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2007 Annual Report 2
' 2007 FOR PROFIT CORPORATION ' ANNUAL REPORT �� I:n -DOCUMENT # F03000001638 a r�_ I— L/ 1. Entity Name ! - ft'T MAR 0 1 13 M u �n. 11 BUREAU VERITAS NORTH AMERICA, INC. v [ .: Lt«:TAP%Y OF STATE iALLA HASSEE FLORIDA Principal Place of Business Mailing Address P �e % ORRICK, ATTN: B. HAIMES % ORRICK, ATTN: B. HAIMES 666 FIFTH AVE. #2139 666 FIFTH AVE, #2139 NEW YORK, NY 10103 NEW YORK, NY 10103 1 �I 11 to Ij , IIIIII III ILII I,�I) `II� Ill�l II�U Il�ll Iilll f VIII ILII �Ilil �IIIIII (I III 03062007 Chg-P ` iI CR2E034 (12/06) 2. Principal Place of Business - No P.O. Box p 3. Mailing Address Suile, Apt. N. etc. Suite, Apt. if. etc. City & State City & State 4. FEI Number F Applied For 06-1689244 1 jNot Applicat Zip Country Zip Country S. Certificate OT status Desired ❑ $8.75 Additional Fee Required 6. Name and Address of Current Registered Agent T. Name and Address of New Registered Agent Name CORPORATION SERVICE COMPANY Street Address (P.O. Box Number is Not Acceptable) 1201 HAYS STREET TALLAHASSEE, FL 32301-2525 City E7 ip Code 8. The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. I am familiar with, and accer the obfigalions of registered agent. SIGNATURE Si"Iare, typed or DHtted mine or regatmed agent and tale 0 WkSDW (Not E: Regrzw d Apunt eiti-I.re requrred wnen Ift-W hD) �i DATE FILE NOWIII FEE IS $150.00 9• Election Campaign Financing ❑ $5.00 May Be Fees vP After May 1, 2007 Fee wi I I be $550.00 Trust Fund Contribution. Added to 10. OFFICERS AND DIRECTORS 11, ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS IN I I TITLE VPCO ❑Delete TITLE EVP/C00 Change ❑Additi( NAME LYNCH, MARK NAME 1� STREEI ADDRESS 11860 W. STATE ROAD 84, STE, 1 STREET ADDRESS rt _ 41300"323--13364 413 00"3t 3 1 3 3 6 4 CITY -SI -ZIP FORT LAUDERDALE, FL 33325 CITY_ST-ZIP TITLE VP © Delete TITLE EVP %Change ❑ Addilit NAME TONG, RICHARD NAME STREET ADDRESS 11850 W. STATE RD 84, STE. 1 STREET ADDRESS CITY -ST -ZIP FORT LAUDERDALE, FL 33325 CITY -ST -ZIP TITLE DCEO ❑ Delete TITLE P /D Change ❑ AddilT( NAME WRIGHT, DICKERSON C NAME STREET ADDRESS 7895 CONVOY CT. #18 STREET ADDRESS CITY -ST -ZIP SAN DIEGO, CA 92111 CITY •S1 -ZIP TITLE P ❑ Delete TITLE EVP Change ❑ Addilit NAME HOCKMAN, ALEXANDER A NAME HOCKMAN , ALEXANDER SIREETADDRESS 308 NW 170 ST STREET ADDRESS 10125 NW 116TH WAY, #18 CITY -ST -ZIP NORTH MIAMI BEACH, FL 33169 CITY -5I -1I1, MIAMI, FL 33178 TITLE FC ❑ Delete TITLE ❑ Change ❑ Addilic NAME DAMASCENO, LUIS CARLOS NAME STREET ADDRESS 11860 W. STATE ROAD 84, STE. 1 STREET ADDRESS CITY -ST -ZIP FT LAUDERDALE, FL 33325 City -SI -11P TITLE S ❑ Delete TITLE Change ❑ Additi( NAME HAIMES, BURTON K NAME STREET ADDRESS 875 THIRD AVE- #1433 STREET ADDRESS C / 0 ORRICK, 666 FIFTH AVE. , #2139 CITY -ST -ZIP NEW YORK, NY 10022 CITY -ST -ZIP NEW YORK, NY 10103 12. 