Detail by Officer/Registered Agent Name

Florida Profit Corporation

LAKE HOSPITAL AND CLINIC, INC.

Filing Information
393556 59-1377187 01/06/1972 FL INACTIVE VOLUNTARY DISSOLUTION 12/09/2004 NONE
Principal Address
3820 STATE STREET
SANTA BARBARA, CA 93105

Changed: 02/10/1997
Mailing Address
% SHERRIE SMITH
3820 STATE STREET
SANTA BARBARA, CA 93105

Changed: 02/10/1997
Registered Agent Name & Address CT CORPORATION SYSTEM
1200 S. PINE ISLAND ROAD
PLANTATION, FL 33324

Name Changed: 06/10/1992

Address Changed: 06/10/1992
Officer/Director Detail Name & Address

Title P

PULLEN, TIMOTHY L
13737 NOEL ROAD
DALLAS, TX 75240

Title SD

LARSEN, CAITLIN M
3820 STATE STREET
SANTA BARBARA, CA 93105

Title AS

MACK, KRISTIN A
3820 STATE STREET
SANTA BARBARA, CA 93105

Title T

DENT, DENNIS L
3820 STATE STREET
SANTA BARBARA, CA 93105

Annual Reports
Report YearFiled Date
2002 04/12/2002
2003 04/17/2003
2004 03/03/2004