FAU/BROWARD HEALTH ACADEMIC PRACTICE PLAN, INC.

Florida Not For Profit Corporation

Filing Information

• Document Number: N23000007951
• FEI/EIN Number: 93-4633006
• Date Filed: 06/30/2023
• State: FL
• Status: ACTIVE
• Last Event: AMENDMENT
• Event Date Filed: 12/01/2023
• Event Effective Date: NONE

Principal Address

ADMINISTRATION BUILDING, ROOM 370
777 GLADES ROAD
BOCA RATON, FL 33431

Changed: 12/01/2023

Mailing Address

201 E SAMPLE RD
C/O ADMINISTRATION
DEERFIELD BEACH, FL 33064

Registered Agent Name & Address

KIAN, DAVID L

ADMINISTRATION BUILDING, ROOM 370
777 GLADES ROAD
BOCA RATON, FL 33431

Name Changed: 12/01/2023

Address Changed: 12/01/2023

Officer/Director Detail

Name & Address

Title MBR

FLORIDA ATLANTIC UNIVERSITY BOARD OF TRUST

201 E SAMPLE RD
DEERFIELD BEACH, FL 33064

Title MBR

NORTH BROWARD HOSPITAL DISTRICT

201 E SAMPLE RD
DEERFIELD BEACH, FL 33064

Title Chairperson

Volnick, Stacy, Dr.

ADMINISTRATION BUILDING, ROOM 370
777 GLADES ROAD
BOCA RATON, FL 33431

Title Vice Chair

Strum, Shane

1800 N.W. 49th Street
Suite 120
Fort Lauderdale, FL 33309

Title Secretary/Treasurer

Bert, Alisa

1800 N.W. 49th Street
Suite 120
Fort Lauderdale, FL 33309

Annual Reports

Report Year	Filed Date
2024	04/23/2024

Document Images

04/23/2024 -- ANNUAL REPORT

12/01/2023 -- Amendment

06/30/2023 -- Domestic Non-Profit