Detail by Officer/Registered Agent Name

Florida Profit Corporation

PROVIDER ASSURANCE, INC.

Filing Information
P99000015869 65-0897389 02/18/1999 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/15/2006 NONE
Principal Address
4345 SW 72 AVE
A
MIAMI, FL 33155
Changed: 11/04/2003
Mailing Address
PO BOX 562405
MIAMI, FL 33256-2405
Changed: 07/10/2001
Registered Agent Name & Address ALBA REINET, JOSE PRES
4345 SW 72 AVE
A
MIAMI, FL 33155
Name Changed: 04/30/2002

Address Changed: 11/04/2003
Officer/Director Detail Name & Address

Title PD

REINET, JOSE A
4345 SW 72 AVE
MIAMI, FL 33155
Title V

MACHADO, MAYDA
4345 SW 72 AVE
MIAMI, FL 33155
Title S

ALBA-MACHADO, TATIANA M
4345 SW 72 AVE
MIAMI, FL 33155
Title T

ALBA-MACHADO, RAPHAEL J
4345 SW 72 AVE
MIAMI, FL 33155
Annual Reports
Report YearFiled Date
2003 11/04/2003
2004 02/17/2004
2005 04/04/2005

Document Images
04/04/2005 -- ANNUAL REPORT View image in PDF format
02/17/2004 -- ANNUAL REPORT View image in PDF format
11/04/2003 -- REINSTATEMENT View image in PDF format
08/05/2002 -- Amendment View image in PDF format
04/30/2002 -- ANNUAL REPORT View image in PDF format
07/10/2001 -- ANNUAL REPORT View image in PDF format
05/21/2000 -- ANNUAL REPORT View image in PDF format
09/30/1998 -- Domestic Profit View image in PDF format