Detail by Officer/Registered Agent Name

Foreign Limited Liability Company

PHYSIOM, LLC

Filing Information
M11000000657 20-1054974 02/09/2011 CO INACTIVE REVOKED FOR ANNUAL REPORT 09/27/2013 NONE
Principal Address
3284 NORTHSIDE PARKWAY SUITE 600
ATLANTA, GA 30327

Changed: 02/02/2012
Mailing Address
3284 NORTHSIDE PARKWAY SUITE 600
ATLANTA, GA 30327

Changed: 02/02/2012
Registered Agent Name & Address C T CORPORATION SYSTEM
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324
Authorized Person(s) Detail Name & Address

Title MGR

GUY, JOHN WJR.
3284 NORTHSIDE PARKWAY, SUITE 600
ATLANTA, GA 30327

Title MGR

CRAFT, J. DOUGLAS
3284 NORTHSIDE PARKWAY, SUITE 600
ATLANTA, GA 30327

Title MGR

LOCKWOOD, BRUCE M.D.
1300 OAKRIDGE BLVD, SUITE 130
FORT COLLINS, CO 80525

Title MGR

FLORES, RICHARD A
1300 OAKRIDGE BLVD, SUITE 130
FORT COLLINS, CO 80525

Annual Reports
Report YearFiled Date
2012 02/02/2012