Detail by Officer/Registered Agent Name
Florida Not For Profit Corporation
CAPITAL MEDICAL SOCIETY FOUNDATION, INC.
Filing Information
757892
59-2104510
04/29/1981
FL
ACTIVE
AMENDMENT
01/25/2017
NONE
Principal Address
Changed: 02/19/1992
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Changed: 02/19/1992
Mailing Address
Changed: 02/19/1992
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Changed: 02/19/1992
Registered Agent Name & Address
IRWIN, Pamela
Name Changed: 01/25/2017
Address Changed: 07/03/2001
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Name Changed: 01/25/2017
Address Changed: 07/03/2001
Officer/Director Detail
Name & Address
Title Immediate Past President
MAHONEY, JOHN MD
Title Director
SHEEDY, J. BRIAN MD
Title VP
Colon, Walt, DMD
Title Director
Doll, Avon, MD
Title President
Hellgren, Tracey, Dr.
Title Director
Jones, David, Dr.
Title Director
LOEFFLER, NANCY, DR.
Title Director
Cox, J. Alan, Esq.
Title Director
Walton, Jay, DDS
Title Emeritus
Williams, Charles, Dr.
Title Director
Blackburn, Claudia, MPH RN
Title Director
Gamble, Tereze, Dr.
Title Executive Director
BLOCK, TOM
Title Director
Edwards, Marlisha, M.D.
Title Director
Fortunas, Paula, M.A.
Title Director
Munasifi, Faisal, M.D.
Title Treasurer
Stewart, David, Dr.
Title Director
Joseph, Rohan, Dr.
Title Secretary
BROWN, YVONNE
Title Director
Holliday, Patricia, MSW
Title CMS President
Paulson, Helen, Dr.
Title President Elect
Cole, Russell, Dr.
Title Director
Forbes, Geryl
Title Director
Jackson, Brittany
Title Immediate Past President
MAHONEY, JOHN MD
2920 IVANHOE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Director
SHEEDY, J. BRIAN MD
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title VP
Colon, Walt, DMD
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Director
Doll, Avon, MD
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title President
Hellgren, Tracey, Dr.
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Director
Jones, David, Dr.
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Director
LOEFFLER, NANCY, DR.
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Director
Cox, J. Alan, Esq.
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Director
Walton, Jay, DDS
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Emeritus
Williams, Charles, Dr.
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Director
Blackburn, Claudia, MPH RN
2923 Sharer Road
TALLAHASSEE, FL 32312
TALLAHASSEE, FL 32312
Title Director
Gamble, Tereze, Dr.
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Executive Director
BLOCK, TOM
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Director
Edwards, Marlisha, M.D.
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Director
Fortunas, Paula, M.A.
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Director
Munasifi, Faisal, M.D.
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Treasurer
Stewart, David, Dr.
1204 Miccosukee Road
Tallahassee, FL 32308
Tallahassee, FL 32308
Title Director
Joseph, Rohan, Dr.
1204 Miccosukee Road
Tallahassee, FL 32308
Tallahassee, FL 32308
Title Secretary
BROWN, YVONNE
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Director
Holliday, Patricia, MSW
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title CMS President
Paulson, Helen, Dr.
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title President Elect
Cole, Russell, Dr.
1204 MICCOSUKEE RD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Director
Forbes, Geryl
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Title Director
Jackson, Brittany
1204 MICCOSUKEE ROAD
TALLAHASSEE, FL 32308
TALLAHASSEE, FL 32308
Annual Reports
Report Year | Filed Date |
2022 | 02/24/2022 |
2023 | 03/07/2023 |
2024 | 04/17/2024 |
Document Images