Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

THE NATIONAL ASSOCIATION OF INDEPENDENT DIAGNOSTIC SERVICES, INC.

Filing Information
N39859 65-0542900 09/11/1990 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 08/23/1996 NONE
Principal Address
5130 LINTON BLVD.
SUITE C-1
DELRAY BEACH, FL 33484

Changed: 04/07/1995
Mailing Address
5130 LINTON BLVD.
SUITE C-1
DELRAY BEACH, FL 33484

Changed: 04/07/1995
Registered Agent Name & Address GUIMOND, WILLIAM
5130 LINTON BLVD.
SUITE C-1
DELRAY BEACH, FL 33484

Name Changed: 04/07/1995

Address Changed: 08/05/1992
Officer/Director Detail Name & Address

Title PD

GUIMOND, WILLIAM
5130 LINTON BLVD.
DELRAY BEACH, FL 33484

Title VD

GROSSMAN, JEFFREY
7401 114TH AVE. NORTH #501
LARGO, FL 34643

Title TD

LINN, DANA J.
3201 W. COMMERCIAL BLVD
FT.LAUDERDALE, FL

Title SD

MORO, KATIE
6912 ALOMA AVE.
WINTER PARK, FL 32792

Annual Reports
Report YearFiled Date
1993 05/01/1993
1994 04/21/1994
1995 04/07/1995