Detail by Officer/Registered Agent Name

Florida Limited Liability Company

CRESCENT DENTAL SERVICES, LLC

Filing Information
L05000105404 20-3693507 10/27/2005 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/14/2007 NONE
Principal Address
809 B. FLORIDA AVE
LYNN HAVEN, FL 32444

Changed: 08/17/2006
Mailing Address
809 B. FLORIDA AVE
LYNN HAVEN, FL 32444

Changed: 08/17/2006
Registered Agent Name & Address PEREZ, RALPH J
809 B. FLORIDA AVE.
LYNN HAVEN, FL 32444

Address Changed: 08/17/2006
Authorized Person(s) Detail Name & Address

Title MGRM

PEREZ, RALPH J
600 OHIO AVENUE, SUITE B
LYNN HAVEN, FL 32444

Title MGRM

PEREZ, BRAD J
600 OHIO AVENUE, SUITE B
LYNN HAVEN, FL 32444

Title MGRM

SCHWARTZ, CARLTON S
7105 DOLPHIN BAY BLVD.
PANAMA CITY BEACH, FL 32407

Annual Reports
Report YearFiled Date
2006 08/17/2006