Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FLORIDA DENTIST'S LIABILITY SELF-INSURED TRUST FUND, INC.

Filing Information
N16201 00-0000000 08/04/1986 FL INACTIVE INVOLUNTARILY DISSOLVED 11/04/1988 NONE
Principal Address
%JEROME C. ROSENBLATT
2296 CORAL WAY
MIAMI, FL 33145
Mailing Address
%JEROME C. ROSENBLATT
2296 CORAL WAY
MIAMI, FL 33145
Registered Agent Name & Address ROSENBLATT, JEROME C.
2296 CORAL WAY
MIAMI, FL 33145
Officer/Director Detail Name & Address

Title PD

SPINGARN, JOSEPH H.
4239 W. COMMERCIAL BLVD.
TAMARAC, FL
Title VD

GOODMAN, SHELDON J.
2331 N. STATE RD. #7
LAUDERHILL, FL
Title STD

POGOZELSKI, DONALD S.
3911 HOLLYWOOD BLVD.
HOLLYWOOD, FL
Annual Reports
Report YearFiled Date
1987 04/10/1987

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