Detail by Officer/Registered Agent Name

Florida Limited Liability Company

BSRH-LAKE WORTH, LLC

Filing Information
L08000053535 26-2718664 05/30/2008 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/28/2012 NONE
Principal Address
505 S. FLAGLER DRIVE, SUITE 1400
WEST PALM BEACH, FL 33401
Mailing Address
505 S. FLAGLER DRIVE, SUITE 1400
WEST PALM BEACH, FL 33401
Registered Agent Name & Address CORPORATE CREATIONS NETWORK, INC.
11380 PROSPERITY FARMS ROAD #221E
PALM BEACH GARDENS, FL 33410

Name Changed: 09/18/2008

Address Changed: 09/18/2008
Authorized Person(s) Detail Name & Address

Title MGR

BANK STREET ADVISORS, LLC
505 S. FLAGLER DRIVE, SUITE 1400
WEST PALM BEACH, FL 33401

Title MGR

WARD, NATHAN
505 S. FLAGLER DRIVE, SUITE 1400
WEST PALM BEACH, FL 33401

Annual Reports
Report YearFiled Date
2009 04/13/2009
2010 03/22/2010
2011 04/19/2011