Detail by Entity Name

Florida Profit Corporation

KEITH R. VAN BENTHUYSEN, D.M.D., INC.

Filing Information
S35182 59-3051310 02/27/1991 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/04/2002 NONE
Principal Address
932 SWANN DR
LAKELAND, FL 33809

Changed: 06/16/1995
Mailing Address
932 SWANN DR
LAKELAND, FL 33809

Changed: 06/16/1995
Registered Agent Name & Address VAN BENTHUYSEN, KEITH R.
932 SWANN DR
LAKELAND, FL 33809

Address Changed: 06/16/1995
Officer/Director Detail Name & Address

Title VP

VAN BENTHUYSEN, JILL A
932 SWANN DR
LAKELAND, FL 33809

Title P

VAN BENTHUYSEN, KEITH R
932 SWANN DR
LAKELAND, FL 33809

Title T

SAMPLE, MICHAEL R
16 CARDINAL DR
POUGHKEEPSIE, NY 12601

Annual Reports
Report YearFiled Date
1999 05/07/1999
2000 09/15/2000
2001 05/17/2001