Form 07

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2. Nonprofit Corporate Guardian's Address (Street):Missing or incorrect value	Nonprofit Corporate Guardian's Address (City):Missing or incorrect value
Nonprofit Corporate Guardian's Address (State):Missing or incorrect value	Nonprofit Corporate Guardian's Address (Zip):Missing or incorrect value

3. This Nonprofit Corporation is organized under Florida law for (please check one)Religious PurposeCharitable PurposesMissing or incorrect value
4. Nonprofit Corporate Guardian’s phone number:Missing or incorrect value
5a. Professional Guardian’s name :Missing or incorrect value
5b. Professional Guardian’s social security number:Missing or incorrect value
6. Has the Nonprofit Corporation's Professional Guardian ever been treated for the following?Missing or incorrect value
a. Mental Condition?YesNoMissing or incorrect value
Nature of Condition:Missing or incorrect value

If yes was answered to the above:Missing or incorrect value
Date of Mental ConditionTreatmentMissing or incorrect value	Location Name of Mental TreatmentMissing or incorrect value
Location of Mental Treatment Address (Street):Missing or incorrect value	Location of Mental Treatment Address (City):Missing or incorrect value
Location of Mental Treatment Address (State):Missing or incorrect value	Location of Mental Treatment Address (Zip):Missing or incorrect value
	Name of Physician/ProfessionalMissing or incorrect value

If yes was answered to the above:Missing or incorrect value
Date of Alcohol TreatmentMissing or incorrect value	Location Name of Alcohol TreatmentMissing or incorrect value
Location of Alcohol Treatment Address (Street):Missing or incorrect value	Location of Alcohol Treatment Address (City):Missing or incorrect value
Location of Alcohol Treatment Address (State):Missing or incorrect value	Location of Alcohol Treatment Address (Zip):Missing or incorrect value
	Name of Physician/ProfessionalMissing or incorrect value

If yes was answered to the above:Missing or incorrect value
Date of Drug TreatmentMissing or incorrect value	Location Name of Drug TreatmentMissing or incorrect value
Location of Drugs Treatment Address (Street):Missing or incorrect value	Location of Drugs Treatment Address (City):Missing or incorrect value
Location of Drugs Treatment Address (State):Missing or incorrect value	Location of Drugs Treatment Address (Zip):Missing or incorrect value
	Name of Physician/ProfessionalMissing or incorrect value

Form 07

Form07-DisclosureStatement

Signature Section

If yes was answered to the above:Missing or incorrect value
Date of Others TreatmentMissing or incorrect value	Location Name of Others TreatmentMissing or incorrect value
Location of Others Treatment Address (Street):Missing or incorrect value	Location of Others Treatment Address (City):Missing or incorrect value
Location of Others Treatment Address (State):Missing or incorrect value	Location of Others Treatment Address (Zip):Missing or incorrect value
	Name of Physician/ProfessionalMissing or incorrect value

10. Has the Nonprofit Corporation’s Professional Guardian ever been:Missing or incorrect value
a. Charged with a felony?YesNoMissing or incorrect value
If yes, to the above, please furnish details, including type of offenseMissing or incorrect value	LocationMissing or incorrect value	Final DispositionMissing or incorrect value
b. Arrested for a felony?YesNoMissing or incorrect value
If yes, to the above, please furnish details, including type of offenseMissing or incorrect value	LocationMissing or incorrect value	Final DispositionMissing or incorrect value
c. Convicted of felony?YesNoMissing or incorrect value
If yes, to the above, please furnish details, including type of offenseMissing or incorrect value	LocationMissing or incorrect value	Final DispositionMissing or incorrect value
d. Entered a plea of guilty or no contest to a felony?YesNoMissing or incorrect value
If yes, to the above, please furnish details, including type of offenseMissing or incorrect value	LocationMissing or incorrect value	Final DispositionMissing or incorrect value

If Yes, please state the date of court:Missing or incorrect value
Please state location of court: Missing or incorrect value
Location of Court Address (Street):Missing or incorrect valueStreet	Location of Court Address (City):Missing or incorrect valueCity
Location of Court Address (State):Missing or incorrect value	Location of Court Address (Zip Code):Missing or incorrect valueZip Code

Name of High School/College/OtherMissing or incorrect value	Street AddressMissing or incorrect value	Date Degree ConferredMissing or incorrect value	DegreeMissing or incorrect value
Name of High School/College/OtherMissing or incorrect value	Street AddressMissing or incorrect value	Date Degree ConferredMissing or incorrect value	DegreeMissing or incorrect value
Name of High School/College/OtherMissing or incorrect value	Street AddressMissing or incorrect value	Date Degree ConferredMissing or incorrect value	DegreeMissing or incorrect value
Name of High School/College/OtherMissing or incorrect value	Street AddressMissing or incorrect value	Date Degree ConferredMissing or incorrect value	DegreeMissing or incorrect value
Name of High School/College/OtherMissing or incorrect value	Street AddressMissing or incorrect value	Date Degree ConferredMissing or incorrect value	DegreeMissing or incorrect value

ClassMissing or incorrect value	Credit HoursMissing or incorrect value	DateMissing or incorrect value
ClassMissing or incorrect value	Credit HoursMissing or incorrect value	DateMissing or incorrect value
ClassMissing or incorrect value	Credit HoursMissing or incorrect value	DateMissing or incorrect value
ClassMissing or incorrect value	Credit HoursMissing or incorrect value	DateMissing or incorrect value

Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value
Name of WardMissing or incorrect value	Court file number(s)Missing or incorrect value	Circuit Court(s) in which the case(s) is/are pendingMissing or incorrect value	Corporation is acting as Limited or Plenary.Missing or incorrect value