Detail by Officer/Registered Agent Name

Foreign Profit Corporation

SCRUBS MUTUAL ASSURANCE COMPANY RISK RETENTION GROUP

Filing Information
F08000003063 20-8993314 07/10/2008 NV ACTIVE REINSTATEMENT 10/15/2021
Principal Address
3651 Lindell Road
Suite D1152
LAS VEGAS, NV 89103

Changed: 03/19/2014
Mailing Address
3651 Lindell Road
Suite D1152
LAS VEGAS, NV 89103

Changed: 03/19/2014
Registered Agent Name & Address WILLIAMS, TOBEY E
1645 Palm Beach Lakes Blvd.
Suite 1200
West Palm Beach, FL 33401-2214

Name Changed: 10/15/2021

Address Changed: 04/15/2022
Officer/Director Detail Name & Address

Title Director, Secretary

WILLIAMS, TOBEY EMD, Dr.
24 Castle Hill Way
STUART, FL 34996

Title Treasurer, Director

SUSSMAN, ERNEST MD, Dr.
9805 MOUNTAIN GROVE COURT
LAS VEGAS, NV 89134

Title Director

WILLIAMS, DARYL
200 EAST ROBINSON ST. SUITE 1180
ORLANDO, FL 32801

Title Chairman, Director

KAPOOR, DEEPAK AMD
532 BROADHOLLOW ROAD, SUITE 200
MELVILLE, NY 11747

Title Director

LATINO, KATHLEEN LMD, Dr.
2 MEDICAL PARK DRIVE, SUITE 10
WEST NYACK, NY 10994

Title Director, VC

Harris, Richard G., Dr.
1885 Wilmot Road
Bannockburn, IL 60015

Title Director

Harb, Gus
3651 Lindell Road
Suite D1152
LAS VEGAS, NV 89103

Title Director

Mené, Matthew, Dr
340 Broadhollow Road
Farmingdale, NY 11735

Title Director

Fellner, Daniel
3651 Lindell Road
Suite D1152
LAS VEGAS, NV 89103

Annual Reports
Report YearFiled Date
2021 10/15/2021
2022 04/15/2022
2023 07/10/2023