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' 4 <br /> """ 20e17 FLORIDA PROFSIT CORPORATION A'1NUAL REPORT FILED <br /> DOCUMENT#S75343 Jan 06, 2017 <br /> Entity Name: TIMOTHY ROSE CONTRACTING, INC. Secretary of State <br /> CC9119421458 <br /> Current Principal Place of Business: <br /> 1360 OLD DIXIE HWY SW • <br /> STE 106 • <br /> VERO BEACH, FL 32962 <br /> Current Mailing Address: <br /> 1360 OLD DIXIE HWY SW <br /> STE 106 <br /> VERO BEAc =: FL 32962 US <br /> FEI Number: 65-0284242 Certificate of Status Desired: No <br /> Name and Address of Current Registered Agent: <br /> ROSE,TIMOTHY W. <br /> 1360 OLD DIXIE HIGHWAY SW <br /> 106 <br /> VERO BEACH,FL 32962 US <br /> • <br /> 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. <br /> SIGNATURE: <br /> Electronic Signature of Registered Agent Date <br /> Officer/Director Detail : <br /> Title P Title SEC <br /> Name ROSE,TIMOTHY W. Name ROSE,RONALD <br /> Address 1360 OLD DIXIE HWY SUITE 106 Address 1360 SW OLD DIXIE HWY#106 <br /> City-State-Zip: VERO BEACH FL 32962 City-State-Zip: VERO BEACH FL 32962 <br /> Title TREA <br /> Name ROSE,LISA A <br /> Address 1360 SW OLD DIXIE HWY#106 <br /> City-State-Zip: VERO BEACH FL 32962 <br /> I hereby 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 <br /> 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 <br /> above,or on an attachment with all other like empowered. <br /> SIGNATURE:TIMOTHY W. ROSE PRESIDENT 01/06/2017 <br /> Electronic Signature of Signing Officer/Director Detail Date <br /> 1 <br />