Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

MEDIVAN HEALTH AND COMMUNITY SERVICES, INC.

Filing Information
764812 59-2236796 09/02/1982 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/25/2009 NONE
Principal Address
5101 NW 21ST AVENUE
#510
FT. LAUDERDALE, FL 33309

Changed: 04/26/1995
Mailing Address
5101 NW 21ST AVENUE
#510
FT. LAUDERDALE, FL 33309

Changed: 04/26/1995
Registered Agent Name & Address CARRE, PAMELA
5101 NW 21ST AVE, #510
FORT LAUDERDALE, FL 33309

Name Changed: 02/23/2007

Address Changed: 05/23/2005
Officer/Director Detail Name & Address

Title TD

ACEVEDO, JEAN
711 GOLF COURT
DELRAY BEACH, FL 33445

Title PD

JAMES-FRANCES, MAXINE
200 N.W. 7TH AVENUE
FORT LAUDERDALE, FL 33311

Title D

SHAPIRO, BEVERLY
7383 ORANGEWOOD LANE, #301
BOCA RATON, FL 33433

Title SDV

KUBLIN, MICHAEL
5804 MULBERRY DRIVE
TAMARAC, FL 33319

Title D

PETERSON, CYNTHIA
5101 NW 21ST AVE., #440
FORT LAUDERDALE, FL 33309

Annual Reports
Report YearFiled Date
2007 04/30/2007
2008 01/24/2008