Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FLORIDA HEALTH CHOICE, INC.

Filing Information
N02488 59-2386585 04/11/1984 FL INACTIVE VOLUNTARY DISSOLUTION 04/28/2003 NONE
Principal Address
12204 CLIFTON SPRING
CLIFTON, VA 20124

Changed: 06/16/2003
Mailing Address
105 SOUTH NARCISSUS AVENUE, SUITE 612
WEST PALM BEACH, FL 33401

Changed: 06/16/2003
Registered Agent Name & Address HARWARD, CARLA L. BROWN
CARLA L. BROWN HARWARD, P.A.
105 SOUTH NARCISSUS AVENUE, SUITE 612
WEST PALM BEACH, FL 33401
Officer/Director Detail Name & Address

Title D

TAYLOR, ROBERT
2815 S. SEACREST BLVD.
BOYNTON BEACH, FL 33435

Title D

JOHNSON, JOHN
4725 N. FEDERAL HWY.
FT. LAUDERDALE, FL 33308

Title PCEO

KIBBE, I. DAVID
12204 CLIFTON SPRING
CLIFTON, VA 20124

Title D

LOSCALZO, MICHAEL
1309 N. FLAGLER DR
W.PALM BCH, FL 33401

Annual Reports
Report YearFiled Date
2000 10/06/2000
2002 10/14/2002