FSBS ENTERPRISES, INC - Florida Company Profile

Key Officers & Management

Name	Role	Address
PETTY JASON	President	9142 SHENANDOAH RUN, WESLEY CHAPEL, FL, 33544
PETTY JASON	Secretary	9142 SHENANDOAH RUN, WESLEY CHAPEL, FL, 33544
PETTY JASON	Agent	9142 SHENANDOAH RUN, WESLEY CHAPEL, FL, 33544

National Provider Identifier

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Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G14000128542	BELTONE HEARING HEALTH	EXPIRED	2014-12-22	2019-12-31	-	9142 SHENANDOAH RUN, WESLEY CHAPEL, FL, 33544

Events

Event Type	Filed Date	Value	Description
ADMIN DISSOLUTION FOR ANNUAL REPORT	2016-09-23	-	-
NAME CHANGE AMENDMENT	2014-12-01	FSBS ENTERPRISES, INC	-

Documents

Name	Date
ANNUAL REPORT	2015-03-12
Name Change	2014-12-01
Domestic Profit	2014-11-20