| Entity Name: | F.O.R.M.E. MEDICAL CENTER WALK IN CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
F.O.R.M.E. MEDICAL CENTER WALK IN CLINIC, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 16 Apr 1997 (28 years ago) |
| Date of dissolution: | 24 Sep 1999 (26 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 1999 (26 years ago) |
| Document Number: | P97000034106 |
| FEI/EIN Number |
593440123
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 27910 US 19 NORTH, CLEARWATER, FL, 33761, US |
| Mail Address: | 27910 US 19 NORTH, CLEARWATER, FL, 33761, US |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| LIBERTI FRANK E | Director | 27910 US HWY 19 NO, CLEARWATER, FL, 33761 |
| EVENSTAD KIRK | President | 27910 US 19 NORTH, CLEARWATER, FL, 33761 |
| EVENSTAD KIRK | Secretary | 27910 US 19 NORTH, CLEARWATER, FL, 33761 |
| EVENSTAD KIRK | Treasurer | 27910 US 19 NORTH, CLEARWATER, FL, 33761 |
| LIBERTI FRANK E | Agent | 27910 US 19 NORTH, CLEARWATER, FL, 34621 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1999-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 1998-03-10 | 27910 US 19 NORTH, CLEARWATER, FL 33761 | - |
| CHANGE OF MAILING ADDRESS | 1998-03-10 | 27910 US 19 NORTH, CLEARWATER, FL 33761 | - |
| Name | Date |
|---|---|
| DEBIT MEMO | 2000-01-11 |
| REINSTATEMENT | 1999-10-21 |
| ANNUAL REPORT | 1998-03-10 |
| Domestic Profit Articles | 1997-04-14 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
