OKALOOSA MEDICAL ASSISTANCE CENTER, INC.

Florida Not For Profit Corporation

Filing Information

• Document Number: N93000001103
• FEI/EIN Number: 59-3206653
• Date Filed: 02/26/1993
• State: FL
• Status: INACTIVE
• Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
• Event Date Filed: 09/21/2001
• Event Effective Date: NONE

Principal Address

221 NE HOSPITAL DR
FT. WALTON BEACH, FL 32548

Changed: 04/10/1997

Mailing Address

POB OX 2573
FT WALTON BEACH, FL 32549

Changed: 12/15/2000

Registered Agent Name & Address

ETHEREDGE, JAMES G

226 TROY ST., N.E.
FT. WALTON BEACH, FL 32548

Officer/Director Detail

Name & Address

Title PD

KINZELMAN, MATTHEW GM.D.

708 VINTAGE CIRCLE
DESTIN, FL 32541

Title D

LIND, VIRGINIA A

13 HOLMES VLVD
FT WALTON BEACH, FL 32548

Title TD

HARRISON, MARK

99 4TH AVE #109
SHALIMAR, FL 32579

Title SD

MOSLEY, BARBARA A

19 BAYVIEW DR
SHALIMAR, FL 32569

Annual Reports

Report Year	Filed Date
1998	01/30/1998
1999	03/09/1999
2000	09/15/2000

Document Images

09/15/2000 -- ANNUAL REPORT

03/09/1999 -- ANNUAL REPORT

01/30/1998 -- ANNUAL REPORT

04/10/1997 -- ANNUAL REPORT

07/18/1996 -- ANNUAL REPORT

03/09/1995 -- ANNUAL REPORT