Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FLORIDA PATIENT SAFETY CENTER, INC.

Filing Information
N03000009037 N/A 10/16/2003 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/26/2014 NONE
Principal Address
217 SOUTH MATANZAS
TAMPA, FL 33609
Mailing Address
2516 WEST SUNSET DRIVE
TAMPA, FL 33629
Registered Agent Name & Address CAMPBELL, ROBERT RESQ.
2516 WEST SUNSET DRIVE
TAMPA, FL 33629-5339
Officer/Director Detail Name & Address

Title P

CAMPBELL, ROBERT RJD, PHD
2516 WEST SUNSET DRIVE
TAMPA, FL 33629

Title VP

WERNER, DENNIS CMHA
8634 CHADWICK DRIVE
TAMPA, FL 33635

Title VP

SPEHAR, ANDREA SDVM, JD
3705 BELLE VISTA DRIVE EAST
ST. PETE BEACH, FL 33706

Title VP

BRADHAM, DOUGLAS DDRPH
10 N. GREENE ST.
BALTIMORE, MD 21201

Annual Reports
Report YearFiled Date
2011 03/25/2011
2012 05/05/2012
2013 10/08/2013