EFTA00187599
# 2005 FOR PROFIT CORPORATION ANNUAL REPORT
DOCUMENT# P00000094598
FILED
Apr 20, 2005
Secretary of State
**Entity Name:** PAUL A. LAVERY AND ASSOCIATES INVESTIGATIVE SERVICES, INC.
Current Principal Place of Business:
New Principal Place of Business:
5325 WEST 20 LANE
HIALEAH, FL 33016
## Current Mailing Address:
5325 WEST 20 LANE
HIALEAH, FL 33016
New Mailing Address:
| FEI Number: 65-1050773 | FEI Number Applied For ( ) |
| :--- | :--- |
| FEI Number Not Applicable | Certificate of Status Desired |
| :--- | :--- |
Name and Address of Current Registered Agent:
Name and Address of New Registered Agent:
| | |
| :--- | :--- |
| LAVERY, PAUL A | |
| 5325 WEST 20 LANE | |
| HIALEAH, FL 33016 | 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
Election Campaign Financing Trust Fund Contribution ( ).
Date
## OFFICERS AND DIRECTORS:
| Title: | DPST | () Delete |
| Name: | LAVERY, PAUL A |
| Address: | 6135 NW 167 ST.,#E-26 |
| City-St-Zip: | MIAMI, FL 33015 |
ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS:
| Title: | ( ) Change ( ) Addition |
| Name: | |
| Address: | |
| City-St-Zip: | |
hereby certify that the information supplied with this filing does not qualify for the for the exemption stated in Section 119.07(3)(1), Florida Statutes. further 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 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 above, or on an attachment with an address, with all other like empowered.
| SIGNATURE: | PAUL A. LAVERY | PRES | 04/20/2005 |
| Electronic Signature of Signing Officer or Director | | Date |