Detail by Officer/Registered Agent Name

Florida Profit Corporation

DENTAL HEALTH SERVICES OF TAMPA BAY, P.A.

Filing Information
L03934 59-2768353 07/17/1989 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/16/1998 NONE
Principal Address
3302 W. DR MIK BLVD
STE 2060
TAMPA, FL 33607

Changed: 05/01/1994
Mailing Address
P O BOX 15149
SUITE 258
TAMPA, FL 33684-149

Changed: 05/01/1994
Registered Agent Name & Address WALKER, MICHAEL J.
33021 W. DR. MARTIN LUTHER KING BLVD
TAMPA, FL 33607

Address Changed: 05/01/1994
Officer/Director Detail Name & Address

Title D

BARAK, JOEL P.
240 WINDWARD PASSAGE 404
CLEARWATER, FL

Title D

WELCH, MICHAEL
195 CORSICA AVE.
TAMPA, FL

Title D

SWARTZ, EDWARD M.
15843 COUNRTY LAKE DR.
TAMPA, FL

Title D

BERGLUND, DONALD J.
14126 FENNSBURY DR.
TAMPA, FL

Title P

WALKER, MICHAEL, J
16131 CARDEN DR
ODESSA, FL

Annual Reports
Report YearFiled Date
1995 04/19/1995
1996 04/19/1996
1997 08/12/1997