Detail by Officer/Registered Agent Name

Florida Profit Corporation

SOUTHEAST MEDICAL FORMS, INC.

Filing Information
P98000052173 59-3515370 06/11/1998 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/21/2001 NONE
Principal Address
360 WILSHIRE BLVD.
#116
CASSELBERRY, FL 32707

Changed: 05/01/2000
Mailing Address
P.O. BOX 5725
WINTER PARK, FL 32793-5725

Changed: 05/01/2000
Registered Agent Name & Address JARMAKOWICZ, EDWARD A
133 WOODLEAF DR
WINTER SPRINGS, FL 32708

Name Changed: 05/01/2000

Address Changed: 04/22/1999
Officer/Director Detail Name & Address

Title PSTD

JARMAKOWICZ, EDWARD A
133 WOODLEAF DRIVE
WINTER SPRINGS, FL 32708

Annual Reports
Report YearFiled Date
1999 04/22/1999
2000 05/01/2000