BREVARD PHO, INC.

Florida Not For Profit Corporation

Filing Information

• Document Number: N97000001769
• FEI/EIN Number: 59-3463782
• Date Filed: 03/27/1997
• State: FL
• Status: INACTIVE
• Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
• Event Date Filed: 09/24/1999
• Event Effective Date: NONE

Principal Address

11 MAX BREWER PKWY
SUITE A
TITUSVILLE, FL 32796

Mailing Address

11 MAX BREWER PKWY
SUITE A
TITUSVILLE, FL 32796

Registered Agent Name & Address

JONES, HARRY A

11 MAX BREWER PKWY
SUITE A
TITUSVILLE, FL 32796

Officer/Director Detail

Name & Address

Title C

BEBERMAN, STANLEY A M

2821 B GARDEN ST
TITUSVILLE, FL 32796

Title VD

BAKER, ROD L

951 N WASHINGTON AVE
TITUSVILLE, FL 32796

Title SD

CHASTIAN, D E M

1309 GARDEN ST
TITUSVILLE, FL 32796

Title TD

BULNES, SANTIAGO F

951 N KWASHINGTON AVE
TITUSVILLE, FL 32796

Title D

PATEL, R P

1901 JESS PARRISH CT
TITUSVILLE, FL 32796

Annual Reports

Report Year	Filed Date
1998	06/25/1998

Document Images

06/25/1998 -- ANNUAL REPORT