Detail by Officer/Registered Agent Name

Florida Profit Corporation

LAKE CITY MEDICAL CLINIC, INC.

Filing Information
P11000053671 45-2507878 06/08/2011 06/08/2011 FL INACTIVE VOLUNTARY DISSOLUTION 04/18/2013 NONE
Principal Address
484 SW COMMERCE DRIVE
155
LAKE CITY, FL 32025

Changed: 01/08/2012
Mailing Address
484 SW COMMERCE DRIVE
155
LAKE CITY, FL 32025

Changed: 01/08/2012
Registered Agent Name & Address BALOUSEK, GERALD R
2637 E ATLANTIC BLVD
18517
POMPANO BEACH, FL 33062

Name Changed: 01/08/2012

Address Changed: 01/08/2012
Officer/Director Detail Name & Address

Title P

BALOUSEK, GERALD R
2637 E ATLANTIC BLVD. #18517
POMPANO BEACH, FL 33062

Annual Reports
Report YearFiled Date
2012 01/08/2012