Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

MIMA FOUNDATION OF BREVARD, INC.

Filing Information
N01000000226 59-3690337 12/29/2000 FL INACTIVE VOLUNTARY DISSOLUTION 06/24/2013 06/30/2013
Principal Address
1130 HICKORY STREET
MELBOURNE, FL 32901

Changed: 04/26/2010
Mailing Address
1130 HICKORY STREET
MELBOURNE, FL 32901

Changed: 04/26/2010
Registered Agent Name & Address BOYLES, WILLAM A
301 E. PINE ST., #1400
ORLANDO, FL 32801
Officer/Director Detail Name & Address

Title DS

MCCLURE, JOSEPH A, MD
1130 HICKORY STREET
MELBOURNE, FL 32901

Title DV

GURRI, JOSEPH A, MD
1130 HICKORY STREET
MELBOURNE, FL 32901

Title DT

RONALDSON, JAMES M, MD
1130 HICKORY STREET
MELBOURNE, FL 32901

Title D

FUSCO, MARK, MD
1130 HICKORY STREET
MELBOURNE, FL 32901

Title DP

GOLDEN, NANI, MD
1130 HICKORY STREET
MELBOURNE, FL 32901

Title ED

BANEY, HOLLY M
1130 HICKORY STREET
MELBOURNE, FL 32901

Annual Reports
Report YearFiled Date
2010 04/26/2010
2011 03/15/2011
2012 01/10/2012