Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

WASHINGTON COUNTY FAMILY HEALTH CENTER, INC.

Filing Information
N07000012092 26-2674132 12/18/2007 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/26/2014 NONE
Principal Address
1338 S BOULEVARD
CHIPLEY, FL 32428
Mailing Address
PO BOX 648
CHIPLEY, FL 32428
Registered Agent Name & Address ODOM, KRISTI MESQ.
844 5TH STREET
CHIPLEY, FL 32428
Officer/Director Detail Name & Address

Title C

TAYLOR, HERBERT
4254 SHELL LANDING ROAD
VERNON, FL 32462

Title V

DOYLE, OTIS
4116 JACKSON COMMUNITY ROAD
VERNON, FL 32462

Title T

JUSTICE, PATSY
P.O. BOX 1
WASSAU, FL 32463

Title CEO

DAVIS, RICHARD EJR
1338 SOUTH BLVD.
CHIPLEY, FL 32428

Title S

FONDO, CAROL
2740 OWENS COMMUNITY ROAD
VERNON, FL 32462

Annual Reports
Report YearFiled Date
2011 01/28/2011
2012 02/17/2012
2013 02/08/2013