FLORIDA OUTPATIENT SELF-INSURANCE TRUST, INC.

Florida Not For Profit Corporation

Filing Information

• Document Number: N33145
• FEI/EIN Number: 59-2961626
• Date Filed: 07/07/1989
• State: FL
• Status: INACTIVE
• Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
• Event Date Filed: 10/09/1992
• Event Effective Date: NONE

Principal Address

% ROGERS-ATKINS INSURANCE INC.
1545 RAYMOND DIEHL ROAD
TALLAHASSEE, FL 32308

Changed: 07/25/1990

Mailing Address

% ROGERS-ATKINS INSURANCE INC.
1545 RAYMOND DIEHL ROAD
TALLAHASSEE, FL 32308

Changed: 07/25/1990

Registered Agent Name & Address

ROGERS-ATKINS INSURANCE INC.

ATTN BILL GUNTER
3360 N.E. CAPITAL CIRCLE
TALLAHASSEE, FL 32308

Officer/Director Detail

Name & Address

Title D

LEVINSON, MELVIN

7330 S.W. 62 PL
MIAMI, FL

Title D

HARGER, WILLIAM

4965 PALM AVENUE
WINTER PARK, FL

Title D

MEYER, ROGER DR.

411 SECOND STREET EAST
BRADENTON, FL

Title D

SAPP, JEFF

88 WEST KALEY STREET
ORLANDO, FL

Title D

VON DEM BUSSCHE, CARL

P.O. BOX 1608
TARPON SPRINGS, FL

Title D

SLAVIN, RICHARD

1400 NE MIAMI GRDNS DR
N MIAMI BEACH, FL

Annual Reports

Report Year	Filed Date
1990	07/25/1990
1991	04/05/1991

Document Images

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