Detail by Officer/Registered Agent Name

Florida Profit Corporation

COUNTRYSIDE OBSTETRICS & GYNECOLOGY, INC.

Filing Information
P01000116920 59-3760107 12/10/2001 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/16/2005 NONE
Principal Address
2665 STATE RD. 580
CLEARWATER, FL 33761

Changed: 06/24/2002
Mailing Address
2665 STATE RD. 580
CLEARWATER, FL 33761

Changed: 06/24/2002
Registered Agent Name & Address MARKS, JEFF J
3023 EASTLAND BLVD. NO. 112
CLEARWATER, FL 33761
Officer/Director Detail Name & Address

Title D

WOLFF, JOY L
3023 EASTLAND BLVD. NO. 112
CLEARWATER, FL 33761

Title D

MARKS, JEFF J
1600 SPARKLING CT.
DUNEDIN, FL 34698

Annual Reports
Report YearFiled Date
2002 06/24/2002
2003 01/29/2003
2004 04/26/2004