Detail by Officer/Registered Agent Name

Foreign Profit Corporation

MEDICAL PROVIDER SERVICES, INC.

Filing Information
F01000002174 58-2354667 04/19/2001 GA INACTIVE REVOKED FOR ANNUAL REPORT 09/19/2003 NONE
Principal Address
135 HAMPSTEAD AVENUE
APT. 212
SAVANNAH, GA 31406

Changed: 05/16/2002
Mailing Address
PO BOX 799
WHITE SPRINGS, FL 32096
Registered Agent Name & Address VASSAR JR, J L
7345 S.E. 182ND BLVD
WHITE SPRINGS, FL 32096
Officer/Director Detail Name & Address

Title PCD

VASSAR JR, J L
1813 WALTHOUR RD
SAVANNAH, GA

Title VTD

VASSAR, MARY
1813 WALTHOUR RD
SAVANNAH, GA

Title S

GIBSON, VIRGINIA
PO BOX 30250
SAVANNAH, GA

Annual Reports
Report YearFiled Date
2002 05/16/2002