Detail by Officer/Registered Agent Name

Florida Profit Corporation

THE MEDICARE SHOPPE INC.

Filing Information
P04000167221 65-0817339 12/14/2004 12/13/2004 FL INACTIVE VOLUNTARY DISS W/ NOTICE 07/15/2005 NONE
Principal Address
3013 EAST FOURTH AVENUE
HIALEAH, FL 33013
Mailing Address
3013 EAST FOURTH AVENUE
HIALEAH, FL 33013
Registered Agent Name & Address DIEQUEZ, ANTHONY PA
7950 NW 155TH STREET
207
MIAMI LAKES, FL 33016
Officer/Director Detail Name & Address

Title P

FERNANDEZ, LUIS APRES
6501 MAIN STREET #9308
MIAMI LAKES, FL 33014

Title VP,S

FERNANDEZ, IVONNE EVP
6501 MAIN STREET #9308
MIAMI LAKES, FL 33014

Annual Reports
Report YearFiled Date
2005 04/28/2005