Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

ASOCIACION CULTURAL HISPANO-AMERICANA, INC.

Filing Information
762693 59-2367618 03/31/1982 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/19/2003 NONE
Principal Address
11757 CENTRAL PARKWAY
JACKSONVILLE, FL 32224

Changed: 07/19/2000
Mailing Address
P.O. BOX 50850
JACKSONVILLE BEACH, FL 32240

Changed: 02/23/1999
Registered Agent Name & Address RAFAEL S. INCLAN M.D.
2839 WOOD VALLEY COURT
JACKSONVILLE, FL 32217

Name Changed: 03/17/1993

Address Changed: 03/17/1993
Officer/Director Detail Name & Address

Title D

INCLAN, RAFAEL
3599 UNIV BLVD STE 100
JACKSONVILLE, FL

Title P

PEREZ, ROLANDO
3064 CYPRESS CREEK DRIVE
PONTE VEDRA, FL

Title C

SAMPAYO, ERIK
11586 GREENLAND HIDEWAY DR. E.
JACKSONVILLE, FL 32258

Title VP

ROSA, LARISSA
7858 RITTENHOUSE LANE
JACKSONVILLE, FL

Title T

BENITEZ, ANNA
309 PLANTATION CR
PONTE VEDRA, FL

Title D

PEREZ, MARIA J
3064 CYPRESS CREEK DRIVE
PONTE VEDRA, FL

Annual Reports
Report YearFiled Date
2000 07/19/2000
2001 02/26/2001
2002 04/08/2002