Detail by Entity Name

Florida Profit Corporation

BROUSSARD DENTAL SERVICES, INC.

Filing Information
K99742 59-2956694 07/05/1989 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/21/2001 NONE
Principal Address
PO BOX 159
MANGO, FL 33550-0159

Changed: 04/12/1994
Mailing Address
PO BOX 159
MANGO, FL 33550-0159

Changed: 04/12/1994
Registered Agent Name & Address BROUSSARD, ROBERT M
4103 FAWN CIRCLE
TAMPA, FL 33610

Name Changed: 08/18/2000

Address Changed: 08/18/2000
Officer/Director Detail Name & Address

Title D

BROUSSARD, ROBERT M.
4103 FAWN CIRCLE
TAMPA, FL

Title D

BROUSSARD, MARY F.
4103 FAWN CIRCLE
TAMPA, FL

Annual Reports
Report YearFiled Date
1998 04/16/1998
1999 04/23/1999
2000 04/21/2000