Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

POLK COUNTY MEDICAL ASSOCIATION ALLIANCE, INC.

Filing Information
748107 59-1888051 07/18/1979 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/26/2014 NONE
Principal Address
5110 S FLORIDA AVE
#111
LAKELAND, FL 33813

Changed: 06/28/2007
Mailing Address
5110 S FLORIDA AVE
#111
LAKELAND, FL 33813

Changed: 06/28/2007
Registered Agent Name & Address COURTNEY, JACKIE
5110 S FLORIDA AVE 111
LAKELAND, FL 33813

Name Changed: 06/21/2010

Address Changed: 06/28/2007
Officer/Director Detail Name & Address

Title CD

LYLE, DONNA
1101 INTERLACHEN BLVD
WINTER HAVEN, FL 33884

Title CD

SILBIGER, KRISTA
99 LAMERAUX RD
WINTER HAVEN, FL 33884

Title SD

DONNA LYLE
1101 INTERLACHEN BLVD
WINTER HAVEN, FL

Title PD

SANDERS, LORETTA
1129 INTERLOCHEN BLVD
WINTER HAVEN, FL 33884

Title TV

COURTNEY, JACKIE
5110 S FLORIDA AVE 111
LAKELAND, FL 33813

Annual Reports
Report YearFiled Date
2011 02/17/2011
2012 04/24/2012
2013 01/30/2013