Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

PANHANDLE AREA PRACTITIONERS-HOSPITAL ORGANIZATION (PHO), INC.

Filing Information
N99000006783 59-3663068 11/17/1999 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/25/2009 NONE
Principal Address
4349 LAFAYETTE STREET
MARIANNA, FL 32446

Changed: 02/15/2007
Mailing Address
4349 LAFAYETTE STREET
MARIANNA, FL 32446

Changed: 02/15/2007
Registered Agent Name & Address HOLLISTER, ANNIE E
4349 LAFAYETTE STREET
MARIANNA, FL 32446

Name Changed: 02/15/2007

Address Changed: 02/15/2007
Officer/Director Detail Name & Address

Title D

SHERREL, JOSEPH TMD
4316 5TH AVE.
MARIANNA, FL 32446

Title D

CLEMMONS, JAMES MD
P.O. BOX 741
CHIPLEY, FL 34248

Title D

BROOKS, HERBERT MD
310 N. MADISON ST.
BONIFAY, FL 32425

Title D

LONG, WILLIAM
PO BOX 1608
MARIANNA, FL 32447

Title D

HAMPLE, DAVID
4250 HOSPITAL DR.
MARIANNA, FL 32446

Title D

GAY, JOSEPH MD
3025 6TH STREET
MARIANNA, FL 32446

Annual Reports
Report YearFiled Date
2006 01/24/2006
2007 02/15/2007
2008 04/07/2008