Detail by Entity Name

Foreign Not For Profit Corporation

SALEM NURSING & REHAB CENTER OF HOMESTEAD, INC.

Filing Information
F96000005373 63-1160642 10/15/1996 GA INACTIVE REVOKED FOR ANNUAL REPORT 09/16/2005 NONE
Principal Address
945 BROAD STREET
SUITE 220
AUGUSTA, GA 30901

Changed: 04/23/2002
Mailing Address
945 BROAD STREET
SUITE 220
AUGUSTA, GA 30901

Changed: 04/23/2002
Registered Agent Name & Address C T CORPORATION SYSTEM
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324
Officer/Director Detail Name & Address

Title DPC

COWLEY, ALFRED H
500 FLOYD ROAD
CALHOUN, GA 30701

Title D

FOLKENBERG, DONALD L
1136 ASCEND LAND
HUDDLESTON, VA

Title DST

LIGHT, GARY
1819 HUNTINGTON CHASE
ATLANTA, GA 30305

Annual Reports
Report YearFiled Date
2002 04/23/2002
2003 04/29/2003
2004 03/02/2004