Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FIPA REGION #13, INC.

Filing Information
N98000007184 59-3553137 12/21/1998 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/19/2003 NONE
Principal Address
2691 JENKS AVE.
PANAMA CITY, FL 32405
Mailing Address
3003 SOUTH HWY 77
SUITE A
LYNN HAVEN, FL 32444

Changed: 04/17/2002
Registered Agent Name & Address HARE, DIANE CCPA
3003 S. HIGHWAY 77
LYNN HAVEN, FL 32444

Name Changed: 04/17/2002

Address Changed: 04/17/2002
Officer/Director Detail Name & Address

Title D

BRUCE, WILLIAM GM.D.
520 N. MACARTHUR AVE.
PANAMA CITY, FL 32401

Title D

HUNT, PAUL MD
2624 JENKS AVE.
PANAMA CITY, FL 32405

Title D

IMBER, PETER M.D.
3 MIRACLE STRIP LOOP
PANAMA CITY BEACH, FL 32407

Title D

ORTEGA, VICTOR M.D.
2202 STATE AVE., STE. 108
PANAMA CITY, FL 32405

Title D

STROHMENGER, JAMES M.D.
527 N. PALO ALTO AVE.
PANAMA CITY, FL 32401-.

Annual Reports
Report YearFiled Date
2000 07/12/2000
2002 04/17/2002