Detail by Officer/Registered Agent Name

Florida Profit Corporation

H I S ASSURANCE, INC.

Filing Information
P96000061306 59-3386924 07/19/1996 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/01/2004 NONE
Principal Address
4804 DAUPHIN RD
TAMPA, FL 33611

Changed: 04/29/2003
Mailing Address
4804 DAUPHIN RD.
TAMPA, FL 33611

Changed: 04/29/2003
Registered Agent Name & Address FABRICANT, DEMETRY
4804 DAUPHIN RD
TAMPA, FL 33611

Name Changed: 04/29/2003

Address Changed: 04/29/2003
Officer/Director Detail Name & Address

Title VP

HOLCOMB/GLASS, TAMARA MRS.
22018 PELICAN EDGE
SAN ANTONIO, TX 78258

Title SEC

ETHRIDGE, RAINA MRS.
100 KINGSBURY WAY
HEWITT, TX 76643

Annual Reports
Report YearFiled Date
2001 04/02/2001
2002 04/30/2002
2003 04/29/2003