HomeMy WebLinkAboutAnnual ReportSIGNATURES egaA aRPEDaRPR
2006 FOR PROFIT CORPORATION
ANNUAL REPORT
DOCUMENT # K87685
1, Entity Name
CENTRAL CONCRETE SUPERMIX, INC.
Principal Place of Business Mailing Address
4300SW74AVE 4300SW74AVE
MIAMI, FL 33155 US MIAMI, FL 33155 US
DO NOT WRITE IN THIS SPACE
FILED
Mar 06, 2006 8:00 am
Secretary of State
03-06-2006 90020 026 ***150.00
40611901
110111 1111111 11111111111111101
'01232000 No Chq-P
101
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CR2ED34 (11/05)
1111
1111
4, FEI Number
65-0121191
Applied For
Not Applicable
6. Cerlittoate of Status Crewed
❑ RRequired
e ui Additional Fee
6. Name and Address of Current Registered Agent
PEREZ, FRANCISCO*
4303SW74AVE
MIAMI, FL 33155
DO NOT WRITE
IN THIS SPACE
6. The above named entity submits tnis statement for the purpose of changing its registered office or registered agent, or both, In the Slate al Florida. I am !emitter wall. end accept
the obligations 01 registered agent
SIGNATURE
Sig n414 typed D' MAN +Ravel IegltlanU Ngenl end hue I applicable,
FILE NOWIII FEE 15 $150.00
After May 1, 2006 Fee will be $550.00
{NOTE: Reaialaed Aga+t ignalwe rage*/ wen rent -ION) OATf
9. Election Campaign Financing $5.00 May Be
Trust Fund Contribution. ❑ Added to Fees
10. OFFICERS AND DIRECTORS
TITLE
NAME
STREET ADDRESS
CITY•ST•ZIP
PD
CANCIO, JOSE A
4300 SW 74 AVE
MIAMI, FL 33155
NTLE VPD
NAVE DIAS, BERNARDO
SEREST aims 4300 SW 74 AVE
SNIP MIAMI, FL 33155
TITi. ,
STREE] ADDRESS
CtTY•S1. Z1P
TntE
NAME
STREET ADDRESS
CP-ST•BP
NTEE
NAME
STREET ADDRESS
CITY• ST , ZIP
TITLE
NAME
STREET ADDRESS
CITY-ST-ZIP
DO NOT WRITE
IN THIS SPACE
12, I hereby certify !hal the information supplied with this filing doea riot qualify tar the exemptions Contained in Chapter 119, Florida Swims. I Iurther certify that the information
indicated on this report or supplemental report is true and accurate and trial my signature shall have the same legal etlect 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 at Block 11 if
changed, or on an att9hrTlent with an address. with all other Iike empowered,
01/Z3Ica 3c6 eGz Sz5o
Dale DgOM Prrpre ■
OFFICER OR DIRECTOR