Detail by Officer/Registered Agent Name

Florida Limited Liability Company

FIDELITY HEALTH PNC, LLC

Filing Information
L14000165816 47-2506098 10/23/2014 10/23/2014 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/22/2017 NONE
Principal Address
1000 Corporate Drive
Suite 500
Ft. Lauderdale, FL 33334

Changed: 04/29/2015
Mailing Address
1000 Corporate Drive
Suite 500
Ft. Lauderdale, FL 33334

Changed: 04/29/2015
Registered Agent Name & Address Excelium Management, LLC
1000 Corporate Drive
Suite 500
Ft. Lauderdale, FL 33334

Name Changed: 04/29/2015

Address Changed: 04/29/2015
Authorized Person(s) Detail Name & Address

Title MGR

SUGIMOTO, DIANE
1000 Corporate Drive
Suite 500
Ft. Lauderdale, FL 33334

Title Manager

Sugimoto, Ghen
1000 Corporate Drive
Suite 500
Ft. Lauderdale, FL 33334

Annual Reports
Report YearFiled Date
2015 04/29/2015
2016 04/29/2016