Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

WEST POLK AND HARDEE COUNTY MENTAL HEALTH SERVICES, INC.

Filing Information
745922 59-2873555 02/12/1979 FL INACTIVE CORPORATE MERGER 05/28/1996 NONE
Principal Address
SERVICES, INC.
1745 HWY 17 S.
BARTOW, FL 33830
Mailing Address
SERVICES, INC.
1745 HWY 17 S.
BARTOW, FL 33830
Registered Agent Name & Address GAITHER, ROY
8805 WEST KNIGHTS GRIFFIN ROAD
PLANT CITY, FL 33566

Address Changed: 06/08/1987
Officer/Director Detail Name & Address

Title V

BRICE, MARVIN W
3425 KATHLEEN ROAD
LAKELAND, FL

Title ST

GAITHER, ROY
8805 W KNIGHTS GRIFFIN
PLANT CITY, FL 00000

Title P

SWEAT, WILLIAM A, JR
369 LAKE HOLLINGSWORTH
LAKELAND, FL 00000

Title D

WETTERER, CHARLES R.
4422 ORANGEWOOD LOOP, W.
LAKELAND, FL

Title D

WATSON, GEORGE
1750 GIBBONS
BARTOW, FL

Title D

LANGFORD, MARY K.
1250 SCOTTSDALE DR
LAKELAND, FL

Annual Reports
Report YearFiled Date
1993 05/01/1993
1994 02/09/1994
1995 05/01/1995