Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

BAY AREA OTOLARYNGOLOGY INDEPENDENT PRACTICE ASSOCIATION, INC.

Filing Information
N95000000461 59-3297493 01/25/1995 01/19/1995 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/1999 NONE
Principal Address
3450 E FLETCHER AVE
SUITE 12
TAMPA, FL 33613

Changed: 07/30/1998
Mailing Address
3450 E FLETCHER AVE
SUITE 120
TAMPA, FL 33613

Changed: 07/30/1998
Registered Agent Name & Address GOODMAN, ARNOLD
3450 E FLETCHER AVE
SUITE 120
TAMPA, FL 33613

Name Changed: 07/30/1998

Address Changed: 07/30/1998
Officer/Director Detail Name & Address

Title PD

GOODMAN, ARNOLD
3450 E. FLETCHER AVE. #120-D
TAMPA, FL 33613

Title VD

JASIN, MICHAEL
13801 B.B. DOWNS, #304
TAMPA, FL

Title TD

BARNA, JAMES
3251 MCMULLEN BOOTH RD. #303
CLEARWATER, FL 34621

Annual Reports
Report YearFiled Date
1996 07/03/1996
1997 06/19/1997
1998 07/30/1998