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2012 FOR PROFIT CORPORATION ANNUAL REPORT FILED <br /> Apr 10, 2012 <br /> DOCUMENT# F72845 Secretary of State <br /> Entity Name : DICKERSON FLORIDA, INC. <br /> Current Principal Place of Business : New Principal Place of Business: <br /> 3122 NORTH 25TH ST <br /> FT PIERCE, FL 34946 <br /> Current Mailing Address : New Mailing Address: <br /> PO BOX 910 <br /> FT PIERCE, FL 34954 US <br /> FEI Number: 56.1327509 FEI Number Applied For O FEI Number Not Applicable O Certificate of Status Desired (X) <br /> Name and Address of Current Registered Agent: Name and Address of New Registered Agent: <br /> DALE, LARRY T <br /> 3122 NORTH 25TH ST <br /> FT PIERCE, FL 34946 US <br /> The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both , <br /> in the State of Florida . <br /> SIGNATURE: <br /> Electronic Signature of Registered Agent Date <br /> OFFICERS AND DIRECTORS : <br /> Title: P <br /> Name: DALE, LARRY T <br /> Address: 3122 N 25TH ST <br /> City=St-Zip: FT PIERCE, FL 34946 <br /> Title: VST <br /> Name: CAMERON, CHARLES H <br /> r <br /> Address: 688 SW HIDDEN RIVER AVE <br /> City-St-Zip : PALM CITY, FL 34990 <br /> Title: AS <br /> Name: PETERSON, ANTOINETTE J <br /> Address: 1209 SW IBIS ST <br /> City-St-Zip : PALM CITY, FL 34990 <br /> I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic <br /> signature shalt have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver <br /> or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or <br /> on an attachment with all other like empowered . <br /> SIGNATURE : LARRY DALE PRES 04/10/2012 <br /> Electronic Signature of Signing Officer or Director Date <br />