Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

PHYSICIANS FOR PREVENTION, INC.

Filing Information
N95000005496 59-3351362 11/17/1995 FL INACTIVE VOLUNTARY DISSOLUTION 12/29/1999 NONE
Principal Address
2002 SAN MARCO BOULEVARD
SUITE 300
JACKSONVILLE, FL 32207
Mailing Address
2002 SAN MARCO BOULEVARD
SUITE 300
JACKSONVILLE, FL 32207
Registered Agent Name & Address F & L CORPORATION
200 N. LAURA STREET
JACKSONVILLE, FL 32202

Name Changed: 10/21/1996
Officer/Director Detail Name & Address

Title D

GROSS, DAVID AMD
16244 S. MILITARY TRAIL, SUITE 610
DELRAY BEAACH, FL 33484

Title D

DIAZ, PHILIP AMSW
3301 COLLEGE AVENUE
FT. LAUDERDALE, FL

Title D

HILL, GARY APHD
6858 OLD DOMINION DRIVE, #200
MCLEAN, VA 22101

Title D

GOLD, MARK S
2002 SAN MARCO BOULEVARD, SUITE 300
JACKLSONVILLE, FL 32202

Title D

EDELL, MARC ZESQUIRE
1776 ON THE GREEN
MORRISTOWN, NJ 07962

Annual Reports
Report YearFiled Date
1997 06/20/1997
1998 02/18/1998
1999 05/03/1999