Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

WORKERS' COMPENSATION CARRIERS OF FLORIDA, INC.

Filing Information
770542 59-2342530 10/03/1983 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/21/2001 NONE
Principal Address
116 S MONROE ST
STE 300
TALLAHASSEE, FL 32301

Changed: 05/06/1998
Mailing Address
P O BOX 846
P.O. BOX 846
TALLAHASSEE, FL 32302

Changed: 05/06/1998
Registered Agent Name & Address STAHL, THOMAS W.
116 S MONROE ST
3RD FL
TALLAHASSEE, FL 32301

Name Changed: 05/31/1985

Address Changed: 04/08/1999
Officer/Director Detail Name & Address

Title D

EMERSON, JIM
302 S MASSACHUSETTS AV
LAKELAND, FL

Title PD

STAHI, THOMAS W
116 S. MONROE ST, SUITE 300
TALLAHASSEE, FL 32301

Title VPD

PRUTSMAN, ERIC D
116 S. MONROE ST, SUITE 300
TALLAHASSEE, FL 32301

Annual Reports
Report YearFiled Date
1998 05/06/1998
1999 04/08/1999
2000 06/21/2000