2016 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT FILED
DOCUMENT# L15000044469 Mar 02, 2016
Entity Name: FLORIDA 1 PHARMACY HOLDING COMPANY, LLC Secretary of State
CC4393850126
Current Principal Place of Business:
4733 W. ATLANTIC AVE STE C-5
DELRAY BEACH, FL 33445
Current Mailing Address:
6100 LAKE FORREST DR.
SUITE 110
ATLANTA, GA 30328 US
FEI Number: 30-0863480 Certificate of Status Desired: No
Name and Address of Current Registered Agent:
NRAI SERVICES, INC
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324 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
Authorized Person(s) Detail :
Title VP
Name MEYERS, GAVIN
Address 6100 LAKE FORREST DR.
SUITE 110
City-State-Zip: ATLANTA GA 30328
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
oath; that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605, Florida Statutes; and
that my name appears above, or on an attachment with all other like empowered.
SIGNATURE: GAVIN MEYERS VP 03/02/2016
Electronic Signature of Signing Authorized Person(s) Detail Date