EFTA00187600 # 2004 FOR PROFIT CORPORATION ANNUAL REPORT DOCUMENT# P98000087115 FILED Mar 15, 2004 Secretary of State Entity Name: AERO-FACT INVESTIGATION, INC. ## Current Principal Place of Business: New Principal Place of Business: | 12001 SW | 133RD TERR | | :--- | :--- | | MIAMI, FL | 33186 | ## Current Mailing Address: | 12001 SW | 133RD TERR | | :--- | :--- | | MIAMI, FL | 33186 | New Mailing Address: | FEI Number: 65-0867355 | 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: BAILEY, JOANNA G 8215 LAKE DRIVE., B-407 MIAMI, FL 33166 US BAILEY, JOANNA G 12001 S.W. 133 TERRACE MIAMI, FL 33186 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:JOANNA G. BAILEY03/15/2004
Electronic Signature of Registered AgentDate
Election Campaign Financing Trust Fund Contribution ( ). ## OFFICERS AND DIRECTORS:
Title: ( ) DeleteName: BAILEY, JOANNAAddress: 8215 LAKE DRIVE., B-407City-St-Zip: MIAMI, FL 33166Title: (X) Change ( ) AdditionName: BAILEY, JOANNA GAddress: 12001 S.W. 133 TERRACECity-St-Zip: MIAMI, FL 33186
Title: ( ) DeleteName: VP ( ) Change(X) AdditionAddress: LAVERY, PAUL AAddress: 12001 S.W. 133 TERRACECity-St-Zip: MIAMI, FL 33186
## ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS: hereby certify that the information supplied with this filing does not qualify for the for the exemption stated in Section 119.07(3)(i), 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 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:JOANNA G. BAILEY03/15/2004
Electronic Signature of Signing Officer or DirectorDate