Detail by Officer/Registered Agent Name

Florida Limited Liability Company

BRAIN OWL TELEMEDICINE LLC

Filing Information
L09000113808 27-1924974 11/30/2009 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/28/2012 NONE
Principal Address
4801 SOUTH CONGRESS AVE
STE 304
LAKE WORTH, FL 33461

Changed: 04/03/2010
Mailing Address
4801 SOUTH CONGRESS AVE
STE 304
LAKE WORTH, FL 33461

Changed: 04/03/2010
Registered Agent Name & Address CHEN, YANIV MD
333 LAS OLAS WAY
APT. #2408
FT. LAUDERDALE, FL 33301

Name Changed: 04/03/2010

Address Changed: 01/20/2011
Authorized Person(s) Detail Name & Address

Title MGRM

CHEN NEUROLOGY SERVICES, LLC
333 LAS OLAS WAY APT. #2408
FT. LAUDERDALE, FL 33301

Title MGRM

KINER NEUROLOGY & PSYCHOLOGY CONSULTANTS L
3000 NORTH OCEAN DRIVE APT. 36E
SINGER ISLAND, FL 33404

Annual Reports
Report YearFiled Date
2010 04/03/2010
2011 01/20/2011