Detail by Officer/Registered Agent Name

Florida Limited Liability Company

PRIMARY CARE ASSOCIATES, L.C.

Filing Information
L94000000558 65-0526749 10/17/1994 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/28/2001 NONE
Principal Address
1846 TAMIAMI TRAIL
SUITE 12
VENICE, FL 34293
Mailing Address
1846 TAMIAMI TRAIL
SUITE 12
VENICE, FL 34293
Registered Agent Name & Address CISLO, DAVID G
1846 S. TAMIAMI TRAIL
STE. 12
VENICE, FL 34293

Name Changed: 03/04/1996

Address Changed: 03/04/1996
Authorized Person(s) Detail Name & Address

Title MGRM

WEERASOORIYA, LOKSHMAN MD
1861 PLACIDA ROAD
ENGLEWOOD, FL

Document Number V55358

Title MGRM

DAVID G. CISLO, D.O., P.A.
12749 SOUTH TAMIAMI TRAIL
NORTH PORT, FL 34287

Title MGRM

CHIRILLO, JOSEPH JR.,MD
190 WEST DEARBORN STREET
ENGLEWOOD, FL 34223

Title MGRM

ROBERTSON, DONALD WD.O.
2828 SOUTH MCCALL ROAD #21
ENGLEWOOD, FL 34224

Title MGRM

SAMALE, RICHARD M.D.
1211 JACARANDA BLVD.
VENICE, FL 34292

Annual Reports
Report YearFiled Date
1998 05/15/1998
1999 06/14/1999
2000 02/22/2000