Detail by Officer/Registered Agent Name

Florida Profit Corporation

THE DIVINE PHYSICIAN SERIES, INC.

Filing Information
P96000059239 65-0686541 07/15/1996 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/16/1998 NONE
Principal Address
12555 BISCAYNE BLVD., #431
NORTH MIAMI, FL 33181-2522

Changed: 10/03/1996
Mailing Address
12555 BISCAYNE BLVD., #431
NORTH MIAMI, FL 33181-2522

Changed: 10/03/1996
Registered Agent Name & Address EISINGER, DENNIS J
4000 HOLLYWOOD BLVD., STE. 265-S
HOLLYWOOD, FL 33021
Officer/Director Detail Name & Address

Title D

LAMBERTI, DREAMALEE
577 NE 107 ST.
MIAMI SHORES, FL 33161

Title D

KAYWELL, JEROME P
3350 NORTH KEY DRIVE, #813-B
NORTH FORT MYERS, FL 33903

Annual Reports
Report YearFiled Date
1997 05/20/1997