Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FLORIDA AREA I FOUNDATION FOR PROFESSIONAL STANDARD REVIEW, INC.

Filing Information
738934 59-1729100 05/03/1977 FL INACTIVE INVOLUNTARILY DISSOLVED 12/14/1982 NONE
Principal Address
803 JENKS AVE., #4
P.O. BOX 1758
PANAMA CITY, FL 32401
Mailing Address
803 JENKS AVE., #4
P.O. BOX 1758
PANAMA CITY, FL 32401
Registered Agent Name & Address WESTBROOK, D. A.
803 JENKS AVE., #4
PANAMA CITY, FL 32401
Officer/Director Detail Name & Address

Title D

MACDONALD, JACK W., M.D
2526 HARRIMAN CIRCLE
TALLAHASSEE, FL
Title PD

SCHILDER, STEPHEN Z., MD
WEST CIRCLE DR.
FT. WALTON BEACH, FL
Title STD

SYFRETT,T. FRANK,M.D.
304 W. 23RD ST.
PANAMA CITY, FL
Title D

PADGETT, GLENN E.,M.D.
BOX 279
MARIANNA, FL
Title D

POTTER, JAMES M., M.D.
1000 WEST MORENO STREET
PENSACOLA, FL
Title VD

RAWLS, JAMES A.JR.
P.O. BOX 887
PERRY, FL
Annual Reports
Report YearFiled Date
1979 05/24/1979
1980 04/07/1980
1981 01/26/1981

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