Detail by Officer/Registered Agent Name

Florida Profit Corporation

ELDERCARE OF JACKSONVILLE, INC.

Filing Information
P95000097913 59-3359124 12/21/1995 01/01/1996 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/1999 NONE
Principal Address
4190 BELFORT RD.
SUITE 200
JACKSONVILLE, FL 32216

Changed: 06/19/1997
Mailing Address
4190 BELFORT RD.
SUITE 200
JACKSONVILLE, FL 32216

Changed: 06/19/1997
Registered Agent Name & Address ROTH, STEVEN F
114 33RD AVE. SO.
JACKSONVILLE, FL 32250

Name Changed: 06/19/1997

Address Changed: 06/19/1997
Officer/Director Detail Name & Address

Title CCEO

ROTH, STEVEN F
114 33RD AVE. SO.
JACKSONVILLE, FL 32250

Title PD

CORWIN, NANCY PARKER
10016 NO. LEISURE LANE
JACKSONVILLE, FL 32256

Title EVP

PARRISH, RICHARD E
109 MEETING WAY
PONTE VEDRA BCH, FL 32082

Annual Reports
Report YearFiled Date
1997 06/19/1997
1998 05/01/1998