1 hereby certify that the information supplied with this filing does not quality for the exemptions contained in Chapter 119, Florida Statutes. I further certify that the information indicated on this report or supplemental report is true and accurate and that my signature shall have the same legal effect as if made under oath; that I am an officer or director of the Corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears in Block 10 or Block 1 1 i changed, or on an attach/meelnttjt with an address",, with all .other �like empowered. .AAAA/A r__.----_—__ 7 i�l nAn'7 /ni �l1 tnL rnrr DOCUMENT # F03000001638 Entity Name: BUREAU VERITAS NORTH AMERICA, INC. Annex to Florida 2007 For Profit Corporation Annual Report Block 11 — Additional Officers and Directors Title DIRECTOR (CHAIRMAN) Name PIEDELIEVRE, FRANK Address 92077 PARIS LA DEFENSE CEDEX, FRANCE Title DIRECTORITREASURER Name TARDAN, FRANCOIS Address 92077 PARIS LA DEFENSE CEDEX, FRANCE Title EXEC. VICE PRESIDENT Name RZONCA, GREGORY F. Address 580 WATERS EDGE, SUITE 210 LOMBARD, 1L 60148 Title EXEC. VICE PRESIDENT Name KVANDAL, SCOTT Address 11590 WEST BERNARDO CT., SUITE 100 SAN DIEGO, CA 92127 Title EXEC. VICE PRESIDENT Name DONZE, ROBERT W. Address 95 OAKWOOD ROAD LAKE ZURICH, IL 60047 Title EXEC. VICE PRESIDENT Name HUGHES, ROBERT Address 903 E. HAZELWOOD AVENUE RAHWAY, NJ 07065 Title VICE PRESIDENT Name BLACK, STEVEN Address 10125 NW 116TH WAY, #18 MIAMI, FL 33178 Title VICE PRESIDENT Name MUNOZ, WILLIAM S. Address 160 FIELDCREST AVENUE EDISON, NJ 08837 Title VICE PRESIDENT Name CHIPPAS, STEPHEN J. Address 580 WATERS EDGE, SUITE 210 LOMBARD, IL 60148 Page 2 RE: BUREAU VERITAS NORTH AMERICA, INC. - DOCUMENT # F03000001638 Annex to Florida 2007 For Profit Corporation Annual Report (continued) Title VICE PRESIDENT Name KLINGELI-IOFER, DENNIS Address 11590 WEST BERNARDO CT., SUITE 100 SAN DIEGO, CA 92127 Title VICE PRESIDENT Name ALLISON, DON Address 4840 W. UNIVERSITY AVE., SUITE A-1 LAS VEGAS, NV 89103 Title VICE PRESIDENT Name SOUTHWORTH, ROGER Address 11050 ABLES LANE DALLAS, TX 75229 Title VICE PRESIDENT Name OLIN, VAN Address 7895 CONVOY CT., #18 SAN DIEGO, CA 92111 Title VICE PRESIDENT Name LOPEZ, CHRIS Address 903 E. HAZELWOOD AVENUE RAHWAY, N1 07065 Title VICE PRESIDENT Name LESHKO, BRIAN Address 2350 NOBLESTOWN ROAD PITTSBURGH, PA 15205 de. � CORPORATIOR SERVICE COMPANY' ACCOUNT NO. 072100000032 REFERENCE *79 4403F AUTHORIZATION . COST LIMIT00 --------------------------------------------------------------- ORDER DATE ORDER TIME ORDER NO. CUSTOMER NO: March 13, 2007 10:59 AM 799531-005 4403F ANNUAL REPORT FILING NAME: BUREAU VERITAS NORTH AMERICA, INC. ^? o it:w XX ANNUAL REPORT `;;; PLEASE RETURN THE FOLLOWING AS PROOF OF FILING: CERTIFIED COPY N XX PLAIN STAMPED COPY vzm CERTIFICATE OF GOOD STANDING CONTACT PERSON: Troy Todd - Ext. 2940 EXAMINER'S INITIALS: