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HomeMy WebLinkAboutCorporation Paperswww.sunbiz.org - Department of State Page 1 of 3 FL t RI DEPARTMENT OF STATE ! Is { OF OR OR TI NS Home Contact Us E-Filing Services Document Searches Forms Previous on List Next on List Retur To List Events No Name History Detail by Officer/Registered Agent Name Florida Non Profit Corporation COMMUNITY HABILITATION CENTER, INC. Filing Information Document Number 722295 FEI Number 237171039 Date Filed 12/20/1971 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 10/31/1984 Event Effective Date NONE Principal Address 11450 S.W. 79TH ST. MIAMI FL 33173 Changed 06/24/1992 Mailing Address 11450 S.W. 79TH ST. MIAMI FL 33173 Changed 06/24/1992 Registered Agent Name & Address MAZZARELLA, JOHN 11450 SW 79 ST. MIAMI FL 33173 US Name Changed: 04/17/2006 Address Changed: 03/17/2005 Officer/Director Detail Name & Address Title P Officer/RA Name S ALFONSO, RICK httn://WWW Sllnhi7 nro/crriritc/nnrelAM* ovo7n"+;�- r' 'T'rrr 0 • www.sunbiz.org - Department of State Page 2 of 3 12384 SW 82ND AVE PINECREST, FL 33156 Title D JAMES, LORETTA 13935 SW 102 COURT MIAMI FL 33176 Title D MARTINEZ, SUSAN 14435 SW 95TH AVE MIAMI FL 33176 Title D KYLE, DIANE 6515 SW 99TH AVE MIAMI FL 33173 Title S BRIAN, BRODEUR 5685 SW 85TH STREET MIAMI FL 33143 Title T SERIG, JACK 9021 SW 140 ST. MIAMI FL 33176 Annual Reports Report Year Filed Date 2005 03/17/2005 2006 04/17/2006 2007 03/16/2007 Document Images 03/16/2007 -- ANNUAL REPORT 04/1.7/2006_..- ANNUAL REPORT 03/17/2005 -- ANNUAL REPORT 01/06/2004- ANNUAL REPORT 03/10/2003 -- ANNUAL REPORT 03/21/2002 -- ANNUAL REPORT 01/31/2002 ANNUAL REPORT 05/22/2001-- ANNUAL REPORT 03/16/2000 ANNUAL REPORT 05/01/1999 -- -._ANNUAL .._REPORT 04/29/1998 -- ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format www.sunbiz.org - Department of State Page 3 of 3 06/24/1997 ANNUAL REPORT 06/06/1996 -..ANNUAL REPORT 04/19/1995 -- ANNUAL REPORT View image in PDF format View image in PDF format J View image in PDF format Note: This is not official record. See documents if question or conflict. Previous on List Next on List Return To List Ev_ents No Name History Horne Contact us Document Searches E-Filing Services Forms Help Copyright and Privacy Poiicies Copyright OD 2007 State of Florida, Department of State. Officer/RA Name S 1 rtnc o.: 2 /1 4 V)rbr Q 2007 NOT -FOR -PROFIT CORPORATION ANNUAL REPORT FILED DOCUMENT# 722295 Secretary 'of State Entity Name: COMMUNITY HABILITATION CENTER, INC. Current Principal Place of Business: 11450 S.W. 79TH ST. MIAMI, FL 33173 Current Mailing Address: 11450 S.W. 79TH ST. MIAMI, FL 33173 FEI Number: 23-7171039 FEI Number Applied For ( ) New Principal Place of Business: New Mailing Address: FEI Number Not Applicable ( ) Certificate of Status Desired (X) Name and Address of Current Registered Agent: Name and Address of New Registered Agent: MAZZARELLA, JOHN 11450 SW 79 ST. MIAMI, FL 33173 US 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. SIGNATURE: Electronic Signature of Registered Agent Date OFFICERS AND DIRECTORS: ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS: Title: P ( ) Delete Title: ( ) Change ( ) Addition Name: ALFONSO, RICK Name: Address: 12384 SW 82ND AVE Address: City -St -Zip: PINECREST„ FL 33156 City -St -Zip: Title: D ( ) Delete Title: ( ) Change ( ) Addition Name: JAMES, LORETTA Name: Address: 13935 SW 102 COURT Address: City -St -Zip: MIAMI, FL 33176 City -St -Zip: Title: D ( ) Delete Title: ( ) Change ( ) Addition Name: MARTINEZ, SUSAN Name: Address: 14435 SW 95TH AVE Address: City -St -Zip: MIAMI, FL 33176 City -St -Zip: Title: D ( ) Delete Title: ( ) Change ( ) Addition Name: KYLE, DIANE Name: Address: 6515 SW 99TH AVE Address: City -St -Zip: MIAMI, FL 33173 City -St -Zip: Title: S ( ) Delete Title: ( ) Change ( ) Addition Name: BRIAN, BRODEUR Name: Address: 5685 SW 85TH STREET Address: City -St -Zip: MIAMI, FL 33143 City -St -Zip: Title: T ( ) Delete Title: ( ) Change ( ) Addition Name: SERIG, JACK Name: Address: 9021 SW 140 ST. Address: City -St -Zip: MIAMI, FL 33176 City -St -Zip: I hereby certify that the information supplied with this filing does not qualify for the for the exemption stated 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 electronic 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 617, Florida Statutes; and that my name appears above, or on an attachment with an address, with all other like empowered. SIGNATURE: JOHN MAZZARELLA DIR 03/16/2007 Electronic Signature of Signing Officer or Director Date 2006 NOT -FOR -PROFIT CORPORATION ANNUAL REPORT FILED DOCUMENT# 722295 Secretary of State Entity Name: COMMUNITY HABILITATION CENTER, INC. Current Principal Place of Business: 11450 S.W. 79TH ST. MIAMI, FL 33173 Current Mailing Address: 11450 S.W. 79TH ST. MIAMI, FL 33173 FEI Number: 23-7171039 FEI Number Applied For ( ) New Principal Place of Business: New Mailing Address: FEI Number Not Applicable ( ) Certificate of Status Desired (X) Name and Address of Current Registered Agent: Name and Address of New Registered Agent: LORETTA, JAMES PRES. 11450 SW 79 ST. MIAMI, FL 33173 US MAZZARELLA, JOHN 11450 SW 79 ST. MIAMI, FL 33173 US 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. SIGNATURE: JOHN R. MAZZARELLA, JR. 04/17/2006 Electronic Signature of Registered Agent Date OFFICERS AND DIRECTORS: ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS: Title: P ( ) Delete Title: P (X) Change ( ) Addition Name: LORETTA, JAMES PRES. Name: ALFONSO, RICK Address: 13935 SW 102 COURT Address: 12384 SW 82ND AVE City -St -Zip: MIAMI, FL 33176 City -St -Zip: PINECREST„ FL 33156 Title: D ( ) Delete Title: D (X) Change ( ) Addition Name: TRACY, EDITH Name: JAMES, LORETTA Address: 14121 SW 74 TERR Address: 13935 SW 102 COURT City -St -Zip: MIAMI, FL 33183 City -St -Zip: MIAMI, FL 33176 Title: D ( ) Delete Title: D (X) Change ( ) Addition Name: MEEKS, GLORIA Name: MARTINEZ, SUSAN Address: 7301 SW 35TH STREET Address: 14435 SW 95TH AVE City -St -Zip: MIAMI, FL 33155 City -St -Zip: MIAMI, FL 33176 Title: D ( ) Delete Title: D (X) Change ( ) Addition Name: VAZQUEZ, ROSARIO Name: KYLE, DIANE Address: 13956 SW 151 LANE Address: 6515 SW 99TH AVE City -St -Zip: MIAMI, FL 33186 City -St -Zip: MIAMI, FL 33173 Title: S ( ) Delete Title: S (X) Change ( ) Addition Name: MARTINEZ, ENRIQUE Name: BRIAN, BRODEUR Address: 14435 SW 95 AVE. Address: 5685 SW 85TH STREET City -St -Zip: MIAMI, FL 33176 City -St -Zip: MIAMI, FL 33143-833 Title: T ( ) Delete Title: Name: SERIG, JACK Name: Address: 9021 SW 140 ST. Address: City -St -Zip: MIAMI, FL 33176 City -St -Zip: ( ) Change ( ) Addition I hereby certify that the information supplied with this filing does not qualify for the for the exemption stated 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 electronic 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 617, Florida Statutes; and that my name appears above, or on an attachment with an address, with all other like empowered. SIGNATURE: JOHN R. MAZZARELLA, JR. DIR 04/17/2006 Electronic Signature of Signing Officer or Director Date www.sunbiz.org - Department of State Page 1 of 3 FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Home Contact Us E-Filing Services Document Searches Forms Previous on Lijt Next on List Return To List Events Name History Detail by Entity Name Florida Non Profit Corporation EASTER SEALS SOUTH FLORIDA, INC. Filing Information Document Number 714329 FEI Number 590722783 Date Filed 03/26/1968 State FL Status ACTIVE Last Event CANCEL ADM DISS/REV Event Date Filed 10/29/2007 Event Effective Date NONE Principal Address 1475 N W 14TH AVENUE MIAMI FL 33125-1616 Mailing Address 1475 N W 14TH AVENUE MIAMI FL 33125-1616 Registered Agent Name & Address WELCH, LOUISE 1475 NW 14TH AVE MIAMI FL 33125 US Name Changed: 10/29/2007 Address Changed: 05/01/1996 Officer/Director Detail Name & Address Title CH BLANCO, FELIPE 1111 BRICKELL AVE, 30TH FLOOR MIAMI FL 33131 Entity Name Title VC L ' / •i / a J. n • T11"`m1--Tr 0 • -1 L ^71 A^f 'l Il O ' 7 /1 O /"IttA0 www.sunbiz.org - Department of State Page 2 of 3 BONFIGLIO, CHUCK 9710 STIRLING RD #107 COOPER CITY FL 33024 Title VC BIANO, PAUL D 21355 E. DIXIE HWY MIAMI FL 33180 Title SECR BORGER, ERIN 19495 BISCAYNE BLVD, SUITE 1450 MIAMI FL 33161 Title TREA REED, SHERRY G 50 WEST MASHTA DR., SUIT 6 KEY BISCAYNE FL 33149 Annual Reports Report Year Filed Date 2006 10/10/2006 2007 10/29/2007 2007 11/05/2007 Document Images 11/05/2007 -- ANNUAL REPORT 10/29/2007 -- ANNUAL REPORT 10/10/2006 -- REINSTATEMENT 09/08/2006 -- Name Narne Change 07/21 /2006 -- Merger 07/12/2005.-- ANNUAL REPORT 02/04/2004 -- ANNUAL REPORT 02/19/2003 -- ANNUAL REPORT 02/18/2002 -- ANNUAL REPORT 01/19/2001 -- ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format I View image in PDF format 1 View image in PDF format View image in PDF format 06/26/2000_-.7Name Ch.a_n..ge ( View image in PDF format 05/08/2000 --ANNUAL REPORT I( 02/25/1999 .-- ANNUAL_REPORT 02/09/1998.