Detail by Officer/Registered Agent Name

Florida Limited Liability Company

CAPITAL INSURANCE BROKERS LLC

Filing Information
L10000094516 27-3645201 09/09/2010 09/09/2010 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/28/2012 NONE
Principal Address
14100 PALMETTO FRONTAGE RD
SUITE 204
MIAMI LAKES, FL 33016

Changed: 04/27/2011
Mailing Address
14100 PALMETTO FRONTAGE RD
SUITE 204
MIAMI LAKES, FL 33016

Changed: 04/27/2011
Registered Agent Name & Address CALLEJAS, MARIO AJR
14100 PALMETTO FRONTAGE RD
SUITE 204
MIAMI LAKES, FL 33016

Name Changed: 04/27/2011

Address Changed: 04/27/2011
Authorized Person(s) Detail Name & Address

Title CEO

CALLEJAS, MARIO AJR
4313 REFLECTIONS BLV APT 202
SUNRISE, FL 33351

Title V.P

ROSAS, PIERO
14100 PALMETTO FRONTAGE RD SUIT 204
MIAMI LAKES, FL 33016

Annual Reports
Report YearFiled Date
2011 04/27/2011