Detail by Officer/Registered Agent Name

Florida Profit Corporation

COASTAL MEDICAL RESEARCH INC.

Filing Information
P96000013067 59-3358441 02/08/1996 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/26/2008 NONE
Principal Address
5111 S. RIDGEWOOD AVE.
SUITE 301
PORT ORANGE, FL 32127

Changed: 04/28/2004
Mailing Address
5111 S. RIDGEWOOD AVENUE
SUITE 301
PORT ORANGE, FL 32127

Changed: 11/24/2003
Registered Agent Name & Address HARDEE, TRISH
5111 S. RIDGEWOOD AVE.
SUITE 301
PORT ORANGE, FL 32127

Name Changed: 03/22/1999

Address Changed: 04/28/2004
Officer/Director Detail Name & Address

Title PD

GUILLEM, ALVARO F.
3546 JOHN ANDERSON DRIVE
ORMOND BEACH, FL 32176

Title D

HARDEE, TRISH
521 WILDWOOD DRIVE
NEW SMYRNA BEACH, FL 32168

Title D

GUILLEM, MARY A
3546 JOHN ANDERSON DRIVE
ORMOND BEACH, FL 32176

Title DA

HARDEE, BRUCE
521 WILDWOOD DRIVE
NEW SMYRNA BEACH, FL 32168

Annual Reports
Report YearFiled Date
2005 04/28/2005
2006 02/14/2006
2007 03/23/2007