| Entity Name: | SALLY SAMPLE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Nov 1995 (29 years ago) |
| Date of dissolution: | 16 Oct 1998 (26 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 16 Oct 1998 (26 years ago) |
| Document Number: | P95000090057 |
| FEI/EIN Number | 593347787 |
| Address: | 1204 NW 69TH TERR., SUITE B, GAINESVILLE, FL, 32605, US |
| Mail Address: | 1204 NW 69TH TERR., SUITE B, GAINESVILLE, FL, 32605, US |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| SAMPLE SALLY | Agent | 1204 NW 69TH TERR., GAINESVILLE, FL, 32605 |
| Name | Role | Address |
|---|---|---|
| SAMPLE SALLY M | Director | 1204 NW 69TH TERR, GAINESVILLE, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1997-11-14 | 1204 NW 69TH TERR., SUITE B, GAINESVILLE, FL 32605 | No data |
| CHANGE OF MAILING ADDRESS | 1997-11-14 | 1204 NW 69TH TERR., SUITE B, GAINESVILLE, FL 32605 | No data |
| REGISTERED AGENT NAME CHANGED | 1997-11-14 | SAMPLE, SALLY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1997-11-14 | 1204 NW 69TH TERR., SUITE B, GAINESVILLE, FL 32605 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 1997-11-14 |
| ANNUAL REPORT | 1996-07-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
