Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

WALTON COUNTY CONVALESCENT CENTER, INC.

Filing Information
743967 95-2301514 08/17/1978 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/04/2002 NONE
Principal Address
WALTON COUNTY COURTHOUSE
785 S. 2ND STREET
DEFUNIAK SPRINGS, FL 32433

Changed: 03/05/1999
Mailing Address
WALTON COUNTY COURTHOUSE
785 S. 2ND STREET
DEFUNIAK SPRINGS, FL 32433

Changed: 03/05/1999
Registered Agent Name & Address GEORGE RALPH MILLER, ESQ.
105 E NELSON AVE
P.O. BOX 687
DEFUNIAK SPRINGS, FL 32433

Name Changed: 08/21/1991

Address Changed: 08/21/1991
Officer/Director Detail Name & Address

Title D

WALKER, HERMAN
571 HWY 90 E.
DEFUNIAK SPRINGS, FL 32433

Title D

PAUL, JOEL JR.
571 HWY 90 E.
DEFUNIAK SPRING, FL 32433

Title D

VAN NESS, BUTLER
571 HWY 90 E.
DEFUNIAK SPRING, FL 32433

Title D

RYAN, GENE
571 US HWY 90 E.
DEFUNIAK SPRINGS, FL 32433

Title D

INFINGER, RANDALL
571 HWY 90 E.
DEFUNIAK SPRINGS, FL 32433

Annual Reports
Report YearFiled Date
1999 03/05/1999
2000 03/07/2000
2001 04/24/2001