Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

DEEP BLUE DIVE THERAPY INC

Filing Information
N21000014077 87-3930868 12/10/2021 12/10/2021 FL ACTIVE
Principal Address
13506 Summerport Village Pkwy
768
Windermere, FL 34786

Changed: 04/08/2023
Mailing Address
13506 SUMMERPORT VILLAGE PKWY
768
WINDERMERE, FL 34786
Registered Agent Name & Address WILSON, LARRY O, III
13506 SUMMERPORT VILLAGE PKWY
768
WINDERMERE, FL 34786

Address Changed: 04/08/2023
Officer/Director Detail Name & Address

Title Board of Directors, Chairman, CEO

WILSON, LARRY
13506 SUMMERPORT VILLAGE PKWY
768
WINDERMERE, FL 34786

Title Board of Directors, VP

Fritz, David
13506 SUMMERPORT VILLAGE PKWY
768
WINDERMERE, FL 34786

Title Board of Directors, COO

hilyard, kasey
13506 SUMMERPORT VILLAGE PKWY
768
WINDERMERE, FL 34786

Title Board of Directors, Officer

conklin, kenyon
13506 SUMMERPORT VILLAGE PKWY
768
WINDERMERE, FL 34786

Title Board of Directors, Officer

Ali, Aziz
13506 SUMMERPORT VILLAGE PKWY
768
WINDERMERE, FL 34786

Annual Reports
Report YearFiled Date
2022 02/04/2022
2023 04/08/2023
2024 03/02/2024