Cover Letter - Florida Department Of State Division Of Corporations Page 4
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412. Names and addresses of officers and/or directors
A. DIRECTORS
Chairman:_______________________________________________________________________________________________
Address:________________________________________________________________________________________________
________________________________________________________________________________________________
Vice Chairman:__________________________________________________________________________________________
Address:________________________________________________________________________________________________
________________________________________________________________________________________________
Director:________________________________________________________________________________________________
Address:________________________________________________________________________________________________
________________________________________________________________________________________________
Director:________________________________________________________________________________________________
Address:________________________________________________________________________________________________
________________________________________________________________________________________________
B. OFFICERS
President:_______________________________________________________________________________________________
Address:________________________________________________________________________________________________
________________________________________________________________________________________________
Vice President:___________________________________________________________________________________________
Address:________________________________________________________________________________________________
________________________________________________________________________________________________
Secretary:_______________________________________________________________________________________________
Address:________________________________________________________________________________________________
Treasurer:_______________________________________________________________________________________________
Address:________________________________________________________________________________________________
NOTE: If necessary, you may attach an addendum to the application listing additional officers and/or directors.
13.
(Signature of Chairman, Vice Chairman, or any officer listed in number 12 of the application)
14.
(Typed or printed name and capacity of person signing application)
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