Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

COASTAL CARE CENTER, INC.

Filing Information
N01000001274 59-3711171 02/22/2001 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/19/2003 NONE
Principal Address
236 N. FREDERICK AVENUE
DAYTONA BEACH, FL 32114

Changed: 11/12/2002
Mailing Address
236 N. FREDERICK AVENUE
DAYTONA BEACH, FL 32114

Changed: 11/12/2002
Registered Agent Name & Address METIVIER, FREDRICK
637 VERA ST.
DAYTONA BEACH, FL 32114
Officer/Director Detail Name & Address

Title DV

LEE, NORMA J
636 WILLIE DR.
DAYTONA BEACH, FL 32114

Title D

POTTER, WILL
P.O. BOX 909358
DAYTONA BEACH, FL 32120

Title DP

METIVIER, SABRINA L
637 VERA ST.
DAYTONA, FL 32114

Title SD

COVINGTON, GARRETTE
532 DR. MARY MCLEOD BETHUNE BLVD.
DAYTONA BEACH, FL 32114

Title TD

BRYANT, JAMES
919 VERNAN STREET
DAYTONA BEACH, FL 32114

Title D

REDDING, DARIEN
837 MARTIN LUTHER KING JR. BLVD.
DAYTONA BEACH, FL 32114

Annual Reports
Report YearFiled Date
2002 11/12/2002