Detail by Officer/Registered Agent Name

Foreign Not For Profit Corporation

NATIONAL FELLOWSHIP BRETHREN RETIREMENT HOMES, INC.

Filing Information
F04000003757 35-1242401 07/01/2004 IN INACTIVE REVOKED FOR ANNUAL REPORT 09/15/2006 NONE
Principal Address
337 GRACE VILLAGE DR
WINONA LAKE, IN 46590
Mailing Address
337 GRACE VILLAGE DR
WINONA LAKE, IN 46590
Registered Agent Name & Address SMITH, BILL
4844 LEISUREWOOD LN
LAKELAND, FL 33811

Name Changed: 04/11/2005
Officer/Director Detail Name & Address

Title C

DEBOEST, JESSE
2510 GLAD ST
WARSAW, IN 46580

Title VC

WORKMAN, MARK
903 ESPLANADE
WINONA LAKE, IN 46590

Title T

REDPATH, RON
807 LYDIA DR
WARSAW, IN 46582

Title S

HERBRUCK, GARY
2608 WILDWOOD LN
WINONA LAKE, IN 46590

Title D

BARRETT, STEVEN
715 HERITAGE LANE
WARSAW, IN 46582

Title D

HARSTINE, JULIE
2312 SALLY STREET
WARSAW, IN 46580

Annual Reports
Report YearFiled Date
2005 04/11/2005