Detail by Officer/Registered Agent Name

Florida Profit Corporation

SOURCE 1 MEDICAL, INC.

Filing Information
P04000037817 20-0809389 02/23/2004 FL INACTIVE VOLUNTARY DISSOLUTION 04/22/2015 04/22/2015
Principal Address
1552 SW 7th Rd
OCALA, FL 34471

Changed: 03/21/2013
Mailing Address
PO BOX 4230
OCALA, FL 34478

Changed: 01/31/2008
Registered Agent Name & Address DEMENZES, CHARLES
1552 SW 7th Rd
OCALA, FL 34471

Name Changed: 03/23/2005

Address Changed: 03/21/2013
Officer/Director Detail Name & Address

Title P

CROWLEY, DAWSON
4025 ROXBURGH DR.
ROSWELL, GA 30076

Title V

ROADERICK, JEFF
4104 NIBLICK RD
LONGMONT, CO 80503

Title ST

DEMENZES, CHARLES
12601 S.E. SUNSET HARBOR RD.
WEIRSDALE, FL 32195

Annual Reports
Report YearFiled Date
2012 01/23/2012
2013 03/21/2013
2014 03/25/2014