Nevada Annual Report
Permanently Revoked

form five, inc.

Domestic Corporation · Entity Number C15367-1995 · NV Business ID NV19951126861

Formed
September 7, 1995
Annual List
Due by September 30, 1998
Managed by
Not on file
Status changed
July 1, 2004

Registered agent

MARY SPENCE

4790 SINELIO DR. · RENO, NV 89502

Principal office

Not on file

Mailing address

Not on file

Officers, managers, and members

NameRoleAddress
CAMIE BHUIEPresident7558 SKELETON WAY · SACRAMENTO, CA 95822
SUVIN K BHUIESecretary7558 SKELETON WAY · SACRAMENTO, CA 95822
SUVIN K BHUIETreasurer7558 SKELETON WAY · SACRAMENTO, CA 95822

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