Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

POLK COMMUNITY CLINIC, INC.

Filing Information
N06000011319 71-1015494 10/30/2006 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/27/2013 NONE
Principal Address
118 ALLAMANDA DRIVE
LAKELAND, FL 33803 UN

Changed: 01/06/2012
Mailing Address
PO BOX 2186
BARTOW, FL 33831

Changed: 01/07/2007
Registered Agent Name & Address SEOANE, SERGIO B
118 ALLAMANDA DRIVE
LAKELAND, FL 33803

Name Changed: 01/26/2008

Address Changed: 01/26/2008
Officer/Director Detail Name & Address

Title D

SEOANE, SERGIO B
118 ALLAMANDA DRIVE
LAKELAND, FL 33803

Title D

MCMICKEN, SEAN
118 ALLAMANDA DRIVE
LAKELAND, FL 33803

Title D

AGUILERA, LILLIAN
118 ALLAMANDA DRIVE
LAKELAND, FL 33803

Annual Reports
Report YearFiled Date
2010 03/14/2010
2011 03/13/2011
2012 01/06/2012