Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FAMILY PRACTICE MINISTRIES, INC.

Filing Information
N94000003294 59-3259314 06/29/1994 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/16/1998 NONE
Principal Address
4631 HIGHLANDS PLACE DR.
LAKELAND, FL 33813
Mailing Address
P.O. BOX 6402
LAKELAND, FL 33807-6402
Registered Agent Name & Address KORNSTEIN, MARCIA A
4631 HIGHLANDS PLACE DR.
LAKELAND, FL 33813
Officer/Director Detail Name & Address

Title PSTD

KORNSTEIN, MARCIA A
4631 HIGHLANDS PLACE DR.
LAKELAND, FL 33813

Title D

BAKER, ANNA MARIA
4136 LAKE HANCOCK ROAD
LAKELAND, FL 33813

Title D

SMITH, SUSAN
1215 PARKER POINTE LANE
LAKELANE, FL 33803

Title D

GODDARD, LINDA
1622 DOOLEY LANE
LAKELAND, FL 33813

Annual Reports
Report YearFiled Date
1995 04/26/1995
1996 04/24/1996
1997 05/21/1997