Detail by Officer/Registered Agent Name

Florida Profit Corporation

PUREFORM, INC.

Filing Information
P07000034662 74-3208401 03/19/2007 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/2010 NONE
Principal Address
3124 ARGYLE RD.
VENICE, FL 34293
Mailing Address
3124 ARGYLE RD.
VENICE, FL 34293
Registered Agent Name & Address BONAMER, NICHOLAS K
3124 ARGYLE RD.
VENICE, FL 34293
Officer/Director Detail Name & Address

Title P

BONAMER, NICHOLAS K
3124 ARGYLE RD.
VENICE, FL 34293

Title VP

BONAMER, CHARLES S
3124 ARGYLE
VENICE, FL 34293

Annual Reports
Report YearFiled Date
2008 03/07/2008
2009 04/28/2009