Detail by Officer/Registered Agent Name

Florida Limited Liability Company

CHILDREN'S MENTAL HEALTH SERVICES OF SOUTHWEST FLORIDA, LLC

Filing Information
L02000017888 54-2064626 07/16/2002 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/16/2005 NONE
Principal Address
4575 VIA ROYALE
SUITE 105
FORT MYERS, FL 33919

Changed: 08/26/2003
Mailing Address
4575 VIA ROYALE
SUITE 105
FORT MYERS, FL 33919

Changed: 08/26/2003
Registered Agent Name & Address KYLE, KEVIN A
1520 ROYAL PALM SQUARE BOULEVARD, STE 320
FORT MYERS, FL 33919

Name Changed: 08/26/2003
Authorized Person(s) Detail Name & Address

Title MGRM

BROWN, STACY MA
4575 VIA ROYALE, SUITE 105
FORT MYERS, FL 33919

Title MGRM

HENDERSON, JUSTIN MS
1705 COLONIAL BLVD, STE B-1
FORT MYERS, FL 33907

Title MGRM

RIECHE, OMAR MD
1705 COLONIAL BLVD., STE B-1
FORT MYERS, FL 33907

Title MGRM

STREYFFELER, LAURA CO
P.O. BOX 60401
FORT MYERS, FL 33906

Title MGRM

COLE, ANN MA
15951 S. SHAMROCK DR
FORT MYERS, FL 33912

Title MGRM

CHESTNUT, CATHY
1466 WINKLER AVE
FORT MYERS, FL 33901

Annual Reports
Report YearFiled Date
2003 08/26/2003
2004 07/06/2004