Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

MY PROVIDER, INC.

Filing Information
N19000007934 38-4124766 07/29/2019 07/29/2019 FL INACTIVE VOLUNTARY DISSOLUTION 04/29/2021 NONE
Principal Address
17179 FOUNDATION WAY
JUPITER, FL 33458
Mailing Address
P.O. BOX 8642
WEST PALM BEACH, FL 33407
Changed: 10/20/2019
Registered Agent Name & Address COLLINS, SADE E
17179 Foundation Way
Jupiter, FL 33458
Address Changed: 06/30/2020
Officer/Director Detail Name & Address

Title P

COLLINS, SADE E
P.O. BOX 8642
WEST PALM BEACH, FL 33407
Title VP

Shelton, Sylvia
P.O. BOX 8642
WEST PALM BEACH, FL 33407
Title VP2

Jones, Ranisha
P.O. BOX 8642
WEST PALM BEACH, FL 33407
Title VP3

Hutchinson, John
P.O. BOX 8642
WEST PALM BEACH, FL 33407
Annual Reports
Report YearFiled Date
2020 06/30/2020

Document Images
04/29/2021 -- VOLUNTARY DISSOLUTION View image in PDF format
06/30/2020 -- ANNUAL REPORT View image in PDF format
07/29/2019 -- Domestic Non-Profit View image in PDF format