Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

CHOMP CANCER FOUNDATION INC.

Filing Information
N11000003147 45-1284156 03/29/2011 03/28/2011 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/27/2013 NONE
Principal Address
444 KOONHOLLOW GLN
FORT WHITE, FL 32038
Mailing Address
PO BOX 245
FORT WHITE, FL 32038
Registered Agent Name & Address VALENTINE, LAUREN
196 SCOTCH STREET
PALM BAY, FL 32908
Officer/Director Detail Name & Address

Title P

VALENTINE, LAUREN
196 SCOTCH STREET
PALM BAY, FL 32908

Title VP

KOON, DAVID
PO BOX 245
FORT WHITE, FL 32038

Title VP

VALENTINE, LINDSAY
1267 BEDROCK AVENUE
PALM BAY, FL 32907

Title S

KOON, BETTY
PO BOX 93
FORT WHITE, FL 32038

Title T

VALENTINE, KATHY
1267 BEDROCK AVENUE
PALM BAY, FL 32907

Annual Reports
Report YearFiled Date
2012 05/01/2012