Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FLORIDA SURGICAL NETWORK, INC.

Filing Information
N93000005665 65-0461208 12/17/1993 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 08/23/1996 NONE
Principal Address
ONE PARK PLAZA
NASHVILLE, TN 37203

Changed: 05/01/1995
Mailing Address
P O BOX 570
ATTN: TAX DEPT
NASHVILLE, TN 37202

Changed: 05/01/1995
Registered Agent Name & Address SCROGGINS, DONNA
4000 BURNS RD
PALM BEAHC GARDENS, FL 33410

Name Changed: 05/01/1995

Address Changed: 05/01/1995
Officer/Director Detail Name & Address

Title P

FRITZ, JAMES S
2111 GLENWOOD DR STE 201
WINTER PARK, FL

Title CD

BLALOCK, WILLIAM R
1355 ORANGE AVE STE 1
WINTER PARK, FL

Title D

BARIMO, MICHAEL J
1120 SEMORAN BLVD
CASSELBERRY, FL

Title D

BERSTEIN, RAYMOND
1925 MIZELL AVE STE 104
WINTER PARK, FL

Title D

BREIT, BRUCE E
100 PERTH LANE
WINTER PARK, FL

Title D

CROSBY, PHYLIS
253 N ORLANDO AVE STE 200
MAITLAND, FL

Annual Reports
Report YearFiled Date
1994 05/01/1994
1995 05/01/1995