Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FLORIDA CHIROPRACTIC PHYSICIANS ASSOCIATION, INC.

Filing Information
N98000004042 59-3524472 07/09/1998 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/16/2005 NONE
Principal Address
2300 S ORANGE BLOSSOM TR
ORLANDO, FL 32805

Changed: 04/05/2004
Mailing Address
2300 S ORANGE BLOSSOM TR
ORLANDO, FL 32805

Changed: 04/05/2004
Registered Agent Name & Address LACY, ROBERIC AMD
2300 S ORANGE BLOSSOM TR
ORLANDO, FL 32805

Name Changed: 06/11/2003

Address Changed: 04/05/2004
Officer/Director Detail Name & Address

Title PED

SULLIVAN, JOHN
1111 WINDSWEPT AVENUE
NAPLES, FL 34109

Title D

LACY, RODERIC AMD
1108 LUCERN TERRACE
ORLANDO, FL 32806

Title D

YOCOM, PARL DC
954 KAY BLVD
COCOA, FL 32927

Title ST

ANSLEY, ERIN
1108 LUCERN TERRACE
ORLANDO, FL 32806

Annual Reports
Report YearFiled Date
2002 05/21/2002
2003 06/11/2003
2004 04/05/2004