Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

NORTHEAST DISASTER MEDICAL ASSISTANCE TEAM FLORIDA 4 INC

Filing Information
N01000005873 59-3737278 08/14/2001 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/14/2007 NONE
Principal Address
14476 DUVAL PLACE WEST #203
JACKSONVILLE, FL 32218

Changed: 08/12/2004
Mailing Address
P O BOX 61885
JACKSONVILLE, FL 32236

Changed: 10/23/2007
Registered Agent Name & Address KETCHIE, KAREN GRN
655 WEST 8TH STREET
JACKSONVILLE, FL 32209
Officer/Director Detail Name & Address

Title D

THOMPSOM, PENNY
655 WEST 8TH STREET
JACKSONVILLE, FL 32209

Title D

RUSSELL, JEFFREY
625 HIWAY A1A
PONTE VERDA BEACH, FL 32082

Title D

MEANS, ELIZABETH RN
655 WEST 8TH STREET
JACKSONVILLE, FL 32209

Title P

KETCHIE, KAREN GRN
1721 SPRING STAR COURT
JACKSONVILLE, FL 32221

Title V

JONES, GARFIELD CDR
8037 DICKIE DRIVE
JACKSONVILLE, FL 32216

Title S

VAN, RON J
4248 RIPKEN CIRCLE EAST
JACKSONVILLE, FL 32224

Annual Reports
Report YearFiled Date
2004 05/05/2004
2005 04/24/2005
2006 05/03/2006