| Entity Name: | WILLIAM W. FORMON, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Jan 2010 (15 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 04 Nov 2024 (3 months ago) |
| Document Number: | P10000005026 |
| FEI/EIN Number | 271706355 |
| Address: | 428 Harbor Ridge Drive, Palm Harbor, FL, 34683, US |
| Mail Address: | 428 Harbor Ridge Drive, Palm Harbor, FL, 34683, US |
| ZIP code: | 34683 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| FORMON WILLIAM W | Agent | 428 Harbor Ridge Drive, Palm Harbor, FL, 34683 |
| Name | Role | Address |
|---|---|---|
| Formon William W | President | 428 Harbor Ridge Drive, Palm Harbor, FL, 34683 |
| Name | Role | Address |
|---|---|---|
| FORMON LAURA | Vice President | 428 HARBOR RIDGE DRIVE, PALM HARBOR, FL, 34683 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000074775 | 65+ HEALTH INSURANCE | ACTIVE | 2023-06-21 | 2028-12-31 | No data | 428 HARBOR RIDGE DRIVE, PALM HARBOR, FL, 34683 |
| G23000046541 | MEDICARE ADVISORY SERVICE | ACTIVE | 2023-04-12 | 2028-12-31 | No data | 428 HARBOR RIDGE DRIVE, PALM HARBOR, FL, 34683 |
| G11000022183 | PROFESSIONAL MEDICAID ADVISORY SERVICE | EXPIRED | 2011-03-01 | 2016-12-31 | No data | 315 MORNINGSIDE DRIVE, PALM HARBOR, FL, 34683 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-11-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-19 | 428 Harbor Ridge Drive, Palm Harbor, FL 34683 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-19 | 428 Harbor Ridge Drive, Palm Harbor, FL 34683 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-19 | 428 Harbor Ridge Drive, Palm Harbor, FL 34683 | No data |
| Name | Date |
|---|---|
| Amendment | 2024-11-04 |
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-03-19 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-04-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