-- ANNUAL REPORT I 02/ 11./1997-- ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format j J J C View image in PDF format 05/01/1996 -- ANNUAL REPORT View image in PDF format 02/1.0/1995-- ANNUAL REPORT ( View image in PDF format 1 • / a n � r 1-• T T 0 ' ^'I 1 A ^1'1!C O' 7/ 1 n /r nA 0 www.sunbiz.org - Department of State Page 3 of 3 Note: This is not official record. See documents if question or conflict. Pr..eviouson.._List Next _on_List Return _T..o.List Events Name History Horne Contact us Document Searches E-Filing Services Forms ; Help Copyright and Privacy Policies Copvriaht ) 2007 State of Honda, Department of State. Entity Name http://www sunbiz ora/scripts/cordet.exe9action=DETFIL&ina doc number=714329&ina 3/18/2008 2007 NOT -FOR -PROFIT CORPORATION AMENDED ANNUAL REPORT FILED Nov 05, 2007 DOCUMENT# 714329 Secretary of State Entity Name: EASTER SEALS SOUTH FLORIDA, INC. Current Principal Place of Business: 1475 N W 14TH AVENUE MIAMI, FL 331251616 Current Mailing Address: 1475 N W 14TH AVENUE MIAMI, FL 331251616 FEI Number: 59-0722783 FEI Number Applied For ( ) New Principal Place of Business: New Mailing Address: FEI Number Not Applicable ( ) Certificate of Status Desired ( ) Name and Address of Current Registered Agent: Name and Address of New Registered Agent: WELCH, LOUISE 1475 NW 14TH AVE MIAMI, FL 33125 US 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. SIGNATURE: Electronic Signature of Registered Agent OFFICERS AND DIRECTORS: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: CH ( ) Delete BLANCO, FELIPE 1111 BRICKELL AVE, 30TH FLOOR MIAMI, FL 33131 VC ( ) Delete BONFIGLIO, CHUCK 9710 STIRLING RD #107 COOPER CITY, FL 33024 VC ( ) Delete GALLAGHER, ROBERT E JR, 150 WEST FLAGER SUITE 115 MIAMI, FL 33180 VC ( ) Delete BIANO, PAUL D 21355 E. DIXIE HVVY MIAMI, FL 33180 SECR ( ) Delete BORGER, ERIN 19495 BISCAYNE BLVD, SUITE 1450 MIAMI, FL 33161 TREA (X) Delete REED, SHERRY G 50 WEST MASHTA DR., SUIT 6 KEY BISCAYNE, FL 33149 Date ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: ( ) Change ( ) Addition ( ) Change ( ) Addition VC (X) Change ( ) Addition BIANO, PAUL D 21355 E. DIXIE HWY MIAMI, FL 33180 SECR (X) Change ( ) Addition BORGER, ERIN 19495 BISCAYNE BLVD, SUITE 1450 MIAMI, FL 33161 TREA (X) Change ( ) Addition REED, SHERRY G 50 WEST MASHTA DR., SUIT 6 KEY BISCAYNE, FL 33149 ( ) Change ( ) Addition I hereby certify that the information supplied with this filing does not qualify for the exemption stated 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 electronic 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 617, Florida Statutes; and that my name appears above, or on an attachment with an address, with all other like empowered. SIGNATURE: LOUISE WELCH CEO 11/05/2007 Electronic Signature of Signing Officer or Director Date •_20Q7 NOT -FOR -PROFIT CORPORATION REINSTATEMENT DOCUMENT # 714329 1. Entity Name EASTER SEALS SOUTH FLORIDA, INC. -1, . ACr✓;� -,t , Tom/ 10252007 11111111111111111111 2007 TALGIiiAISISIEliliFitioiliRilDilI REIN-NP SECRETARY OCT 4 5 29 ,. }p'^'� ! PH Or CR2E099 r i:, Si I : 10 Ai (!07) !, I 1111 111 Principal Place of Business Mailing Address 1475 NW 14TH AVENUE 1475 NW 14TH AVENUE MIAMI, FL 33125-1616 MIAMI, FL 33125-1616 2. Principal Place of Business • No P.O. Box fi 3. Mailing Address Suite, Apt. e, etc. Suite, Apt. P. etc. City8 State City & State 4. FEI Number 59-0722783 Applied For Not Applicable Zip Country Zip Country S. Certificate of Status Desired ❑ $8.75 Additional Fee Required 6. Name and Address of Current Registered Agent 7. Name and Address of New Registered Agent BORNSTEIN, JOAN L PHD 1475 NW 14TH AVE MIAMI, FL 33125 Name Low 5 Ls t1/4.) L LCN Street Address (P.O. Box Number is Not Acceptable) I LI-1 S N` 3 NIA- Mk • City VA- Larm1 FL Zi5Cd? 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 act „pi the obligations of registeredagent. El.-(-0 p -t y SIGNATURE IS[�I'"- _' L.-O - S� U'1 I Ik7) C-t� It — 2 C t slpnaer., meal a ,feed nrn. Of ',motored agent and tda it eparcatsa. (MOTE: R.alt.r.d Agent &Igniters twigged when reinstating) DATE FILE NOWIUI FEE IS S51.25 • After January 1, 2008, Fee will be $122.50 In accordance with s. 607.193(2)(b), F.S., the corporation did not receive the prior notice. • Make check payable.to~.- ; ...- •.. Florida. Department of State' ;I ;j 10. OFFICERS AND DIRECTORS 11. ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS IN 10 TTILE NAME stREE1 ADDRESS CITY-ST-TIP CH 0 Delete BLANCO, FELIPE 1111 BRICKELL AVE, 30TH FLOOR MIAMI, FL 33131 TITLE NAME STREET ADDRESS CITY-ST•ZIP ❑ Change 0 Addition TITLE NAME STREET ADDRESS CITY-SI-DP VC 0 Delete BONFIGLIO, CHUCK 9710 STIRLING RD#107 COOPER CITY, FL 33024 TITLE NAME STREET ADDRESS CITY-ST•ZIP 0 Charge 0 Addition '=i i_I 1_I 1 1 1 4 61 12 r :9 10/ 2 i0 i --I01064--I_f04 **61.25 TITLE tuME STREET ADDRESS cm -sr -ZIP VC 0 Delete GALLAGHER, ROBERT E JR. 150 WEST FLAGER SUITE 115 MIAMI, FL 33180 TITLE Noll srREErADDREss CITY-ST-TIP 0 Change 0 Addition • TITLE NAME STREET ADDRESS ctrr-sT-aP VC 0 Delete BIANO, PAUL 0 21355 E. DIXIE HWY MIAMI, FL 33180 TITLE NAME StREETADDRESS CITY -ST-ZIP 0 Change 0 Addition TITLE NAME STREET ADDRESS CITY -Size SECR 0 Delete BORGER, ERIN 19495 BISCAYNE BLVD, SUITE 1450 MIAMI, FL 33161 TRtI NAME STREET ADDRESS CITY-ST-ZIP ❑ Change 0 Addition TITLE NAME STREET ADDRESS CITY•ST-DP TREA 0 Delete REED, SHERRY G 50 WEST MASHTA DR., SUIT 6 KEY BISCAYNE, FL 33149 Intl NAME STREET ADDRESS CITY -St -TIP 0 Change 0 Addition 12. 