Detail by Officer/Registered Agent Name

Florida Profit Corporation

COSTA CLINICAL CONSULTING, INC.

Filing Information
P00000088745 59-3672673 09/18/2000 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/01/2004 NONE
Principal Address
8728 JASMINE POND DR
TAMPA, FL 33614

Changed: 05/27/2002
Mailing Address
8728 JASMINE POND DR
TAMPA, FL 33614

Changed: 05/27/2002
Registered Agent Name & Address COSTA, STEPHANIE
8728 JASMINE POND DR
TAMPA, FL 33614

Name Changed: 05/07/2003

Address Changed: 05/07/2003
Officer/Director Detail Name & Address

Title PS

COSTA, STEPHANIE A
8728 JASMINE POND DR
TAMPA, FL 33614

Annual Reports
Report YearFiled Date
2001 06/06/2001
2002 05/27/2002
2003 05/07/2003