Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

CLEARWATER LODGE NO. 1030, LOYAL ORDER OF MOOSE, INC.

Filing Information
749877 59-0611296 11/21/1979 FL INACTIVE CORPORATE MERGER 03/25/2002 NONE
Principal Address
1101 CLEVELAND ST
CLEARWATER, FL 33755

Changed: 02/01/2000
Mailing Address
1101 CLEVELAND ST
CLEARWATER, FL 33755

Changed: 02/01/2000
Registered Agent Name & Address LEXIS DOCUMENT SERVICES INC.
3953 WW KELLEY ROAD
TALLAHASSEE, FL 32311

Name Changed: 05/07/1999

Address Changed: 05/07/1999
Officer/Director Detail Name & Address

Title S

HAMMOND, DONALD G
18675 US 19 N LOT 125
CLEARWATER, FL 33764

Title VD

GIMBROME, LOUIS
1701 PINEHURST RD #25D
DUNEDIN, FL 34698

Title P

WHALLEN, MORACE
2012 BELLHURST DR
DUNEDIN, FL 34698

Title D

SOUTAR, JOHN
1450 HEATHER RIDGE BLVD
DUNEDIN, FL 34698

Title D

PACHUCKI, GARY R
29141 US 19 N, LOT 122
CLEARWATER, FL 34621

Title TD

CHRISMAR, LUDWIG
1435 SAN DIGGO DR
DUNEDIN, FL 34698

Annual Reports
Report YearFiled Date
1999 05/05/1999
2000 02/01/2000
2001 03/09/2001