Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FLORIDA DENTAL ASSOCIATION FOUNDATION, INC.

Filing Information
753257 59-2019148 07/07/1980 FL ACTIVE AMENDMENT AND NAME CHANGE 05/21/2014 NONE
Principal Address
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Changed: 04/27/2018
Mailing Address
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Changed: 04/27/2018
Registered Agent Name & Address EASON, ANDREW J
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Name Changed: 11/19/2014

Address Changed: 04/27/2018
Officer/Director Detail Name & Address

Title Director

PAYNE, ROBERT W, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director of Foundation Affairs

GILLUM, R. JAI
545 John Knox Road, Suite 200
TALLAHASSEE, FL 32303
Title Director

WALTON III, JAMES F, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director

BURWELL, BETH, Ms.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title CFO, COO

GRUBER, GREGORY W
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director

BUCKENHEIMER, KAREN, Mrs.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director

ALLEN, NOLAN W, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Treasurer, Director

BUCKENHEIMER, TERRY L, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director

LASTRA, IDALIA, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title President, Director

STEVENSON, RICHARD A, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director

MENENDEZ, OSCAR, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director

BUSTILLO, NATALIE, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title CEO

Eason, Andrew J.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director

GARCIA, ISABEL, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director

TANDY, BRUCE, Dr.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Coordinator of Foundation Affairs

Badeau, Kristin, Ms.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Secretary, Director

COLVIN, SHARON, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title VP, Director

KEVER, BRENNA, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director

LILO, SANDRA, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director

MAZARIEGOS, STEPHANIE, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director

MEYMAND, SAMIRA, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director

PEINADO, DANIELLA, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Title Director

FERRIS, GERALDINE, DR.
545 John Knox Road, Suite 200
Tallahassee, FL 32303
Annual Reports
Report YearFiled Date
2022 05/05/2022
2023 04/28/2023
2024 04/30/2024

Document Images
04/30/2024 -- ANNUAL REPORT View image in PDF format
04/28/2023 -- ANNUAL REPORT View image in PDF format
05/05/2022 -- ANNUAL REPORT View image in PDF format
04/30/2021 -- ANNUAL REPORT View image in PDF format
06/29/2020 -- ANNUAL REPORT View image in PDF format
04/22/2019 -- ANNUAL REPORT View image in PDF format
04/27/2018 -- ANNUAL REPORT View image in PDF format
04/28/2017 -- ANNUAL REPORT View image in PDF format
04/26/2016 -- ANNUAL REPORT View image in PDF format
01/20/2015 -- ANNUAL REPORT View image in PDF format
11/19/2014 -- AMENDED ANNUAL REPORT View image in PDF format
05/21/2014 -- Amendment and Name Change View image in PDF format
01/13/2014 -- ANNUAL REPORT View image in PDF format
08/26/2013 -- AMENDED ANNUAL REPORT View image in PDF format
01/18/2013 -- ANNUAL REPORT View image in PDF format
01/06/2012 -- ANNUAL REPORT View image in PDF format
01/13/2011 -- ANNUAL REPORT View image in PDF format
01/15/2010 -- ANNUAL REPORT View image in PDF format
01/15/2009 -- ANNUAL REPORT View image in PDF format
01/07/2008 -- ANNUAL REPORT View image in PDF format
01/05/2007 -- ANNUAL REPORT View image in PDF format
01/11/2006 -- ANNUAL REPORT View image in PDF format
03/13/2005 -- ANNUAL REPORT View image in PDF format
04/28/2004 -- ANNUAL REPORT View image in PDF format
04/23/2003 -- ANNUAL REPORT View image in PDF format
04/18/2002 -- ANNUAL REPORT View image in PDF format
04/30/2001 -- ANNUAL REPORT View image in PDF format
11/02/2000 -- Amendment View image in PDF format
04/20/2000 -- ANNUAL REPORT View image in PDF format
02/25/1999 -- ANNUAL REPORT View image in PDF format
04/17/1998 -- ANNUAL REPORT View image in PDF format
05/01/1997 -- ANNUAL REPORT View image in PDF format
03/27/1996 -- ANNUAL REPORT View image in PDF format
01/30/1995 -- ANNUAL REPORT View image in PDF format