Detail by Officer/Registered Agent Name

Foreign Profit Corporation

PROVISTA DIAGNOSTICS, INC.

Filing Information
F13000000684 27-4282214 02/13/2013 DE INACTIVE REVOKED FOR ANNUAL REPORT 09/27/2019 NONE
Principal Address
17301 N. PERIMETER DR.
SUITE 100
SCOTTSDALE, AZ 85255

Changed: 04/19/2018
Mailing Address
17301 N. PERIMETER DR.
SUITE 100
SCOTTSDALE, AZ 85255

Changed: 04/19/2018
Registered Agent Name & Address C T CORPORATION SYSTEM
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324
Officer/Director Detail Name & Address

Title CEO

Altman, Gary G
17301 N. PERIMETER DR.
SCOTTSDALE, AZ 85255

Title CFO

Kusiatin, Uriel E
17301 N. PERIMETER DR.
SCOTTSDALE, AZ 85255

Title D

Fermanis, John
17301 N. PERIMETER DR.
Scottsdale, AZ 85255

Annual Reports
Report YearFiled Date
2016 01/25/2016
2017 05/01/2017
2018 04/19/2018