1 hereby certify that the information supplied with this filing does not qualify 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 617, Florida Statutes: and that my name appears in Block 10 or Block 11 if changed, or on an attachment/with an address. with all other like empowered. SIGNATURE- LCU-45t> Wet to/47 (105) j} "°4?.J a oNATuRE AND TYPED 0 PRINTED NAtE OF S ORING OFFICER OR DIRECTOR Dos D.ytrne crow . iv 131 www.sunbiz.org - Department of State Page 1 of 3 FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Home Contact Us E-Fiting Services Document Searches Forms Previous on List Next on List Return To List Events Name History Detail by Entity Name Florida Non Profit Corporation MACTOWN, INC. Filing Information Document Number 703813 FEI Number 596135600 Date Filed 03/30/1962 State FL Status ACTIVE Last Event CANCEL ADM DISS/REV Event Date Filed 10/09/2007 Event Effective Date NONE Principal Address 151 NE 62ND STREET MIAMI FL 33138 Changed 02/14/2005 Mailing Address 151 NE 62ND STREET MIAMI FL 33138 Changed 02/14/2005 Registered Agent Name & Address BAIRD, STEVEN K P.A. 5981 NE SIXTH AVE MIAMI FL 33137 US Name Changed: 02/04/2004 Address Changed: 02/14/2005 Officer/Director Detail Name & Address Title V Entity Name FREIDMAN, EVAN http.//www.sunbiz.ors/scrints/cordet exe2action=T)FTFTT Rrinn rinr mimher=7O1S21 2Rrinn 1/1 S2/')n11Q www.sunbiz.org - Department of State Page 2 of 3 7000 SW 109TH TERRACE MIAMI FL 33156 Title P ZAKARIN, STANLEY DR. 375 CAMPANA AVENUE CORAL GABLES FL 33156 Title CEO BOWER, CLINT 151 NE 62ND ST. MIAMI FL 33138 Title ST COHEN, JEFFREY ESQ. 297 SUNNY ISLES BLVD. MIAMI FL 33160 Annual Reports Report Year Filed Date 2006 03/03/2006 2006 10/05/2006 2007 10/09/2007 Document Images 10/09/2007 -- REINSTATEMENT 10/05/2006 -- ANNUAL REPORT 03./03/2006...-- ANNUAL REPORT 02/14/2005_ANNUAL REPORT 1. 02/04/2004 -- ANNUAL REPORT 01/13/2003 -- ANNUAL REPORT. 04/04/2002 -- ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format J 02/02/2001 -- ANNUAL REPORT 01/21/2000--ANNUAL REPORT L 01/28/1999_--ANNUAL REPORT 4 01/20/1998 --ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format 1 View image in PDF format 03/14/199777_ANNUAL_REPORT ( View image in PDF format 01/29/1996 -- ANNUAL REPORT 4 View image in PDF format 01/23.11995_--ANNUAL REPORT View image in PDF format Note: This is not official record. See documents if question or conflict. Previous_onJ-ist Next on List Return ToUist Events Name History httn•//www cunhi7 nru/'crints/cordet exe9action=DETFIL&inq doc number=703813&inq... 3/18/2008 www.sunbiz.org - Department of State Page 3 of 3 Entity Name : Horne Contact us Document Searches Ftli1Ct SCrdi,Es fGn1s -e!o Copyright t and Privacy P .ticies n r it-�a. 2007 St fFonda,State. Copyright . at''..•., c=iC,sC)t;�part,^cY^t..f :x�t. httn //www c11nhi7 ore/scrints/cordet exe?action=DETFIL&inq doc number=703813&inq... 3/18/2008 www.sunbiz.org - Department of State Page 1 of 3 FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Home Contact Os E-Fiiing Services Document Searches Forms Previous on List Next on List Return To List Events Name History Detail by Entity Name Florida Non Profit Corporation MACTOWN, INC. Filing Information Document Number 703813 FEI Number 596135600 Date Filed 03/30/1962 State FL Status ACTIVE Last Event CANCEL ADM DISS/REV Event Date Filed 10/09/2007 Event Effective Date NONE Principal Address 151 NE 62ND STREET MIAMI FL 33138 Changed 02/14/2005 Mailing Address 151 NE 62ND STREET MIAMI FL 33138 Changed 02/14/2005 Registered Agent Name & Address BAIRD, STEVEN K P.A. 5981 NE SIXTH AVE MIAMI FL 33137 US Name Changed: 02/04/2004 Address Changed: 02/14/2005 Officer/Director Detail Name & Address Title V Entity Name FREIDMAN, EVAN _http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inq doc number=703813&inq... 3/18/2008 www.sunbiz.org - Department of State Page 2 of 3 7000 SW 109TH TERRACE MIAMI FL 33156 Title P ZAKARIN, STANLEY DR. 375 CAMPANA AVENUE CORAL GABLES FL 33156 Title CEO BOWER, CLINT 151 NE 62ND ST. MIAMI FL 33138 Title ST COHEN, JEFFREY ESQ. 297 SUNNY ISLES BLVD. MIAMI FL 33160 Annual Reports Report Year Filed Date 2006 03/03/2006 2006 10/05/2006 2007 10/09/2007 Document Images 10/09/2007 - REINSTATEMENT 10/05/2006 — ANNUAL REPORT 03/03/2006...- ANNUAL REPORT 02/14/2005 -- ANNUAL REPORT 02/04/2004 -- ANNUAL REPORT 01/13/2003 -- ANNUAL REPORT 04/04/2002 -- ANNUAL REPORT 02/02/2001 -- ANNUAL REPORT 01/21/2000 -- ANNUAL REPORT 01/28/ 1999....---._ANNUAL REPORT 01/20/1998 — ANNUAL REPORT 03/14/1997 -- ANNUAL REPORT 01/29/ 1996_..