Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

HEALTH SYSTEMS, INC.

Filing Information
N95000004087 59-3338460 05/09/1995 05/04/1995 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/19/2003 NONE
Principal Address
5111 66TH STREET NORTH
SUITE 102
ST PETERSBURG, FL 33709

Changed: 04/11/1996
Mailing Address
P.O. BOX 61414
ST PETERSBURG, FL 33784

Changed: 04/11/1996
Registered Agent Name & Address DAFONTE, RICHARD J
1000 BELCHER ROAD SOUTH, SUITE 2
LARGO, FL 34641
Officer/Director Detail Name & Address

Title P

WHITE, MARIE
5111 66TH ST N., #102
ST PETERSBURG, FL

Title D

KERFOOT, JOSEPH
426 EAST DAVIS BOULEVARD
TAMPA, FL 33602

Title D

ANGELO, SHIRLEY RN
8601 H STREET NORTH
ST PETERSBURG, FL 33702

Title D

COX, SANDY
5472 27TH STREET APT 73
ST PETERSBURG, FL

Title DTAT

VALLEY, DANN LA
610 MANATEE DR
RUSKIN, FL

Annual Reports
Report YearFiled Date
2000 04/11/2000
2001 03/06/2001
2002 04/03/2002