Detail by Officer/Registered Agent Name

Florida Profit Corporation

SALLY SAMPLE, M.D., P.A.

Filing Information
P95000090057 59-3347787 11/22/1995 11/21/1995 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/16/1998 NONE
Principal Address
1204 NW 69TH TERR.
SUITE B
GAINESVILLE, FL 32605

Changed: 11/14/1997
Mailing Address
1204 NW 69TH TERR.
SUITE B
GAINESVILLE, FL 32605

Changed: 11/14/1997
Registered Agent Name & Address SAMPLE, SALLY
1204 NW 69TH TERR.
SUITE B
GAINESVILLE, FL 32605

Name Changed: 11/14/1997

Address Changed: 11/14/1997
Officer/Director Detail Name & Address

Title D

SAMPLE, SALLY M.D.
1204 NW 69TH TERR
GAINESVILLE, FL

Annual Reports
Report YearFiled Date
1996 07/18/1996
1997 11/14/1997