—ANNUAL REPORT 01/23/1995 -- ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format l View image in PDF format View image in PDF format Note: This is not official record. See documents if question or conflict. Previous on List Next on List Return To List Events. Narne.History httn://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inq doc number=703 8 13 &inq... 3/18/2008 www.sunbiz.org - Department of State Page 3 of 3 Home Contact us Document Searches f'-Filing Services Forms Copyright and Privacy Policies Copyright ` 1 2007 State of Florida, Department of State. Entity Name httn•//www sunhiz.ore/scripts/cordet.exe?action=DETFIL&ino doc number=703 8 13 &ina ... 3/18/2008 2007 NOT -FOR -PROFIT CORPORATION REINSTATEMENT FILED Oct 09, 2007 DOCUMENT# 703813 Secretary of State Entity Name: MACTOWN, INC. Current Principal Place of Business: New Principal Place of Business: 151 NE 62ND STREET MIAMI, FL 33138 Current Mailing Address: New Mailing Address: 151 NE 62ND STREET MIAMI, FL 33138 FEI Number: 59-6135600 FEI Number Applied For ( ) FEI Number Not Applicable ( ) Certificate of Status Desired ( ) In accordance with s. 607.193(2)(b), F.S., the corporation did not receive the prior notice. Name and Address of Current Registered Agent: Name and Address of New Registered Agent: BAIRD, STEVEN K P.A. 5981 NE SIXTH AVE MIAMI, FL 33137 US 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. SIGNATURE: STEVEN K. BAIRD, P.A Electronic Signature of Registered Agent Date OFFICERS AND DIRECTORS: ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS: Title: D (X) Delete Title: Name: GONZALEZ, PETER Name: Address: 8765 SW 176 TERR Address: City -St -Zip: MIAMI, FL City -St -Zip: ( ) Change ( ) Addition Title: V ( ) Delete Title: ( ) Change ( ) Addition Name: FREIDMAN, EVAN Name: Address: 7000 SW 109TH TERRACE Address: City -St -Zip: MIAMI, FL 33156 City -St -Zip: Title: P ( ) Delete Title: ( ) Change ( ) Addition Name: ZAKARIN, STANLEY DR. Name: Address: 375 CAMPANA AVENUE Address: City -St -Zip: CORAL GABLES, FL 33156 City -St -Zip: Title: D (X) Delete Title: ( ) Change ( ) Addition Name: BLOOM, LEONARD ESQ Name: Address: 10000 SW 70TH AVE Address: City -St -Zip: MIAMI, FL 33156 City -St -Zip: Title: CEO ( ) Delete Title: ( ) Change ( ) Addition Name: BOWER, CLINT Name: Address: 151 NE 62ND ST. Address: City -St -Zip: MIAMI, FL 33138 City -St -Zip: Title: ST ( ) Delete Title: ( ) Change ( ) Addition Name: COHEN, JEFFREY ESQ. Name: Address: 297 SUNNY ISLES BLVD. Address: City -St -Zip: MIAMI, FL 33160 City -St -Zip: I hereby certify that the information supplied with this filing does not qualify for the exemption stated 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 electronic 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 617, Florida Statutes; and that my name appears above, or on an attachment with an address, with all other like empowered. SIGNATURE: CLINT BOWER CEO 10/09/2007 Electronic Signature of Signing Officer or Director Date 2006 NOT -FOR -PROFIT CORPORATION AMENDEDANNUAI- REPORT DOCUMENT # 703813 1. Entity Name MACTOWN, INC. fil1,47 rr r' 4 {1 r ; ---�;; ti` . , 09202006 III 06(LT 111 II1I 0.... Ch •: —C 1111 9 -NP t' .'1 III la t• III V) III CR2E037 A , t IIIII. • t 1IIIIll 4l06 I1 II Principal Place of Business Mailing Address 151 NE 62ND STREET 151 NE 62ND STREET MIAMI, FL 33138 MIAMI, FL 33138 2. Principal Place of Business 3. Mailing Address Suite. Apt. n, etc. Suite. Apt. e. etc. City & State City & State 4. FEI Number 59-6135600 Applied For Not Applicable Zip Country Zip Country $8.755 Additional 5. Certificate of Status Desired M Fee Required 8. Name and Address of Current Registered Agent 7. Name and Address of New Registered Agent BAIRD, STEVEN K P.A. 5981 NE SIXTH AVE MIAMI, FL 33137 Name Street Address (P.O. Box Number is Not Acceptable) City FL Zip 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 accept the obligations of registered agent. ,—e 100/005/06--01042--010 *w61. 2S SIGNATURE &gnaw e. Mild a ported some of registered pent ant Me d app N. 4N OTE: RegYtand Agra sigrwttre requited Own reinstating/ DATE Amended AR 18 S61.25 9. Election Campaign Financing $5.00 May Be Trust Fund Contribution. 0 Added to Fees Make check payable to Florida Department of State 10. OFFICERS AND DIRECTORS 11. ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS IN 10 TITLE NAME STREET ADDRESS CITY-ST-aP 0 0 Delete GONZALEZ, PETER 8765 SW 176 TERR MIAMI. FL TIRE NAME STREET ADORESS CiTY•ST-aP ./ C:.,--0 0 Chang, pD Addition CLo r 3Q1. ee,. 