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• <br /> mo:=Dirc3 lace <br /> 2017 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT FILED <br /> DOCUMENT#L10000099437 Apr 04, 2017 <br /> Entity Name: MIAMI SARAH ETHAN BUSINESS LLC Secretary of State <br /> CC3306785940 <br /> Current Principal Place of Business: <br /> 2160 NE 191 DRIVE <br /> NORTH MIAMI BEACH, FL 33179 <br /> O Current Mailing Address: <br /> 2160 NE 191 DRIVE <br /> NORTH MIAMI BEACH, FL 33179 US <br /> ® FEI Number: 27-3519258 Certificate of Status Desired: No <br /> Name and Address of Current Registered Agent: <br /> O LACAILLE,JEAN-LOUIS <br /> ® 2160 NE 191 DRIVE <br /> NORTH MIAMI BEACH,FL 33179 US <br /> The above named entity submits mis statement tar me purpose of changtlg as registered office or registered agent.or both,in me State of Fronda. <br /> ® SIGNATURE: <br /> ® Electronic Signature of Registered Agent Date <br /> ® Authorized Person(s) Detail : <br /> ® Title MGRM Title MGRM <br /> ® Name LACAILLE,JEAN LOUIS Name ABITBOL,SARAH <br /> Address 2160 NE 191 DRIVE Address 2160 NE 191 DRIVE <br /> ® <br /> gay-State-Zip: NORTH MIAMI BEACH FL 33179 City-State-Zip: NORTH MIAMI BEACH FL 33179 <br /> 0 <br /> 0 <br /> 0 <br /> 0 <br /> hammy caddy Oral Rae trdmmata r btt*tcai on Oats report or s pp.aamid rpsr tr tno and accurate ad that rtw abmrar*striatum shag faro the sant togd melba es a moist=tar <br /> ® oath;that ram a manasing marnbor or manager of etc Anted 12ah8Ny camper r a tic ramfwr o roam empowers d b e roaao this report as rvqufrod by Chapte 606.Florida 8mamm and <br /> Ma/my name appears above.m on en ottactrnard with ea other Ata a porsved. <br /> SIGNATURE:LACAILLE ,JEAN LOUIS MGRM 04104/2017 <br /> Electronic Signature of Signing Authorized Person(s)Detail Date <br /> ® SYNERGLACE USA I Request for Proposal No. 17-10-02 Page 57 on 60 <br />