Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

POLK HEALTH INFORMATION EXCHANGE ORGANIZATION, INC.

Filing Information
N09000006751 27-3841777 07/10/2009 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/25/2015 NONE
Principal Address
4315 HIGHLAND PARK BLVD
SUITE B
LAKELAND, FL 33813
Changed: 04/25/2013
Mailing Address
4315 HIGHLAND PARK BLVD
SUITE B
LAKELAND, FL 33813
Changed: 04/25/2013
Registered Agent Name & Address BLALOCK WALTERS, P.A.
802 11TH STREET WEST
BRADENTON, FL 34205
Name Changed: 08/11/2011

Address Changed: 08/11/2011
Officer/Director Detail Name & Address

Title D

PITTMAN, C. CHRISTOPHER
4315 HIGHLAND PARK BLVD
SUITE B
LAKELAND, FL 33813
Title D

SCHEMMER, GARY
4315 HIGHLAND PARK BLVD
SUITE B
LAKELAND, FL 33813
Title D

CORY, MATTHEW
4315 HIGHLAND PARK BLVD
SUITE B
LAKELAND, FL 33813
Title D

CARRILLO, LUIS
4315 HIGHLAND PARK BLVD
SUITE B
LAKELAND, FL 33813
Title D

NOBO, RAFAEL J
4315 HIGHLAND PARK BLVD
SUITE B
LAKELAND, FL 33813
Title D

SEOANE, SERGIO B
4315 HIGHLAND PARK BLVD
SUITE B
LAKELAND, FL 33813
Annual Reports
Report YearFiled Date
2012 02/27/2012
2013 04/25/2013
2014 03/05/2014

Document Images
03/05/2014 -- ANNUAL REPORT View image in PDF format
04/25/2013 -- ANNUAL REPORT View image in PDF format
02/27/2012 -- ANNUAL REPORT View image in PDF format
08/11/2011 -- ANNUAL REPORT View image in PDF format
08/06/2010 -- ANNUAL REPORT View image in PDF format
07/10/2009 -- Domestic Non-Profit View image in PDF format