Detail by Officer/Registered Agent Name

Florida Profit Corporation

GERIATRIC RESOURCES OF WILLISTON FLORIDA, INC.

Filing Information
P00000078588 APPLIED FOR 08/18/2000 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/04/2002 NONE
Principal Address
1300 THOMASWOOD DR
TALLAHASSEE, FL 32312
Mailing Address
1300 THOMASWOOD DR
TALLAHASSEE, FL 32312
Registered Agent Name & Address BIST, MICHAEL P
1300 THOMASWOOD DR
TALLAHASSEE, FL 32312
Officer/Director Detail Name & Address

Title PD

CAUMMISAR, STAN
2182 KIMBROUGH WOODS PL
GERMANTOWN, TN 38139

Title VD

MCBRYDE, KELLY
2604 ARBOR WAY
HIXSON, TN 37343

Title VD

AYERS, BROOKS
5195 WATER RIDGE RD
TUPELO, MS 38139

Title SD

GLASS, ROGER
4520 FIRE PINK TR
CHATTANOOGA, TN 37415

Annual Reports
Report YearFiled Date
2001 05/15/2001