Basil D Fossum Md Pa
Company ID
P20000031618
Status
Inactive
Basil D Fossum Md Pa
was incorporated as a Florida For-profit Corporation on April 23, 2020, with its office address at 914 B Mar Walt Drive Fort Walton Beach, FL 32547. It is registered with the Florida Division of Corporations. Fossum, Basil D serves as the registered agent. The company's leadership includes Fossum, Basil D, Md and Aufderheide, Christine. The company is currently inactive. The entity ceased operations on September 27, 2024, after being in business for 4 years, 5 months and 4 days.
Contact
Mail Address
914 B Mar Walt Drive Fort Walton Beach, FL 32547
EmailUnreported
Telephone
WebsiteGo to website
Social Media
Basic Information
Updated: 2025-07-24
Company Name
Basil D Fossum Md Pa
Company ID
P20000031618
Date of Registration
FEI/EIN Number
59-3014004
State
Florida
Type
Florida Profit Corporation
Office Address
914 B Mar Walt Drive Fort Walton Beach, FL 32547
Dissolution
ADMIN DISSOLUTION FOR ANNUAL REPORT
Date of Dissolution
2024-09-27
Status
Inactive
Agent Information
Agent Name:
Fossum, Basil D
Address: 914 B Mar Walt Drive Fort Walton Beach, FL 32547 Name Changed: 02/15/2023
Governing Persons
Title:
Authorized Member
Address: 914 B Mar Walt Drive Fort Walton Beach, FL 32547
Title:
Authorized Member
Address: 914 B Mar Walt Drive Fort Walton Beach, FL 32547
Latest Activity & Filing History
Latest Activity
REINSTATEMENT
2023-02-15
ANNUAL REPORT
2021-04-23
Domestic Profit
2020-04-23
Documents
Filing Date
Description
Download
Filling Date
2023-02-15
Download
Description
REINSTATEMENT
Filling Date
2021-04-23
Download
Description
ANNUAL REPORT
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Registered in Fort Walton Beach
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