| Entity Name: | ANDREW FORGASH, III, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Dec 2006 (18 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P06000157531 |
| FEI/EIN Number | 208303631 |
| Address: | 95252 SPRING BLOSSOM LANE, FERNANDINA BEACH, FL, 32034 |
| Mail Address: | 12187 CHANCERY STATION CIRCLE, RESTON, VA, 20190 |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| SMITH HULSEY & BUSEY, PROFESSIONAL ASSOCIA | Agent | TION, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| FORGASH, III ANDREW J | Director | 95252 SPRING BLOSSOM LANE, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| FORGASH, III ANDREW J | President | 95252 SPRING BLOSSOM LANE, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| FORGASH, III ANDREW J | Treasurer | 95252 SPRING BLOSSOM LANE, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| FORGASH, III ANDREW J | Secretary | 95252 SPRING BLOSSOM LANE, FERNANDINA BEACH, FL, 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-14 | 95252 SPRING BLOSSOM LANE, FERNANDINA BEACH, FL 32034 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-14 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-05-02 |
| Domestic Profit | 2006-12-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
