Detail by Entity Name

Florida Profit Corporation

AMERICAN SELECT INSURANCE MANAGEMENT CORPORATION

Filing Information
P99000015696 59-3575067 02/17/1999 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/26/2008 NONE
Principal Address
274 UNION BOULEVARD
SUITE 450
LAKEWOOD, CO 80228

Changed: 04/15/2005
Mailing Address
274 UNION BOULEVARD
SUITE 450
LAKEWOOD, CO 80228

Changed: 04/15/2005
Registered Agent Name & Address MUSHAHWAR, STEPHEN I
1110 PINELLAS BAYWAY SOUTH
SUITE 203
ST. PETERSBURG, FL 33715

Name Changed: 05/17/2007

Address Changed: 05/17/2007
Officer/Director Detail Name & Address

Title PD

BOWLES, JAMES O
274 UNION BOULEVARD
LAKEWOOD, CO 80228

Title VP

HARTMAN, LORI A
274 UNION BOULEVARD
LAKEWOOD, CO 80228

Title SVPD

WARD, DAVID
274 UNION BOULEVARD
LAKEWOOD, CO 80228

Annual Reports
Report YearFiled Date
2005 04/15/2005
2006 04/24/2006
2007 03/09/2007