Detail by Officer/Registered Agent Name

Florida Profit Corporation

MEDICINA ORIGINAL, INC

Filing Information
P04000143901 20-1765367 10/19/2004 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/15/2006 NONE
Principal Address
6781 NW MAIN STREET
MIAMI LAKES, FL 33014
Mailing Address
6781 NW MAIN STREET
MIAMI LAKES, FL 33014
Registered Agent Name & Address MALDE TAMAYO, YAMINET C
6781 NW MAIN STREET
MIAMI LAKES, FL 33014
Officer/Director Detail Name & Address

Title PDT

MALDE TAMAYO, YAMINET C
6781 NW MAIN STREET
MIAMI LAKES, FL 33014

Title VDT

HERRERA, DANIEL S
6781 NW MAIN STREET
MIAMI LAKES, FL 33014

Annual Reports
Report YearFiled Date
2005 04/27/2005