Detail by Officer/Registered Agent Name

Florida Limited Liability Company

DENTISTS NATIONAL INSURANCE GROUP, LLC

Filing Information
L09000051851 27-0281801 05/28/2009 FL INACTIVE VOLUNTARY DISSOLUTION 08/15/2011 NONE
Principal Address
1401 N UNIVERSITY DRIVE
SUITE 602
CORAL SPRINGS, FL 33071

Changed: 01/22/2010
Mailing Address
1401 N UNIVERSITY DRIVE
SUITE 602
CORAL SPRINGS, FL 33071

Changed: 01/22/2010
Registered Agent Name & Address PETERMAN GROUP, LLC
1401 N UNIVERSITY DRIVE
SUITE 602
CORAL SPRINGS, FL 33071

Name Changed: 01/22/2010

Address Changed: 01/22/2010
Authorized Person(s) Detail Name & Address

Title PRES

PETERMAN, MICHAEL D
1401 N UNIVERSITY DRIVE, SUITE 602
CORAL SPRINGS, FL 33071

Title VPT

PETERMAN, PATRICIA S
1401 N UNIVERSITY DRIVE, SUITE 602
CORAL SPRINGS, FL 33071

Title MGR

PETERMAN, MICHAEL D
1401 N UNIVERSITY DRIVE, SUITE 602
CORAL SPRINGS, FL 33071

Annual Reports
Report YearFiled Date
2010 01/22/2010
2011 04/04/2011