Detail by Officer/Registered Agent Name

Florida Profit Corporation

FORM DESIGNERS, INC.

Filing Information
630867 59-1941412 07/20/1979 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/16/1998 NONE
Principal Address
19912 DEER LAKE RD.
LUTZ, FL 33549-7000

Changed: 07/13/1990
Mailing Address
19912 DEER LAKE RD.
LUTZ, FL 33549-7000

Changed: 07/13/1990
Registered Agent Name & Address HAYES, LLOYD N. J
19912 DEER LAKE RD.
LUTZ, FL 33549

Name Changed: 07/29/1994

Address Changed: 07/29/1994
Officer/Director Detail Name & Address

Title DP

HAYES, LLOYD N
19912 DEER LAKE RD.
LUTZ, FL

Title VP

JONES, QUINCEY A
14615 N 16TH ST
LUTZ, FL

Title D

VANSCHOONHOVEN, MICHAEL
14707 N BLVD
TAMPA, FL

Annual Reports
Report YearFiled Date
1995 05/01/1995
1996 05/01/1996
1997 09/16/1997