Detail by Officer/Registered Agent Name

Florida Profit Corporation

CCB/MEDICLAIMS, INC.

Filing Information
P99000074342 59-3637703 08/20/1999 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/21/2001 NONE
Principal Address
611 W AZEELE ST
TAMPA, FL 33606
Mailing Address
611 W AZEELE ST
TAMPA, FL 33606
Registered Agent Name & Address SMITH, H STRATTON III
611 W AZEELE ST
TAMPA, FL 33606
Officer/Director Detail Name & Address

Title PD

WAND, RICHARD T
2905 PEMBERTON CREEK DRIVE
SEFFNER, FL 33584

Title S

WAND, BARBARA
2905 PEMBERTON CREEK DRIVE
SEFFNER, FL 33584

Annual Reports
Report YearFiled Date
2000 05/18/2000