Detail by Officer/Registered Agent Name

Florida Profit Corporation

COMMUNITY MEDICAL GROUP, INC.

Filing Information
P95000096239 65-0655336 12/20/1995 12/19/1995 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/26/1997 NONE
Principal Address
7000 S.W. 62ND AVENUE
SUITE #525
SOUTH MIAMI, FL 33143

Changed: 05/20/1996
Mailing Address
7000 S.W. 62ND AVENUE
SUITE #525
SOUTH MIAMI, FL 33143

Changed: 05/20/1996
Registered Agent Name & Address IGLESIAS, RAMON J
7000 S.W. 62ND AVENUE
SUITE #825
SOUTH MIAMI, FL 33143
Officer/Director Detail Name & Address

Title P

KRIES, LAWRENCE D
2655 LE JEUNE RD. STE 505
CORAL GABLES, FL 33134

Title VPT

GOMEZ, FAUSTO B
2350 CORAL WAY, SUITE 301
MIAMI, FL 33145

Title S

IGLESIAS, RAMON J
7000 S.W. 62ND AVENUE, STE 525
SOUTH MIAMI, FL 33143

Annual Reports
Report YearFiled Date
1996 06/17/1996