| Entity Name: | NORCAL HEALTH MANAGEMENT ORGANIZATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 31 Aug 2022 (2 years ago) |
| Document Number: | P22000071724 |
| FEI/EIN Number | N/A |
| Address: | 1000 S. FORT HARRISON AVE., CLEARWATER, FL 33756 |
| Mail Address: | 1000 S. FORT HARRISON AVE., CLEARWATER, FL 33756 |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| AT CAUSE LAW OFFICE, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| PETERSEN, RICHARD W | Chief Executive Officer | 1000 S. FORT HARRISON AVE., CLEARWATER, FL 33756 |
| Name | Role | Address |
|---|---|---|
| PETERSEN, RICHARD W | Chief Financial Officer | 1000 S. FORT HARRISON AVE., CLEARWATER, FL 33756 |
| Name | Role | Address |
|---|---|---|
| PETERSEN, VIKKI M | Secretary | 1000 S. FORT HARRISON AVE., CLEARWATER, FL 33756 |
| Name | Role | Address |
|---|---|---|
| THE PETERSEN FAMILY TRUST, AS AMENDED AND RESTATED UTD MARCH 30, 2023 | Shareholder | 1000 S. FORT HARRISON AVE, CLEARWATER, FL 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 314 S. MISSOURI AVENUE, SUITE 201, CLEARWATER, FL 33756-5819 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-04-28 |
| Domestic Profit | 2022-08-31 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
