Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

PROVIDENCE BAPTIST CHURCH OF LAKELAND, INC.

Filing Information
715002 N/A 07/24/1968 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/22/2000 NONE
Principal Address
8330 N. SOCRUM LOOP ROAD
LAKELAND, FL 33809
Mailing Address
8330 N. SOCRUM LOOP ROAD
LAKELAND, FL 33809
Registered Agent Name & Address LAMBORN, THOMAS L
8424 ISLAND OAKS WEST
LAKELAND, FL 33805

Name Changed: 04/10/1996

Address Changed: 04/10/1996
Officer/Director Detail Name & Address

Title T

BOHRER, ROBERT
1204 EVERGREEN DR
LAKELAND, FL

Title TR

BROWN, DAVID
2505 S WIGGINS RD
PLANT CITY, FL

Title D

MCCLAIN, MELVIN
10848 COUNTRY VIEW DR
LAKELAND, FL 33809

Title TR

WALLACE, JACK
151 JENNY WY
LAKELAND, FL 33804

Title TR

REINCKE, RON
1123 WATT WILLIAMS RD 244
LAKELAND, FL 33809

Annual Reports
Report YearFiled Date
1997 04/17/1997
1998 04/16/1998
1999 04/23/1999