Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

GREATER BRANDON DENTAL ASSOCIATION, INC.

Filing Information
N12000003584 45-5023968 04/05/2012 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/26/2014 NONE
Principal Address
13136 VAIL RIDGE DR
RIVERVIEW, FL 33579
Mailing Address
P.O. BOX 6241
BRANDON, FL 33508
Registered Agent Name & Address MOFFETT, JEFFREY DMD
13136 VAIL RIDGE DR
RIVERVIEW, FL 33579
Officer/Director Detail Name & Address

Title P

ANDERSON, DAMIAN
16211 FISHHAWK BLVD
LITHIA, FL 33547

Title V

MOFFETT, JEFFREY
13136 VAIL RIDGE DR
RIVERVIEW, FL 33579

Title S

GEIST, ERIC
13111 VAIL RIDGE DR
RIVERVIEW, FL 33579

Title D

GOODARZI, MOHAMMAD
627 W LUMSDEN RD
BRANDON, FL 33571

Annual Reports
Report YearFiled Date
2013 05/01/2013