Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

MEDFORUM, INC.

Filing Information
N97000001454 N/A 03/10/1997 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/22/2000 NONE
Principal Address
13799 PACK BLVD.
SUITE 256
SEMINOLE, FL 33776

Changed: 11/10/1998
Mailing Address
13799 PACK BLVD.
SUITE 256
SEMINOLE, FL 33776

Changed: 11/10/1998
Registered Agent Name & Address PRESSON, GINA D
13799 PACK BLVD.
SUITE 256
SEMINOLE, FL 33776

Address Changed: 11/10/1998
Officer/Director Detail Name & Address

Title D

PRESSON, GINA D
13799 PACK BLVD., SUITE 256
SEMINOLE, FL 33776

Title D

FORTIN, MICHELYNE
10939 ST-JULIENE
MONTREAL, NORTH QUEBEC HIH3Y

Title D

HAMMESFAHE, WILLIAM M
600 DRUID RD E
CLEARWATER, FL 34616

Title D

PAYNE, BRUCE
500 N. DUKE ST., SUITE 55-302
DURHAM, NC 27701

Annual Reports
Report YearFiled Date
1998 11/10/1998
1999 05/06/1999