| Entity Name: | ACT LIFE TRANSITIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Jul 2017 (8 years ago) |
| Date of dissolution: | 05 Sep 2017 (7 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 05 Sep 2017 (7 years ago) |
| Document Number: | P17000057823 |
| Address: | 2965 LIMPET CT., INDIALANTIC, FL, 32903, US |
| Mail Address: | 2965 LIMPET CT., INDIALANTIC, FL, 32903, US |
| ZIP code: | 32903 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881113629 | 2017-09-13 | 2022-07-21 | 2965 LIMPET CT, INDIALANTIC, FL, 329031825, US | 2965 LIMPET CT, INDIALANTIC, FL, 329031825, US | |||||||||||||||||||
|
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| Phone | +1 321-265-7557 |
Authorized person
| Name | MS. CARRIE ERIN CONNELLY |
| Role | COO OF CLINICAL PROGRAM DEVELOPMENT |
| Phone | 3212657557 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | 1-04-2044 |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BEHAVIOR ANALYSIS CERTIFICATION BOARD |
| Number | 1-04-2044 |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CONNELLY CARRIE E | President | 2965 LIMPET CT., INDIALANTIC, FL, 32903 |
| Name | Role | Address |
|---|---|---|
| CONNELLY CARRIE E | Treasurer | 2965 LIMPET CT., INDIALANTIC, FL, 32903 |
| Name | Role | Address |
|---|---|---|
| INGRASSIA GINA M | Secretary | 2965 LIMPET CT., INDIALANTIC, FL, 32903 |
| Name | Role | Address |
|---|---|---|
| INGRASSIA GINA M | Director | 2965 LIMPET CT., INDIALANTIC, FL, 32903 |
| CONNELLY CARRIE E | Director | 2965 LIMPET CT., INDIALANTIC, FL, 32903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-06 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| CONVERSION | 2017-09-05 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L17000188724. CONVERSION NUMBER 500000174265 |
| Name | Date |
|---|---|
| Domestic Profit | 2017-07-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
