Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

HIS HANDS EXTENDED OF NORTH WEST FLORIDA, INC.

Filing Information
N04000001774 71-0961547 02/18/2004 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/25/2009 NONE
Principal Address
4683 PALMETTO CT
CRESTVIEW, FL 32539
Mailing Address
4683 PALMETTO CT
CRESTVIEW, FL 32539
Registered Agent Name & Address GAMBATESE, PASQUALE
4683 PALMETTO CT
CRESTVIEW, FL 32539
Officer/Director Detail Name & Address

Title PRES

GAMBATESE, PASQUALE DDR.
4683 PALMETTO CT
CRESTVIEW, FL 32539

Title TREA

SUMRALL, SHELTON F
5315 FOURLAKE DR
CRESTVIEW, FL 32539

Title VPRE

JULIO, DALE A
44 WERK LAKE CT
NICEVILLE, FL 32578

Title D

HUTCHESON, PHILLIP M
2606 LAKE SILVER RD
CRESTVIEW, FL 32536

Title SECY

CUNNINGHAM, TERESA
1237 JEFRYSCOT DR.
CRESTVIEW, FL 32536

Annual Reports
Report YearFiled Date
2006 03/18/2006
2007 02/03/2007
2008 01/26/2008