Detail by Officer/Registered Agent Name

Florida Profit Corporation

OAKS PROVIDER, INC.

Filing Information
P92000002092 59-3150726 11/04/1992 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/19/2003 NONE
Principal Address
903 EMMETT STREET #5
KISSIMMEE, FL 34741

Changed: 04/14/2001
Mailing Address
903 EMMETT STREET #5
KISSIMMEE, FL 34741

Changed: 04/14/2001
Registered Agent Name & Address OMBRES, ALEXANDER J
801 N. MAGNOLIA AVE.
SUITE 201
ORLANDO, FL 32803
Officer/Director Detail Name & Address

Title DPS

SIEMER, MICHAEL A
17401 SE COUNTY HWY 475
SUMMERFIELD, FL

Title D

SIEMER, CATHERINE
17401 SE COUNTY HWY 475
SUMMERFIELD, FL

Annual Reports
Report YearFiled Date
2000 04/18/2000
2001 04/14/2001
2002 04/17/2002