Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

COUNTRYSIDE BOYS BASKETBALL BOOSTER CLUB, INC.

Filing Information
N96000006498 59-3402743 12/19/1996 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/01/2004 NONE
Principal Address
S.R. 580
COUNTRYSIDE HIGH SCHOOL
CLEARWATER, FL 34621
Mailing Address
C/O JACQUELINE BARRY
68 CRANE DRIVE
SAFETY HARBOR, FL 33761

Changed: 05/01/2003
Registered Agent Name & Address BARRY, JACQUELINE
68 CRANE DRIVE
SAFETY HARBOR, FL 34695

Name Changed: 04/21/2002

Address Changed: 05/01/2003
Officer/Director Detail Name & Address

Title P

BARRY, PAUL R
68 CRANE DRIVE
SAFETY HARBOR, FL 34695

Title T

BARRY, JACQUELINE
68 CRANE DRIVE
SAFETY HARBOR, FL 34695

Title D

CHACONAS, MICHELLE
5015 BRIDGE PORT DRIVE
SAFETY HARBOR, FL 34695

Title VD

CASH, JEFFERY L
3044 DOMINON CT
SAFETY HARBOR, FL 34695

Annual Reports
Report YearFiled Date
2001 10/08/2001
2002 04/21/2002
2003 05/01/2003