Detail by Officer/Registered Agent Name

Florida Profit Corporation

MSPB SEPARATE ACCOUNT, INC.

Filing Information
P03000126616 20-0370181 10/30/2003 FL INACTIVE VOLUNTARY DISSOLUTION 04/24/2014 NONE
Principal Address
5700 LAKE WORTH ROAD
SUITE 204
LAKE WORTH, FL 33463
Changed: 05/06/2009
Mailing Address
5700 LAKE WORTH RD STE 204
LAKE WORTH, FL 33463
Registered Agent Name & Address BROWN, JOHN
5700 LAKE WORTH ROAD
SUITE 204
LAKE WORTH, FL 33463
Name Changed: 04/25/2013

Address Changed: 05/06/2009
Officer/Director Detail Name & Address

Title P/D

GOLDENBERG, JAMES, M.D.
5700 LAKE WORTH RD STE 204
LAKE WORTH, FL 33463
Title V/D

LEVIN, ROBERT M.D.
5700 LAKE WORTH RD STE 204
LAKE WORTH, FL 33463
Title V/D

TOME, ROBERT M.D.
5700 LAKE WORTH RD STE 204
LAKE WORTH, FL 33463
Title T/D

ROSENFIELD, THOMAS M.D.
5700 LAKE WORTH RD STE 204
LAKE WORTH, FL 33463
Title CEO

BROWN, JOHN
5700 LAKE WORTH ROAD #204
LAKE WORTH, FL 33463
Title S/D

Berkman, Andrew, MD
5700 LAKE WORTH RD STE 204
LAKE WORTH, FL 33463
Title D

Boyle, Thomas, MD
5700 LAKE WORTH RD STE 204
LAKE WORTH, FL 33463
Title D

Heron, James, MD
5700 LAKE WORTH RD STE 204
LAKE WORTH, FL 33463
Title D

Lira, Carlos, MD
5700 LAKE WORTH RD STE 204
LAKE WORTH, FL 33463
Title D

Simon, Todd, DO
5700 LAKE WORTH RD STE 204
LAKE WORTH, FL 33463
Annual Reports
Report YearFiled Date
2012 04/19/2012
2013 04/25/2013
2014 03/16/2014

Document Images
04/24/2014 -- Voluntary Dissolution View image in PDF format
03/16/2014 -- ANNUAL REPORT View image in PDF format
04/25/2013 -- ANNUAL REPORT View image in PDF format
04/19/2012 -- ANNUAL REPORT View image in PDF format
02/21/2011 -- ANNUAL REPORT View image in PDF format
04/27/2010 -- ANNUAL REPORT View image in PDF format
05/06/2009 -- ANNUAL REPORT View image in PDF format
04/01/2008 -- ANNUAL REPORT View image in PDF format
01/04/2007 -- ANNUAL REPORT View image in PDF format
01/16/2006 -- ANNUAL REPORT View image in PDF format
02/07/2005 -- ANNUAL REPORT View image in PDF format
01/21/2004 -- ANNUAL REPORT View image in PDF format
10/30/2003 -- Domestic Profit View image in PDF format