH AVE N., SUITE 203, PALM SPRINGS, FL 33461 | No data |
| CANCEL ADM DISS/REV | 2008-05-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-07-19 | COFFMAN, TOM M.D. | No data |
| REINSTATEMENT | 2006-06-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| NAME CHANGE AMENDMENT | 2004-08-02 | LAKE WORTH ASC, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-03-03 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
