Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

ISLAND COAST PRIMARY CARE PROJECT INC.

Filing Information
N94000002301 65-0489064 05/09/1994 FL INACTIVE VOLUNTARY DISS W/ NOTICE 06/21/2016 06/30/2016
Principal Address
4150 FORD STREET EXTENSION
#1B
FORT MYERS, FL 33916

Changed: 01/09/2012
Mailing Address
4150 FORD STREET EXTENSION
#1B
FORT MYERS, FL 33916

Changed: 01/09/2012
Registered Agent Name & Address SIMONSON, KATHLEEN
4150 FORD STREET EXTENSION
#1B
FORT MYERS, FL 33916

Name Changed: 09/05/2013

Address Changed: 01/09/2012
Officer/Director Detail Name & Address

Title Secretary

QUINONEZ, JORGE, Dr.
P.O. BOX 1357
FORT MYERS, FL 33902

Title Treasurer

GUTTERY, EDWIN G, Dr.
9350 CAMELOT DR
FORT MYERS, FL 33919

Title Chairman

JONES, ERIC, Dr.
1450 BARCELONA AVE
FORT MYERS, FL 33901

Title MEMBER

TRAVIS, NANCY
636 DEL PRADO BLVD
CAPE CORAL, FL 33990

Title Board Member

Ritrosky, John
9350 Camelot Drive
Ft. Myers,, FL 33919

Title Board Member

Whitley, Steven
P.O. Box 1020
Ft. Myers, FL 33902

Title Board Member

Valiant, Marty
1111 Riverbend Drive
Labelle, FL 33935

Title Board Member

Shipley, Gerald
13732 Pine Villa Lane
Ft. Myers, FL 33912

Annual Reports
Report YearFiled Date
2013 01/16/2013
2014 01/10/2014
2015 01/06/2015