Detail by Officer/Registered Agent Name

Florida Profit Corporation

INTRAFORM, INC.

Filing Information
P95000089245 59-3346695 11/21/1995 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/01/2004 NONE
Principal Address
12705 DANIELS DRIVE
CLEARWATER, FL 33762

Changed: 04/30/2002
Mailing Address
12705 DANIELS DRIVE
CLEARWATER, FL 33762

Changed: 04/30/2002
Registered Agent Name & Address NUSSBAUM, BERT H
12705 DANIELS DRIVE
CLEARWATER, FL 33762

Address Changed: 04/30/2002
Officer/Director Detail Name & Address

Title PRES

NUSSBAUM, BERT H
12705 DANIELS DRIVE
CLEARWATER, FL 33762

Annual Reports
Report YearFiled Date
2002 04/30/2002
2003 06/23/2003