Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

C C C PHYSICAL THERAPY CENTER, INC.

Filing Information
703628 59-0976184 02/23/1962 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/15/2006 NONE
Principal Address
300 WEST MERRITT AVENUE
MERRITT ISLAND, FL 32953

Changed: 01/26/2000
Mailing Address
300 WEST MERRITT AVENUE
MERRITT ISLAND, FL 32953

Changed: 01/26/2000
Registered Agent Name & Address MAHANEY, MONICA
464 MONITOR STREET
MERRITT ISLAND, FL 32952

Name Changed: 06/27/2003

Address Changed: 06/27/2003
Officer/Director Detail Name & Address

Title PT

WILKINS, KAREN
1330 OAK STREET
MELBOURNE, FL 32901

Title T

GERRON, NAN
1715 E CENTRAL AVE
MERRITT ISLAND, FL 32952

Title ST

FERNANDEZ, BRENDA
2535 VIA VITTORIA CT.
MERRITT ISLAND, FL 32953

Title TTR

ROOD, KAREN
4155 S. TROPICAL TRAIL
MERRITT ISLAND, FL 32952

Title ADM

MAHANEY, MONICA
464 MONITOR ST.
MERRITT ISLAND, FL 32952

Title T

WILKINS, JOHN
431 SHELL COVE DRIVE
MELBOURNE, FL 32940

Annual Reports
Report YearFiled Date
2003 06/27/2003
2004 04/16/2004
2005 04/18/2005