Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

TAMPA BAY HEALTHCARE COLLABORATIVE, INC.

Filing Information
N03000000525 54-2080380 01/15/2003 FL ACTIVE AMENDMENT 01/22/2004 NONE
Principal Address
430 3rd Ave S
SUITE #379
St Petersburg, FL 33701

Changed: 06/08/2020
Mailing Address
PO BOX 835
St Petersburg, FL 33731

Changed: 06/08/2020
Registered Agent Name & Address Brown, Sheron M
430 3rd Ave S
SUITE #379
St Petersburg, FL 33701

Name Changed: 06/08/2020

Address Changed: 06/08/2020
Officer/Director Detail Name & Address

Title Executive Director

Brown, Sheron M
PO BOX 835
St Petersburg, FL 33731

Title Treasurer

Shouppe, Clint
PO Box 835
St Petersburg, FL 33731

Title Director

DEAN, LIANA
PO Box 835
St Petersburg, FL 33731

Title Chairman

Gonzalez, Leah
PO Box 835
St Petersburg, FL 33731

Title Director

Powe, Tamika
PO Box 835
St Petersburg, FL 33731

Title Director

Sokolov, Debbie
PO BOX 835
St Petersburg, FL 33731

Title Director

Magidson, Michael
PO BOX 835
St Petersburg, FL 33731

Title VC

Lewis, Kristen
PO BOX 835
St Petersburg, FL 33731

Title Director

Hall, Melanie
PO BOX 835
St Petersburg, FL 33731

Title Secretary

Berry, Belinthia
PO Box 835
St. Petersburg, FL 33731

Title Director

Seymour, Meiko
PO Box 835
St. Petersburg, FL 33731

Title Director

Tiernan, Chuck
PO Box 835
St. Petersburg, FL 33731

Annual Reports
Report YearFiled Date
2019 04/30/2019
2020 06/08/2020
2021 04/09/2021