151 NE (Zrt d rStrtee+ M ; A Ist,` Flo -i4& SSi 3$ TITLE NAME MEET ADDRESS CDY-ST-ZIP V 0 Delete FREIDMAN, EVAN 7000 SW 109TH TERRACE MIAMI, FL 33156 TIRE NAME SITIOADEAESs arc -sr -zip ' 0 Change 0 Addition TITLE NAME STREET ADDRESS CITY-ST-ZIP C — 0 Delete ZAKARIN, STANLEY DR. 375 CAMPANA AVENUE CORAL GABLES, FL 33156 TITLE NW STREET ADDRESS CITY-ST-ZIP P Kshanue—)IgAddition TITLE NAME MEET ADDRESS GTY•ST-ZIP D 0 Delete BLOOM, LEONARD ESQ 10000 SW 70TH AVE MIAMI, FL 33156 TITLE NAM STI1:E1 ADDRESS I:iTY-st-ZIP 0 Chariot 0 Addition TITLE NAME STREETAeoRESS CITY-ST-ZIP D 0 Delete HYMAN, ERWIN 4525A PANDANUS TREE RD. BOYNTON BEACH. FL 33436 TITLE NdME SNIT ADDRESS CITY-sT•ZIP 0 Change 0 Addition TITLE WA& MEET ADDRESS CITY-ST-ZIP ST 0 Delete COHEN, JEFFREY ESQ. 297 SUNNY ISLES BLVD. MIAMI, FL 33160 TITLE twME STREET ADDRESS Cm-ST-aP 0 Change O Addition 12. t hereby cenityN that the information sup ied Ith this filing does not qualify for the exemptions contained in Chapter 119. Fonda Statutes. I further certify that the information indicated on this repon or supplement r is true and accurate and that my signature shall have the same legs, effect as if made under oath; that I am an officer or director of the corporation or the receiver or tr ed to execute this report as required by Chapter 617, Florida Statutes; and that my name appears in Block 10 or Block 11 if changed, or on an a ent with a , with all other like empowered. '�o Q , Yl--0‘ 1/s/7- TUPE u cos �t t , �„ eFrdn.. www.sunbiz.org - Department of State Page 1 of 3 FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Home Contact Us E-Filing Services Document Searches Forms Previous on List Next on List Return To List Events No Name History Detail by Entity Name Florida Non Profit Corporation UNITED CEREBRAL PALSY ASSOCIATION OF MIAMI, INC. Filing Information Document Number 705461 FEI Number 590637822 Date Filed 10/09/1959 State FL Status ACTIVE Last Event CORPORATE MERGER Event Date Filed 10/20/1994 Event Effective Date NONE Principal Address 2700 WEST 81 STREET HIALEAH FL 33016 Changed 01/05/2006 Mailing Address 2700 WEST 81 STREET HIALEAH FL 33016 Changed 01/16/2008 Registered Agent Name & Address ROY R. LUSTIG, ESQ. ONE SE THIRD AVE 1210 SUNTRUST INTERN'L CENTRE MIAMI FL 33131 Name Changed: 04/23/2002 Address Changed: 01/16/2008 Officer/Director Detail Name & Address Title SD Entity Name http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inq_doc_number=705461 &inq... 3/18/2008 www.sunbiz.org - Department of State Page 2 of 3 RANGEL, RICHARD 25 W. FLAGLER ST. MIAMI FL 33130 Title CD BONCHICK, NORMAN 10742 ST. ANDREWS ROAD BOYNTON BEACH FL 33436 Title VD SPIVAK, RUTH 7290 KINGHURST DRIVE, APT. 310 DELARY BEACH FL 33446 Title PMD ANIELLO, JOSEPH A 2700 WEST 81 STREET HIALEAH FL 33016 Title TD STEINHART, CRAIG 2501 N.E. 22ND TERRACE FORT LAUDERDALE FL 33305 Annual Reports Report Year Filed Date 2006 01/05/2006 2007 01/18/2007 2008 01/16/2008 Document Images 01/16/2008 -- ANNUAL REPORT 01/18/2007...-.- ANNUAL REPORT 01/05/2006 -_ANNUAL REPORT 02/22/2005 -- ANNUAL REPORT 01.1.2612004....--._ANNUAL REPORT 02/17/2003 — ANNUAL REPORT 04/23/2002--ANNUAL REPORT 03/1.5/2001... -- ANNUAL REPORT 03/08/2000 -- ANNUAL REPORT 03/01/1999 — ANNUAL REPORT 02/06/1998 — ANNUAL REPORT 01/27/1997...--ANNUAL .._REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format 01/31/1996 -- ANNUAL REPORT 05/01/1995 — ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format httn://www.sunbiz.orJ/scripts/cordet.exe?action=DETFIL&inq doc number=705461 &inq... 3/18/2008 www.sunbiz.org - Department of State Page 3 of 3 Note: This is not official record. See documents if question or conflict. Previous_on List Next on List Return To List Events No Name History Home Contact us Document Searches E-Filing Services Forms Help Copyright and Privacy Policies Copyright {- 2007 State of Florida, Department of State. Entity Name 1,*t-,•l/www ,sunbiz.ore/scripts/cordet.exe?action=DETFIL&inq doc_number=705461 &inq... 3/18/2008 2007 NOT -FOR -PROFIT CORPORATION ANNUAL REPORT FILED DOCUMENT# 705461 Secretary of State Entity Name: UNITED CEREBRAL PALSY ASSOCIATION OF MIAMI, INC. Current Principal Place of Business: 2700 WEST 81 STREET HIALEAH, FL 33016 Current Mailing Address: P.O. BOX 160879 HIALEAH, FL 33016 FEI Number: 59-0637822 FEI: Number Applied For ( ) New Principal Place of Business: New Mailing Address: FEI Number Not Applicable ( ) Certificate of Status Desired (X) Name and Address of Current Registered Agent: Name and Address of New Registered Agent: ROY R. LUSTIG, ESQ. 2600 DOUGLAS RD, STE 908 CORAL GABLES, FL 33134 US 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. SIGNATURE: Electronic Signature of Registered Agent Date OFFICERS AND DIRECTORS: ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS: Title: SD ( ) Delete Title: Name: RANGEL, RICHARD Name: Address: 25 W. FLAGLER ST. Address: City -St -Zip: MIAMI, FL 