Detail by Officer/Registered Agent Name

Florida Profit Corporation

COLLABORATIVE HEALTHCARE, INC.

Filing Information
P98000042321 65-0839376 05/11/1998 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/01/2004 NONE
Principal Address
17100 ARVIDA PARKWAY
STE 1
WESTON, FL 33331

Changed: 04/28/2001
Mailing Address
17100 ARVIDA PARKWAY
STE 1
WESTON, FL 33331

Changed: 04/28/2001
Registered Agent Name & Address HARRIS, RICK A
17100 ARVIDIA PARKWAY
STE 1
FORT LAUDERDALE, FL 33326

Name Changed: 04/18/2003

Address Changed: 04/18/2003
Officer/Director Detail Name & Address

Title D

HARRIS, RICK A
17100 ARVIDA PARKWAY STE 1
WESTON, FL 33331

Title ST

DARMPNIANY, MARIE C
17100 ARVIDA PARKWAY STE 1
WESTON, FL 33331

Annual Reports
Report YearFiled Date
2001 04/28/2001
2002 04/18/2002
2003 04/18/2003