Detail by Officer/Registered Agent Name

Florida Profit Corporation

COMMUNITY HEALTH PLAN, INC.

Filing Information
P04000159887 APPLIED FOR 11/24/2004 FL INACTIVE VOLUNTARY DISSOLUTION 01/27/2006 NONE
Principal Address
300 SOUTH PARK RD.
HOLLYWOOD, FL 33021
Mailing Address
300 SOUTH PARK RD.
HOLLYWOOD, FL 33021
Registered Agent Name & Address COHEN, GERALD M
300 SOUTH PARK RD.
HOLLYWOOD, FL 33021
Officer/Director Detail Name & Address

Title DP

BERDING, RONALD J
300 SOUTH PARK RD
HOLLYWOOD, FL 33021

Title DCOO

HOGAN, JAMES M
300 SOUTH PARK RD
HOLLYWOOD, FL 33021

Title DST

COHEN, GERALD M
300 SOUTH PARK RD
HOLLYWOOD, FL 33021

Title VP

COHEN, GERALD M
300 SOUTH PARK RD
HOLLYWOOD, FL 33021

Title D

SCOTT, STEVEN MMD
2828 CROASDAILE DR
DURHAM, NC 27705

Title D

WYSS, THOMAS C
300 SOUTH PARK RD
HOLLYWOOD, FL 33021

Annual Reports
Report YearFiled Date
2005 02/07/2005