33130 City -St -Zip: ( ) Change ( ) Addition Title: CD ( ) Delete Title: ( ) Change ( ) Addition Name: BONCHICK, NORMAN Name: Address: 10742 ST. ANDREWS ROAD Address: City -St -Zip: BOYNTON BEACH, FL 33436 City -St -Zip: Title: VD ( ) Delete Title: ( ) Change ( ) Addition Name: SPIVAK, RUTH Name: Address: 7290 KINGHURST DRIVE, APT. 310 Address: . City -St -Zip: DELARY BEACH, FL 33446 City -St -Zip: Title: PMD ( ) Delete Title: ( ) Change ( ) Addition Name: ANIELLO, JOSEPH A Name: Address: 2700 WEST 81 STREET Address: City -St -Zip: HIALEAH, FL 33016 City -St -Zip: Title: TD ( ) Delete Title: ( ) Change ( ) Addition Name: STEINHART, CRAIG Name: Address: 2501 N.E. 22ND TERRACE Address: City -St -Zip: FORT LAUDERDALE, FL 33305 City -St -Zip: I hereby certify that the information supplied with this filing does not qualify for the for the exemption stated 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 electronic 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 617, Florida Statutes; and that my name appears above, or on an attachment with an address, with all other like empowered. SIGNATURE: JOSEPH A. ANIELLO PRES 01/18/2007 Electronic Signature of Signing Officer or Director Date 2008 NOT -FOR -PROFIT CORPORATION ANNUAL REPORT FILED DOCUMENT# 705461 Secretary of State Entity Name: UNITED CEREBRAL PALSY ASSOCIATION OF MIAMI, INC. Current Principal Place of Business: 2700 WEST 81 STREET HIALEAH, FL 33016 Current Mailing Address: P.O. BOX 160879 HIALEAH, FL 33016 FEI Number: 59-0637822 FEI Number Applied For ( ) Name and Address of Current Registered Agent: ROY R. LUSTIG, ESQ. 2600 DOUGLAS RD, STE 908 CORAL GABLES, FL 33134 US New Principal Place of Business: New Mailing Address: 2700 WEST 81 STREET HIALEAH, FL 33016 FEI Number Not Applicable ( ) Certificate of Status Desired (X) Name and Address of New Registered Agent: ROY R. LUSTIG, ESQ. ONE SE THIRD AVE 1210 SUNTRUST INTERN'L CENTRE MIAMI, FL 33131 US 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. SIGNATURE: 01/16/2008 Electronic Signature of Registered Agent OFFICERS AND DIRECTORS: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: SD ( ) Delete RANGEL, RICHARD 25 W. FLAGLER ST. MIAMI, FL 33130 CD ( ) Delete BONCHICK, NORMAN 10742 ST. ANDREWS ROAD BOYNTON BEACH, FL 33436 VD ( ) Delete SPIVAK, RUTH 7290 KINGHURST DRIVE, APT. 310 DELARY BEACH, FL 33446 PMD ( ) Delete ANIELLO, JOSEPH A 2700 WEST 81 STREET HIALEAH, FL 33016 ID ( ) Delete STEINHART, CRAIG 2501 N.E. 22ND TERRACE FORT LAUDERDALE, FL 33305 Date ADDITIONSICHANGES TO OFFICERS AND DIRECTORS: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: ( ) Change ( ) Addition ( ) Change ( ) Addition ( ) Change ( ) Addition ( ) Change ( ) Addition ( ) Change ( ) Addition I hereby certify that the information supplied with this filing does not qualify for the exemption stated 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 electronic 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 617, Florida Statutes; and that my name appears above, or on an attachment with an address, with all other like empowered. SIGNATURE: JOSEPH A. ANIELLO PRES 01/16/2008 Electronic Signature of Signing Officer or Director Date www.sunbiz.org - Department of State Page 1 of 2 FLORIDA DEPARTMENT OF STATE DIVISION or CORPORfMONS Home Contact Us E-Fiiing Services Document Searches Forms Previous on List Next on List Return To List No Events No Name History Detail by Entity Name Foreign Profit Corporation WORK OPPORTUNITIES UNLIMITED CONTRACTS, INC. Filing Information Document Number F01000004040 FEI Number 020464744 Date Filed 07/31/2001 State NH Status ACTIVE Principal Address 114 LOCUST STREET DOVER NH 03820 Changed 04/28/2006 Mailing Address 114 LOCUST STREET DOVER NH 03820 Changed 04/28/2006 Registered Agent Name & Address LEDDY, SUSANNE D 2880 NE 14TH STREET, #901 POMPANO BEACH FL 33062 US Name Changed: 04/06/2005 Address Changed: 04/06/2005 Officer/Director Detail Name & Address Title P WOOD, STEPHEN A 114 LOCUST STREET DOVER NH 03820 Title CD E. Entity Name http://www. sunbiz. org/scripts/cordet. exe?action=DETFIL&incdoc_number=F010000040... 3/18/2008 www.sunbiz.org - Department of State Page 2 of 2 LEDDY, JOSEPH C SR. 114 LOCUST STREET DOVER NH 03820 Title S LEDDY, MARY M 114 LOCUST STREET DOVER NH 03820 Title D LEDDY, SUSANNE D 2880 NE 14TH ST, #901 POMPANO BEACH FL 33062 Annual Reports Report Year Filed Date 2005 04/06/2005 2006 04/28/2006 2007 04/20/2007 Document Images 04/20/2007 -- ANNUAL REPORT 04/28/2006 -- ANN UAL REPORT 04/06/2005 -- ANNUAL REPORT 03/29/2004 -- ANNUAL REPORT 09/05/2003...--._Reg. .._Agent Change 06/03/2003...