Detail by Officer/Registered Agent Name

Foreign Profit Corporation

PARK AVENUE SENIOR MEDICINE, P.C.

Filing Information
F01000000861 13-4146693 02/12/2001 NY INACTIVE REVOKED FOR ANNUAL REPORT 09/19/2003 NONE
Principal Address
ONE NORTH LEXINGTON AVE
WHITE PLAINS, NY 10601
Mailing Address
ONE NORTH LEXINGTON AVE
WHITE PLAINS, NY 10601
Registered Agent Name & Address NATIONSCORP REGISTERED AGENTS, INC.
1574 VILLAGE SQUARE BLVD
SUITE 100
TALLAHASSEE, FL 32309

Address Changed: 09/16/2005
Officer/Director Detail Name & Address

Title P

KAPLAN, MITCHEL MD
10 MARBOURNE DR
MAMARONECK, NY 10543

Title V

SUSSMAN, DANIEL MD
241 W 23RD ST R
NEW YORK, NY 10011

Title V

WOLFSON, MITCHELL MD
1260 HASTINGS STREET
TEANECK, NJ 07666

Title S/T

BLASS, JOEL MD
212 MADISON STREET
HOBOKEN, NJ 07030

Annual Reports
Report YearFiled Date
2002 01/24/2002