Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FLORIDA PATIENT SAFETY CORPORATION

Filing Information
N04000008167 32-0137328 08/20/2004 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/27/2013 NONE
Principal Address
3200 S. UNIVERSITY DR
ROOM 1407
FORT LAUDERDALE, FL 33328

Changed: 03/22/2012
Mailing Address
3200 S. UNIVERSITY DR
ROOM 1407
FORT LAUDERDALE, FL 33328

Changed: 03/22/2012
Registered Agent Name & Address SILVAGNI, ANTHONY JD.O.
3200 SOUTH UNIVERSITY DRIVE
ROOM 1401 TERRY BLDG.
FT. LAUDERDALE, FL 33328

Name Changed: 08/11/2009

Address Changed: 04/28/2010
Officer/Director Detail Name & Address

Title T

WOLFSON, WAYNE D
205 E. COLONIAL DRIVE
ORLANDO, FL 32801

Title C

SILVAGNI, ANTHONY JD
3200 SOUTH UNIVERSITY DR., ROOM 1407
FT. LAUDERDALE, FL 33328

Title VC

WHITE, SUSAN D
2528 RIDGEWIND WAY
WINDERMERE, FL 34786

Title S

MONTGOMERY, JOHN
4800 DEERWOOD CAMPUS PKWY
JACKSONVILLE, FL 32246

Title D

CHERNEY, BECKY JD
4401 VINELAND RD, SUITE A-10
ORLANDO, FL 32811

Title D

ROSE, JOEL MD
6101 WEBB ROAD
TAMPA, FL 33615

Annual Reports
Report YearFiled Date
2010 04/28/2010
2011 04/13/2011
2012 03/22/2012