| Entity Name: | ULTIMATE FORM PREVENTIVE HEALTH AND WELLNESS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Oct 1996 (28 years ago) |
| Date of dissolution: | 04 Oct 2002 (22 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 04 Oct 2002 (22 years ago) |
| Document Number: | P96000084327 |
| FEI/EIN Number | 593407327 |
| Address: | 455 ALTERNATE 19, #86, PALM HARBOR, FL, 34683 |
| Mail Address: | 28 EAST TARPON AVENUE, TARPON SPRINGS, FL, 34689 |
| ZIP code: | 34683 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| KLIMIS GEORGE N | Agent | 28 EAST TARPON AVENUE, TARPON SPRINGS, FL, 34689 |
| Name | Role | Address |
|---|---|---|
| ALCUAZ ALAN | Director | 455 ALTERNATE 19, #86, PALM HARBOR, FL, 34683 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-04-17 | 455 ALTERNATE 19, #86, PALM HARBOR, FL 34683 | No data |
| CHANGE OF MAILING ADDRESS | 2000-05-05 | 455 ALTERNATE 19, #86, PALM HARBOR, FL 34683 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2000-05-05 | 28 EAST TARPON AVENUE, TARPON SPRINGS, FL 34689 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2001-04-17 |
| ANNUAL REPORT | 2000-05-05 |
| ANNUAL REPORT | 1999-05-06 |
| ANNUAL REPORT | 1998-04-29 |
| ANNUAL REPORT | 1997-02-11 |
| DOCUMENTS PRIOR TO 1997 | 1996-10-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
