Detail by Officer/Registered Agent Name

Florida Limited Liability Company

AMELIA ISLAND DENTAL ADMINISTRATION, LLC

Filing Information
L08000095841 26-3512087 10/09/2008 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/2010 NONE
Principal Address
2106 KEATON CHASE DRIVE
ORANGE PARK, FL 32003
Mailing Address
2106 KEATON CHASE DRIVE
ORANGE PARK, FL 32003
Registered Agent Name & Address SHOCHET, RANDALL M
1880 N. CONGRESS AVENUE
SUITE 205
BOYNTON BEACH, FL 33426
Authorized Person(s) Detail Name & Address

Title MGR

MASSEY, DREW
2106 KEATON CHASE DRIVE
ORANGE PARK, FL 32003

Annual Reports
Report YearFiled Date
2009 07/06/2009