Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FOUNDATION FOR CHAUTAUQUA OFFICES OF PSYCHO-THERAPY AND EVALUATION, INC.

Filing Information
762626 59-2289164 03/29/1982 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/04/2002 NONE
Principal Address
3686 US HIGHWAY 331 S.
PO BOX 607
DEFUNIAK SPRINGS, FL 32433

Changed: 02/01/2001
Mailing Address
3686 US HIGHWAY 331 S.
PO BOX 607
DEFUNIAK SPRINGS, FL 32433

Changed: 02/01/2001
Registered Agent Name & Address GILLIS L, RACHEL R
1952 COUNTY HWY 192
DEFUNIAK SPRINGS, FL 32433

Name Changed: 11/15/1999

Address Changed: 11/15/1999
Officer/Director Detail Name & Address

Title VP

JONES, BARBARA
750 STEELE CHURCH ROAD
DEFUNIAK SPRINGS, FL 32433

Title D

FLEET, ROBERT G COL
71 FIRST COURT
SANTA ROSA BEACH, FL 32459

Title D

DOBSON, ROBERT
1226 CIRCLE DRIVE
DEFUNIAK SPRINGS, FL 32433

Title D

PETERS, VONNIE
1328 COLLINSWORTH ROAD
WESTVILLE, FL 32464

Title ST

YOUNG, BECKY E.
486 TWIN LAKE DRIVE
DEFUNIAK SPRINGS, FL 32433

Title P

HENDERSON, ROBERT
72 BOB-BO LANE
SANTA ROSA BEACH, FL 32459

Annual Reports
Report YearFiled Date
1999 11/15/1999
2000 05/08/2000
2001 02/01/2001