Detail by Officer/Registered Agent Name
Florida Not For Profit Corporation
FLORIDA DENTAL ASSOCIATION FOUNDATION, INC.
Filing Information
753257
59-2019148
07/07/1980
FL
ACTIVE
AMENDMENT AND NAME CHANGE
05/21/2014
NONE
Principal Address
Changed: 04/27/2018
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Changed: 04/27/2018
Mailing Address
Changed: 04/27/2018
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Changed: 04/27/2018
Registered Agent Name & Address
EASON, ANDREW J
Name Changed: 11/19/2014
Address Changed: 04/27/2018
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Name Changed: 11/19/2014
Address Changed: 04/27/2018
Officer/Director Detail
Name & Address
Title Director
PAYNE, ROBERT W, Dr.
Title Director of Foundation Affairs
GILLUM, R. JAI
Title Director
WALTON III, JAMES F, Dr.
Title Director
BURWELL, BETH, Ms.
Title CFO, COO
GRUBER, GREGORY W
Title Director
BUCKENHEIMER, KAREN, Mrs.
Title Director
ALLEN, NOLAN W, Dr.
Title Treasurer, Director
BUCKENHEIMER, TERRY L, Dr.
Title Director
LASTRA, IDALIA, Dr.
Title President, Director
STEVENSON, RICHARD A, Dr.
Title Director
MENENDEZ, OSCAR, Dr.
Title Director
BUSTILLO, NATALIE, Dr.
Title CEO
Eason, Andrew J.
Title Director
GARCIA, ISABEL, DR.
Title Director
TANDY, BRUCE, Dr.
Title Coordinator of Foundation Affairs
Badeau, Kristin, Ms.
Title Secretary, Director
COLVIN, SHARON, DR.
Title VP, Director
KEVER, BRENNA, DR.
Title Director
LILO, SANDRA, DR.
Title Director
MAZARIEGOS, STEPHANIE, DR.
Title Director
MEYMAND, SAMIRA, DR.
Title Director
PEINADO, DANIELLA, DR.
Title Director
FERRIS, GERALDINE, DR.
Title Director
PAYNE, ROBERT W, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director of Foundation Affairs
GILLUM, R. JAI
545 John Knox Road, Suite 200
TALLAHASSEE, FL 32303
TALLAHASSEE, FL 32303
Title Director
WALTON III, JAMES F, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director
BURWELL, BETH, Ms.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title CFO, COO
GRUBER, GREGORY W
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director
BUCKENHEIMER, KAREN, Mrs.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director
ALLEN, NOLAN W, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Treasurer, Director
BUCKENHEIMER, TERRY L, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director
LASTRA, IDALIA, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title President, Director
STEVENSON, RICHARD A, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director
MENENDEZ, OSCAR, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director
BUSTILLO, NATALIE, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title CEO
Eason, Andrew J.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director
GARCIA, ISABEL, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director
TANDY, BRUCE, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Coordinator of Foundation Affairs
Badeau, Kristin, Ms.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Secretary, Director
COLVIN, SHARON, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title VP, Director
KEVER, BRENNA, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director
LILO, SANDRA, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director
MAZARIEGOS, STEPHANIE, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director
MEYMAND, SAMIRA, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director
PEINADO, DANIELLA, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Title Director
FERRIS, GERALDINE, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Tallahassee, FL 32303
Annual Reports
Report Year | Filed Date |
2022 | 05/05/2022 |
2023 | 04/28/2023 |
2024 | 04/30/2024 |
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