Detail by Officer/Registered Agent Name

Florida Profit Corporation

SOUTHERN STATES REGIONAL INSURANCE AGENCY, INC.

Filing Information
P02000059778 81-0555090 05/30/2002 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/01/2004 NONE
Principal Address
127 MIRACLE STRIP PARKWAY
SUITE N7
FT WALTON BCH, FL 32548

Changed: 11/05/2003
Mailing Address
127 MIRACLE STRIP PARKWAY
SUITE N7
FT WALTON BCH, FL 32548

Changed: 11/05/2003
Registered Agent Name & Address LEA, ARDEN ATTY
104 MIRACLE STRIP PKWY
FT WALTON BCH, FL 32548

Name Changed: 06/27/2003

Address Changed: 06/27/2003
Officer/Director Detail Name & Address

Title D

BROOKS, GENE
91 READY AVE
FT WALTON BCH, FL 32548

Title D

BROOKS, JANICE F
91 READY AVE
FT WALTON BCH, FL 32548

Annual Reports
Report YearFiled Date
2003 05/05/2003