Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

THE OLD COUNTRY CHURCH OF GOD, INC.

Filing Information
N44957 59-3086742 09/04/1991 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/01/2004 NONE
Principal Address
2326 23RD CIRCLE
PANAMA CITY, FL 32405

Changed: 05/01/1993
Mailing Address
P O BOX 15156
PANAMA CITY, FL 32406

Changed: 05/01/1993
Registered Agent Name & Address JACKSON, SUSAN S
2326 23RD CIRCLE
PANAMA CITY, FL 32405

Name Changed: 04/27/1999

Address Changed: 05/01/1993
Officer/Director Detail Name & Address

Title DVT

DOZIER, SHIRLEY
2326 23RD CIRCLE
PANAMA CITY, FL

Title PDT

JACKSON, SUSAN S
100 TIMBER LANE
PANAMA CITY, FL

Title DT

JACKSON, JAMES V
858 ORANDE HILL RD
CHIPLEY, FL 32428

Title DT

PEACOCK, JAMES E
262 HWY 22A NORTH
PANAMA CITY, FL 32404

Annual Reports
Report YearFiled Date
2001 04/27/2001
2002 05/19/2002
2003 04/30/2003