| Entity Name: | SIGNATURE HEALTH GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 10 Dec 2015 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P15000099049 |
| FEI/EIN Number | 37-1802082 |
| Address: | 900 OSCEOLA DRIVE, SUITE 200, WEST PALM BEACH, FL 33409 |
| Mail Address: | 900 OSCEOLA DRIVE, SUITE 200, WEST PALM BEACH, FL 33409 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| MOBARAK, YUSEF K | Agent | 900 OSCEOLA DRIVE SUITE 200 A&B, WEST PALM BEACH, FL 33409 |
| Name | Role | Address |
|---|---|---|
| Mobarak, Yusef K | President | 900 OSCEOLA DRIVE SUITE 200 A&B, WEST PALM BEACH, FL 33409 |
| Name | Role | Address |
|---|---|---|
| Hernandez, Anselmo V | Chairman | 900 OSCEOLA DRIVE SUITE 200 A&B, WEST PALM BEACH, FL 33409 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000029853 | LIFE CHANGES TREATMENT CENTER | EXPIRED | 2016-03-22 | 2021-12-31 | No data | 900 OSCEOLA DRIVE, SUITE 223, WEST PALM BEACH, FL, 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2017-09-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| AMENDMENT | 2016-09-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-09-09 | 900 OSCEOLA DRIVE, SUITE 200, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2016-09-09 | 900 OSCEOLA DRIVE, SUITE 200, WEST PALM BEACH, FL 33409 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-05-11 | MOBARAK, YUSEF K | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-05-11 | 900 OSCEOLA DRIVE SUITE 200 A&B, WEST PALM BEACH, FL 33409 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000567659 | LAPSED | 18-042-D2 | LEON | 2019-06-27 | 2024-08-26 | $69,636.92 | DFS DIVISION OF WORKERS COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228 |
| J18000600221 | ACTIVE | 1000000793314 | PALM BEACH | 2018-08-08 | 2028-08-29 | $ 12,328.23 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| J18000033738 | TERMINATED | 1000000767120 | PALM BEACH | 2017-12-27 | 2028-01-24 | $ 10,500.44 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-12 |
| REINSTATEMENT | 2017-09-25 |
| Amendment | 2016-09-09 |
| AMENDED ANNUAL REPORT | 2016-05-11 |
| ANNUAL REPORT | 2016-03-18 |
| Domestic Profit | 2015-12-10 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
