Detail by Officer/Registered Agent Name

Florida Limited Liability Company

IMPACT DENTAL LAB, LLC

Filing Information
L12000066815 45-5373086 05/17/2012 05/17/2012 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/28/2018 NONE
Principal Address
906 N.E. 26TH AVENUE
FORT LAUDERDALE, FL 33304
Mailing Address
3000 RAVENSWOOD ROAD
SUITE #1A
DANIA BEACH, FL 33312

Changed: 07/16/2015
Registered Agent Name & Address BALANOFF, WILLIAM L
906 N.E. 26TH AVENUE
FORT LAUDERDALE, FL 33304
Authorized Person(s) Detail Name & Address

Title MGRM

BALANOFF, WILLIAM L
3000 RAVENSWOOD ROAD
SUITE #1A
DANIA BEACH, FL 33312

Annual Reports
Report YearFiled Date
2015 01/16/2015
2016 03/02/2016
2017 01/11/2017