Detail by Officer/Registered Agent Name

Florida Limited Liability Company

BLACKMAPLE PROVIDER RECOVERY GROUP, LLC

Filing Information
L10000059153 27-2780346 06/01/2010 06/01/2010 FL INACTIVE VOLUNTARY DISSOLUTION 08/01/2014 08/01/2014
Principal Address
4581 WESTON ROAD
263
WESTON, FL 33331
Mailing Address
4581 WESTON ROAD
263
WESTON, FL 33331
Registered Agent Name & Address GOLD, JEFF
4581 WESTON ROAD
263
WESTON, FL 33331

Name Changed: 03/10/2011
Authorized Person(s) Detail Name & Address

Title President

Blackmaple Inc
4581 WESTON ROAD
263
WESTON, FL 33331

Annual Reports
Report YearFiled Date
2012 03/21/2012
2013 04/23/2013
2014 04/28/2014