Detail by Officer/Registered Agent Name

Florida Profit Corporation

FORM DESIGNERS, INC.

Filing Information
P04000033638 20-0663718 02/20/2004 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/2010 NONE
Principal Address
19912 DEER LAKE ROAD
LUTZ, FL 33548

Changed: 01/10/2005
Mailing Address
19912 DEER LAKE ROAD
LUTZ, FL 33548

Changed: 01/10/2005
Registered Agent Name & Address ALL FLORIDA FIRM INC
813 DELTONA BLVD STE A
BOX # 1357502
DELTONA, FL 32725

Name Changed: 03/03/2008

Address Changed: 01/20/2009
Officer/Director Detail Name & Address

Title D

HAYES, LLOYD N
19912 DEER LAKE RD
LUTZ, FL 33548

Title S

HAYES-WIGGINS, CRYSTAL
2904 LAKE STALL LANE
TAMPA, FL 33618

Title VP

WILLSON, RICHARD D
25916 RISENSTAR DR.
WESLEY CHAPEL, FL 33544

Annual Reports
Report YearFiled Date
2007 01/04/2007
2008 01/07/2008
2009 01/20/2009