| Entity Name: | VITAL PROSTHETICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 May 2007 (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: | P07000062160 |
| FEI/EIN Number | 260284675 |
| Address: | 4288 5TH AVENUE, MARIANNA, FL, 32446, US |
| Mail Address: | PO BOX 430, MARIANNA, FL, 32447, US |
| ZIP code: | 32446 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114189669 | 2008-06-26 | 2008-09-18 | PO BOX 430, MARIANNA, FL, 324470430, US | 4299 3RD AVE, MARIANNA, FL, 324462136, US | |||||||||||||||||||
|
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| Phone | +1 850-526-0063 |
| Fax | 8505261317 |
Authorized person
| Name | MR. DALE E PETERSEN JR. |
| Role | PRES/OWNER |
| Phone | 8505260063 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | PRO 66 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PETERSEN MARTHA G | Agent | 4288 5TH AVENUE, MARIANNA, FL, 32446 |
| Name | Role | Address |
|---|---|---|
| PETERSEN DALE E | President | P.O. BOX 181072, TALLAHASSEE, FL, 32318 |
| Name | Role | Address |
|---|---|---|
| PETERSEN DALE E | Vice President | P.O. BOX 181072, TALLAHASSEE, FL, 32318 |
| Name | Role | Address |
|---|---|---|
| PETERSEN DALE E | Secretary | P.O. BOX 181072, TALLAHASSEE, FL, 32318 |
| Name | Role | Address |
|---|---|---|
| PETERSEN DALE E | Treasurer | P.O. BOX 181072, TALLAHASSEE, FL, 32318 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-03 | 4288 5TH AVENUE, MARIANNA, FL 32446 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-03 | 4288 5TH AVENUE, MARIANNA, FL 32446 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-03-01 | PETERSEN, MARTHA G | No data |
| CHANGE OF MAILING ADDRESS | 2008-02-23 | 4288 5TH AVENUE, MARIANNA, FL 32446 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-03 |
| ANNUAL REPORT | 2010-03-01 |
| ANNUAL REPORT | 2009-04-16 |
| ANNUAL REPORT | 2008-02-23 |
| Domestic Profit | 2007-05-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
