| Entity Name: | E & DM POOL FORM, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Dec 2004 (20 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P04000173458 |
| FEI/EIN Number | 202075541 |
| Address: | 12350 SW 212 TERRACE, MIAMI, FL, 33177, US |
| Mail Address: | 12350 SW 212 TERRACE, MIAMI, FL, 33177, US |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| MATA ELVIN | Agent | 12350 SW 212 TERRACE, MIAMI, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| MATA ELVIN | President | 12350 SW 212 TERRACE, MIAMI, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| BRIZUELA ROBERTO | Director | 12350 SW 212 TERRACE, MIAMI, FL, 33177 |
| BRIZUELA MELVIN O | Director | 12350 SW 212 TERRACE, MIAMI, FL, 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-04 | MATA, ELVIN | No data |
| REINSTATEMENT | 2016-10-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| AMENDMENT | 2016-02-01 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-17 | 12350 SW 212 TERRACE, MIAMI, FL 33177 | No data |
| AMENDMENT | 2014-07-03 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2012-06-29 | E & DM POOL FORM, INC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-06-29 | 12350 SW 212 TERRACE, MIAMI, FL 33177 | No data |
| CHANGE OF MAILING ADDRESS | 2012-06-29 | 12350 SW 212 TERRACE, MIAMI, FL 33177 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000419358 | LAPSED | 16-081-D5 | LEON | 2018-05-08 | 2023-06-22 | $23,041.62 | DFS DIVISION OF WORKERS COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2016-10-04 |
| Amendment | 2016-02-01 |
| Off/Dir Resignation | 2016-02-01 |
| ANNUAL REPORT | 2015-02-17 |
| Amendment | 2014-07-03 |
| ANNUAL REPORT | 2014-02-21 |
| ANNUAL REPORT | 2013-02-15 |
| Amendment and Name Change | 2012-06-29 |
| ANNUAL REPORT | 2012-01-24 |
| ANNUAL REPORT | 2011-02-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
