Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

COMMUNITY HEALTH ALLIANCE, INC.

Filing Information
N18955 59-2764681 01/27/1987 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/1999 NONE
Principal Address
14540 CORTEZ BLVD.
BROOKSVILLE, FL 34605-0037

Changed: 06/11/1990
Mailing Address
14540 CORTEZ BLVD.
BROOKSVILLE, FL 34605-0037

Changed: 06/11/1990
Registered Agent Name & Address DOLINER, NATHANIEL L.
777 S HARBOUR ISLAND BLVD
ONE HARBOUR PLACE
TAMPA, FL 33602

Name Changed: 08/09/1989

Address Changed: 03/26/1998
Officer/Director Detail Name & Address

Title DC

BEAGLE, H. DEAN
24124 WESTMINISTER COURT
BROOKSVILLE, FL 34601

Title P

BARB, THOMAS D
3303 FLAMINGO BLVD.
SPRING HILL, FL

Title D

DANIEL, DEBBIE
808 BUENA VISTA AVE
BROOKSVILLE, FL

Title D

GONZALEZ, SONIA
18621 HOLDEN DR
SPRING HILL, FL

Title D

SPRINGSTEAD, RICHARD W.
33 PONCE DE LEON BLVD
BROOKSVILLE, FL

Annual Reports
Report YearFiled Date
1996 03/07/1996
1997 04/30/1997
1998 03/26/1998