Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

JENSEN AREA SAMARITANS, INC.

Filing Information
703479 59-1800739 01/19/1962 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 08/23/1996 NONE
Principal Address
1250 N.E. SAMARITAN STREET
P.O. BOX 182
JENSEN BEACH, FL 34957

Changed: 03/22/1988
Mailing Address
1250 N.E. SAMARITAN STREET
P.O. BOX 182
JENSEN BEACH, FL 34958

Changed: 02/02/1994
Registered Agent Name & Address CAPEL, WILLIAM
1604 N.E. 24 STREET
JENSEN BCH, FL 34957

Name Changed: 08/26/1986

Address Changed: 03/11/1991
Officer/Director Detail Name & Address

Title P

CAPEL SR, WILLIAM
1604 N E 24TH ST
JENSEN BCH, FL 00000

Title VP

KEEBLER, HARRY
401 N.E. JADE CIR.
JENSEN BCH, FL

Title D

BAILEY, MAXINE
1821 NE 22ND AVE.
JENSEN BCH, FL 00000

Title D

STAGG, HELEN
3499 NE LINDA DR
JENSEN BCH., FL

Title ST

CAPEL, JOAN
1604 NE 24 ST
JENSEN BEACH, FL

Annual Reports
Report YearFiled Date
1993 04/29/1993
1994 02/02/1994
1995 02/06/1995