Detail by Officer/Registered Agent Name

Florida Profit Corporation

JESUS A. COLOM, M.D., P.A.

Filing Information
649974 59-1967287 12/31/1979 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/01/2004 NONE
Principal Address
700 SE 5TH TERRACE
CRYSTAL RIVER, FL 34429

Changed: 01/31/1995
Mailing Address
P.O. BOX 116
CRYSTAL RIVER, FL 34423-0116

Changed: 01/31/1995
Registered Agent Name & Address COLOM, JESUS A., M.D.
700 SE 5TH TERR
CRYSTAL RIVER, FL 34429

Address Changed: 03/28/1997
Officer/Director Detail Name & Address

Title PST

COLOM, JESUS A MD
700 SE 5TH TERR
CRYSTAL RIVER, FL

Annual Reports
Report YearFiled Date
2001 04/19/2001
2002 04/02/2002
2003 03/31/2003