Detail by Officer/Registered Agent Name

Florida Profit Corporation

FOUNTAIN OF YOUTH MEDICAL CENTER, INC.

Filing Information
P01000045926 14-7840033 05/08/2001 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/01/2004 NONE
Principal Address
18600 COLLINS AVENUE
SUNNY ISLES BEACH, FL 33160
Mailing Address
18600 COLLINS AVENUE
SUNNY ISLES BEACH, FL 33160
Registered Agent Name & Address KEYS, NEAL
1911 N.E. 172 STREET
NORTH MIAMI BEACH, FL 33162
Officer/Director Detail Name & Address

Title D

DAYTON, MARTIN DO
18600 COLLINS AVENUE
SUNNY ISLES BEACH, FL 33160

Title D

DONTAELLI, HELEN MD
18600 COLLINS AVENUE
SUNNY ISLES BEACH, FL 33160

Title D

KEYS, NEAL
1911 NE 172 STREET
NORTH MIAMI BEACH, FL 33162

Annual Reports
Report YearFiled Date
2002 05/29/2002
2003 04/17/2003