Detail by Officer/Registered Agent Name

Florida Profit Corporation

BACK AND NECK PAIN CLINICS OF FORT MYERS, INC.

Filing Information
V64981 59-3195388 09/18/1992 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 08/23/1996 NONE
Principal Address
1601 BELVEDERE ROAD
SUITE 500 EAST
WEST PALM BEACH, FL 33406

Changed: 08/12/1994
Mailing Address
1601 BELVEDERE ROAD
SUITE 500 EAST
WEST PALM BEACH, FL 33406

Changed: 08/12/1994
Registered Agent Name & Address HERLIHY GERARD A.
1601 BELVEDERE RD., # 500 EAST
WEST PALM BEACH, FL 33406

Name Changed: 08/12/1994

Address Changed: 08/12/1994
Officer/Director Detail Name & Address

Title DPST

HERLIHY GERARD A.
1601 BELVEDERE RD., # 500 EAST
WEST PALM BEACH, FL 33406

Title DC

GOLDSAMT ROBERT S.
1601 BELVEDERE RD., # 500-EAST
WEST PALM BEACH, FL 33406

Title D

CRAIG CUDEN T.
1601 BELVEDERE RD., # 500-EAST
WEST PALM BEACH, FL 33406

Annual Reports
Report YearFiled Date
1993 05/27/1993
1994 08/12/1994
1995 05/01/1995