Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

NATIONWIDE INSURANCE INDEPENDENT CONTRACTORS ASSOCIATION, INC.

Filing Information
N01000000745 04-3709040 01/31/2001 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/16/2005 NONE
Principal Address
5329 W. ATLANTIC AVE., SUITE 203-A
DELRAY BCH, FL 33484
Mailing Address
5329 W. ATLANTIC AVE., SUITE 203-A
DELRAY BCH, FL 33484
Registered Agent Name & Address GIBBONS, JAMES R
5329 W ATLANTIC AVE SUITE 203A
DELRAY BEACH, FL 33484

Name Changed: 09/11/2002

Address Changed: 09/11/2002
Officer/Director Detail Name & Address

Title PD

GIBBONS, JAMES R
5329 W ATLANTIC AVE SUITE 203A
DELRAY BEACH, FL 33484

Title DST

CASELLA, SHARON
5929 W ATLANTIC AVE, SUITE 203A
DELRAY BEACH, FL 33484

Title SVD

COOK, GARY
6383 10TH AVE NO. SUITE F
LAKE WORTH, FL 33463

Annual Reports
Report YearFiled Date
2002 09/11/2002
2003 04/11/2003
2004 03/05/2004