Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

BOYS AND GIRLS CLUB OF BREVARD, INC.

Filing Information
N95000003356 59-3327787 07/13/1995 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/16/2005 NONE
Principal Address
1140 LAKE DRIVE
COCOA, FL 32922

Changed: 03/12/2003
Mailing Address
1140 LAKE DRIVE
COCOA, FL 32922

Changed: 03/12/2003
Registered Agent Name & Address THERIAC, JAMES S
96 WILLARD ST
SUITE 302
COCOA, FL 32922
Officer/Director Detail Name & Address

Title D

KASICA, THOMAS
1800 W HIBISCUS BLVD SUITE 128
MELBOURNE, FL 32935

Title D

TELLES, ANGEL
962 TAMARIND CIR.
ROCKLEDGE, FL 32955

Title D

EDWADS, ART
5325 AMY WAY
MIMS, FL 32754

Annual Reports
Report YearFiled Date
2002 07/24/2002
2003 03/12/2003
2004 02/24/2004