Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

CUBAN SOCIETY OF SURGERY, INC.

Filing Information
729488 65-0105114 06/06/1974 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/01/2004 NONE
Principal Address
5959 NW 7TH ST
MIAMI, FL 33126

Changed: 06/28/1989
Mailing Address
5959 NW 7TH ST
MIAMI, FL 33126

Changed: 06/28/1989
Registered Agent Name & Address TETIDOR, ROBERTO
5959 NW 7TH STREET
MIAMI, FL 33126

Name Changed: 05/04/2001

Address Changed: 05/04/2001
Officer/Director Detail Name & Address

Title PD

PLASENCIA, GUSTAVO M.D.
9195 SUNSET DRIVE., STE 230
MIAMI, FL 33173

Title SD

VIAMONTE, III, MANUEL M.D.
9195 SUNSET DRIVE., STE 230
MIAMI, FL

Title VATD

TEJIDOR, ROBERTO
5959 N.W. 7TH STREET
MIAMI, FL 33126

Annual Reports
Report YearFiled Date
2001 05/04/2001
2002 05/27/2002
2003 04/23/2003