Detail by Officer/Registered Agent Name

Foreign Not For Profit Corporation

PROTOTYPES, CENTERS FOR INNOVATION IN HEALTH, MENTAL AND SOCIAL SERVICES, INC.

Filing Information
F03000006170 95-4092046 12/12/2003 CA INACTIVE REVOKED FOR ANNUAL REPORT 09/16/2005 NONE
Principal Address
5601 W. SLAUSON AVENUE, SUITE 200
CULVER CITY, CA 90230
Mailing Address
5601 W. SLAUSON AVENUE, SUITE 200
CULVER CITY, CA 90230
Registered Agent Name & Address BLANCH, ANDREA
520 RALPH STREET
SARASOTA, FL 34242
Officer/Director Detail Name & Address

Title P

BROWN, VIVIAN
5601 W. SLAUSON AVENUE, SUITE 200
CULVER CITY, CA 90230

Title VC

FRASER, MARYANN
5601 W. SLAUSON AVENUE, SUITE 200
CULVER CITY, CA 90230

Title S

STONE, ARNOLD J
2001 WILSHIRE BLVD., SUITE 510
SANTA MONICA, CA 90403

Title T

FOGG, JANICE
1888 CENTURY PARK EAST, #1550
LOS ANGELES, CA 90067

Title D

POINTER, KAREN
11755 WILSHIRE BLVD., SUITE 2240
LOS ANGELES, CA 90025

Title D

KARNO, MARVIN
760 WESTWOOD PLAZA
LOS ANGELES, CA 90024-1759

Annual Reports
Report YearFiled Date
2004 04/08/2004