Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

LAFAYETTE/SUWANNEE RURAL HEALTH CORPORATION, INC.

Filing Information
N12736 58-1653887 12/23/1985 FL INACTIVE CORPORATE MERGER 03/29/1995 04/01/1995
Principal Address
% JOHN KOCH
ROUTE 3, BOX 10 (SO. SIDE OF U.S. HWY 27)
MAYO, FL 32066-9429
Changed: 03/07/1990
Mailing Address
% JOHN KOCH
ROUTE 3, BOX 10 (SO. SIDE OF U.S. HWY 27)
MAYO, FL 32066-9429
Changed: 03/07/1990
Registered Agent Name & Address KOCH, JOHN
ROUTE 3, BOX 10
SOUTH SIDE OF U.S. HIGHWAY 27
MAYO, FL 32066
Name Changed: 03/07/1990
Officer/Director Detail Name & Address

Title PD

MCMILLIAN, JOANETTE
RT 1 BOX 78 N/A
MAYO, FL
Title VD

KLAH DANIEL
RT. 1, BOX 463-5
MAYO, FL 32066
Title SD

KOCH, JOHN
RT 3 BOX 10 N/A
MCALPIN, FL
Title D

ARCHER JACK
402 GLENRIGE ROAD
PERRY, FL 32347
Title D

O'STEEN, B.P.
P.O. BOX 692 N/A
MAYO, FL
Annual Reports
Report YearFiled Date
1992 08/25/1992
1993 04/29/1993
1994 05/01/1994

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