-- ANNUAL REPORT 05/14/2002 — ANNUAL REPORT 07/31_/2001_._-- Foreign ...Profit View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format Note: This is not official record. See documents if question or conflict. Previous on LlsI Next_Qn List No Events No Name History Re_turn.T4 Limit Horne Contact us Document Searches E-Filing Services Forms Help Copyright and Privacy Policies Copyright': 2007 State of Florida, Department of State. Entity Name http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&incq__doc_number=F010000040... 3/18/2008 2007 FOR PROFIT CORPORATION ANNUAL REPORT DOCUMENT# F01000004040 Entity Name: WORK OPPORTUNITIES UNLIMITED CONTRACTS, INC. Current Principal Place of Business: 114 LOCUST STREET DOVER, NH 03820 Current Mailing Address: 114 LOCUST STREET DOVER, NH 03820 FEI Number: 02-0464744 FEI Number Applied For ( ) FILED Apr 20, 2007 Secretary of State New Principal Place of Business: New Mailing Address: FEI Number Not Applicable ( ) Certificate of Status Desired ( ) Name and Address of Current Registered Agent: Name and Address of New Registered Agent: LEDDY, SUSANNE D 2880 NE 14TH STREET, #901 POMPANO BEACH, FL 33062 US 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. SIGNATURE: Electronic Signature of Registered Agent Date Election Campaign Financing Trust Fund Contribution ( ). OFFICERS AND DIRECTORS: ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS: Title: P ( ) Delete Title: Name: WOOD, STEPHEN A Name: Address: 114 LOCUST STREET Address: City -St -Zip: DOVER, NH 03820 City -St -Zip: ( ) Change ( ) Addition Title: D ( ) Delete Title: CD (X) Change ( ) Addition Name: LEDDY, JOSEPH C JR. Name: LEDDY, JOSEPH C SR. Address: 114 LOCUST STREET Address: 114 LOCUST STREET City -St -Zip: DOVER, NH 03820 City -St -Zip: DOVER, NH 03820 Title: S ( ) Delete Title: ( ) Change ( ) Addition Name: LEDDY, MARY M Name: Address: 114 LOCUST STREET Address: City -St -Zip: DOVER, NH 03820 City -St -Zip: Title: D ( ) Delete Title: ( ) Change ( ) Addition Name: LEDDY, SUSANNE D Name: Address: 2880 NE 14TH ST, #901 Address: City -St -Zip: POMPANO BEACH, FL 33062 City -St -Zip: Title: CD (X) Delete Title: ( ) Change ( ) Addition Name: LEDDY, JOSEPH C SR Name: Address: 114 LOCUST STREET Address: City -St -Zip: DOVER, NH 03820 City -St -Zip: I hereby certify that the information supplied with this filing does not qualify for the for the exemption stated 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 electronic 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 above, or on an attachment with an address, with all other like empowered. SIGNATURE: STEPHEN A. WOOD PRES 04/20/2007 Electronic Signature of Signing Officer or Director Date 2006 FOR PROFIT CORPORATION ANNUAL REPORT DOCUMENT# F01000004040 Entity Name: WORK OPPORTUNITIES UNLIMITED CONTRACTS, INC. Current Principal Place of Business: 44-D DOVER POINT OFFICE PARK DOVER, NH 03820 Current Mailing Address: 44-D DOVER POINT OFFICE PARK DOVER, NH 03820 FEI Number: 02-0464744 FEI Number Applied For ( ) Name and Address of Current Registered Agent: LEDDY, SUSANNE D 2880 NE 14TH STREET, #901 POMPANO BEACH, FL 33062 US FILED Apr 28, 2006 Secretary of State New Principal Place of Business: 114 LOCUST STREET DOVER, NH 03820 New Mailing Address: 114 LOCUST STREET DOVER, NH 03820 FEI Number Not Applicable ( ) Certificate of Status Desired ( ) Name and Address of New Registered Agent: 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. SIGNATURE: Electronic Signature of Registered Agent Election Campaign Financing Trust Fund Contribution ( ). OFFICERS AND DIRECTORS: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: P ( ) Delete WOOD, STEPHEN A 44-0 DOVER POINT OFFICE PARK DOVER, NH 03820 D ( ) Delete LEDDY, JOSEPH C JR. 44-D DOVER POINT OFFICE PARK DOVER, NH 03820 S ( ) Delete LEDDY, MARY M 44-D DOVER POINT OFFICE PARK DOVER, NH 03820 D ( ) Delete LEDDY, SUSANNE 0 2880 NE 14TH ST, #901 POMPANO BEACH, FL 33062 CD ( ) Delete LEDDY, JOSEPH C SR 44-D DOVER POINT OFFICE PARK DOVER, NH 03820 Date ADDITIONSICHANGES TO OFFICERS AND DIRECTORS: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: Title: Name: Address: City -St -Zip: P (X) Change ( ) Addition WOOD, STEPHEN A 114 LOCUST STREET DOVER, NH 03820 D (X) Change ( ) Addition LEDDY, JOSEPH C JR. 114 LOCUST STREET DOVER, NH 03820 S (X) Change ( ) Addition LEDDY, MARY M 114 LOCUST STREET DOVER, NH 03820 ( ) Change ( ) Addition CD (X) Change ( ) Addition LEDDY, JOSEPH C SR 114 LOCUST STREET DOVER, NH 03820 I hereby certify that the information supplied with this filing does not qualify for the for the exemption stated 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 electronic 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 above, or on an attachment with an address, with all other like empowered. SIGNATURE: STEPHEN A. WOOD PRES 04/28/2006 Electronic Signature of Signing Officer or Director Date