Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

PHYSWELL FOUNDATION, INC.

Filing Information
N19000012549 NONE 11/26/2019 01/01/2020 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/2021 NONE
Principal Address
14797 PHILIPS HIGHWAY
114
JACKSONVILLE, FL 32256
Mailing Address
61 CARLSON CT
PONTE VEDRA, FL 32081
Registered Agent Name & Address SHUTE, DAVID C, II
61 CARLSON CT
PONTE VEDRA, FL 32081
Officer/Director Detail Name & Address

Title P

SHUTE, DAVID C, II
61 CARLSON CT
PONTE VEDRA, FL 32081

Title VP

WOOD, DEANNA I
7800 POINT MEADOWS DR, #524
JACKSONVILLE, FL 32256

Title DIR

TYLER, JACKSON W
14951 WALDEN SPRINGS WAY, #129
JACKSONVILLE, FL 32258

Title T

SHUTE, LAUREN D
61 CARLSON CT
PONTE VEDRA, FL 32081

Annual Reports
No Annual Reports Filed