Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

SOUTHERN HEALTH FOUNDATION, INC.

Filing Information
735949 59-1670655 05/28/1976 FL INACTIVE INVOLUNTARILY DISSOLVED 11/04/1988 NONE
Principal Address
200 CHURCH STREET
P. O. DRAWER 527
JASPER, GA 30143

Changed: 04/30/1982
Mailing Address
200 CHURCH STREET
P. O. DRAWER 527
JASPER, GA 30143

Changed: 04/30/1982
Registered Agent Name & Address BRUMBACK, C.L., M.D.
826 EVERNIA STREET
WEST PALM BEACH, FL 33402

Address Changed: 06/16/1981
Officer/Director Detail Name & Address

Title PD

BRUMBACK, CLARENCE L.
826 EVERNIA
WEST PALM BCH FL

Title VD

ROUTH, FOSTER M.
3700 FOREST DR.
COLUMBIA, SC

Title SD

BARKER, ANNA E.
220 CHURCH STREET
JASPER, GA

Title TD

RANDALL, ALBERT G.
1313 SABIN STREET
AUSTIN, TX

Title D

TATE, GUY M. JR.
1912 8TH AVE. SOUTH
BIRMINGHAM AL

Title D

HOPKINS, HOMER P.
436 6TH AVE. NORTH
NASHVILLE TN

Annual Reports
Report YearFiled Date
1985 07/05/1985
1986 07/14/1986
1987 06/30/1987

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