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CE 535 Atlantic Blvd 2013 Compliance Investigation Form Investigation# Date of Request:3110 J/ Time of Request: Name of Person Making Request: t-19 V elkg Address: Phone # Investigation Type 0-4PT- IA4 Location (Address) of Violation: /A-7 H 6 -B IV44 Property Owner: h�, Q,-, VIOLATIONS: Action Taken- 1000, J4 0 1A 0� vc;&� '201p,- 0111C 6 oX- UO 4�A (escriptioni Legal RE#: Compliance: FACode EnforcernentTornpliance Investigation Form.doc Oct 9 2009 of ' s OKI 0 0 0 All ON D OK) 9 mo -low l000 tog WNW.Sunbiz.org - Department of State %ALI' FLORIDADEPARTMENT OF STATE Divisim OF CORPORATIONS Home Contact Us E-Filing Services Document Searches Forms Help. Previous on List Next on Lisl Return To List Entity Name Search No Events No Name History Submit Detail by Entity Name Florida Limited Liability Company 5 ELEMENTS THERAPEUTIC MASSAGE LLC lCliCk here for important information about your 2013 Annual RepqAt Filing Information Document Number Ll 1000054283 FEI/EIN Number 383844769 Date Filed 05/09/2011 State FL Status ACTIVE Effective Date 05/09/2011 Principal Address 2258 POCOSIN CT JACKSONVILLE FL 32246 US Changed 04/13/2012 Mailing Address 2258 POCOSIN CT JACKSONVILLE FL 32246 US Changed 04/13/2012 Registered Agent Name & Address POBLETE,ALICIA M 2258 POCOSIN CT JACKSONVILLE FL 32246 US Address Changed:04/13/2012 Manager/Member Detail Name&Address Title MGR POBLETE,ALICIA M 2258 POCOSIN CT JACKSONVILLE FL 32246 US Annual Reports Report Year Filed Date 2012 04/13/2012 Document Images http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inq_doc—number--L 110000542... 1/10/2013 www.sunbiz.org - Department of State 2 04/13/2012 ANNUAL REPORT View image in PDF format 05/09/2011 Florida Limited Liability View image in PDF format Note:This is not official record. See documents if question Previous on List Next on List Return To List Entity Name Search No Events No Name History i Submit I Home Contact us Document Searches I E-Filing Services Forms Hell) CooYright Oc and Privacy Policies http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inq_doc_number--L 110000542... 1/10/2013 OL100IO3 City of Atlantic Beach 3/26/13 Business Master Inquiry - Licenses 15 : 50: 06 Business : 4672 HEALTH TO ME, P. L. Business address Mailing address i(bb,3 N LiNKSiDE i6b,3 N LINKSiDE C1 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Type options, press Enter. 1=Select Opt Lic Nbr Classification Status Amount Due 06 00004818 CONSULTANT, NOT OTHERWISE CLASSIFIED TR . 00 05 00004818 CONSULTANT, NOT OTHERWISE CLASSIFIED RN . 00 04 00004818 CONSULTANT, NOT OTHERWISE CLASSIFIED RN . 00 03 00004818 CONSULTANT, NOT OTHERWISE CLASSIFIED RN . 00 02 00004818 CONSULTANT, NOT OTHERWISE CLASSIFIED RN . 00 01 00004818 CONSULTANT, NOT OTHERWISE CLASSIFIED RN . 00 00 00004818 CONSULTANT, NOT OTHERWISE CLASSIFIED RN . 00 Bottom Total Amount Due .00 F3=Exit F5=Officers F7=Miscellaneous information F12=Cancel OL250IO1 City of Atlantic Beach 3/26/13 Special Notes Display 15 : 49: 21 Property address . . . . : 1653 N LINKSIDE CT Business name . . . . . . : FIVE ELEMENT SOLUTIONS, INC. Source Code Note Date BUSS INFO S ADVISED OF CHANGE OF NAME AND CORPORATE 9/29/06 BUSS INFO S STATUS FROM HEALTH TO M, PL TO FIVE 9/29/06 BUSS INFO S ELEMENT SOLUTIONS, INC. DBA HEALTH TO ME 9/29/06 BUSS INFO S SUSAN VANLIEROP AS PRIMARY APPLICANT 9/29/06 BUSS INFO S AND OWNER OF BUSINESS 9/29/06 BUSS INFO S RECEIVED A CALL FROM SUSAN, REGARDING THE 9/25/08 BUSS INFO S STATUS OF COMPANY, THEY RELOCATED SG 9/25/08 Bottom Press Enter to continue. F3=Exit F12=Cancel OL100IO3 City of Atlantic Beach 3/26/13 Business Master Inquiry - Licenses 15 : 51 : 27 Business: 6085 NEW YORK CLIPS, INC. Business address Mailin� address b3b ATLAN'liC BLVU bU9 nU�J ATLANTiU t3ijVU ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Type options, press Enter. 1=Select Opt Lic Nbr Classification Status Amount Due 13 00007033 COSMETOLOGIST AC . 00 13 00006992 COSMETOLOGY SALON AC . 00 13 00006991 COSMETOLOGIST AC . 00 12 00007033 COSMETOLOGIST RN . 00 12 00006992 COSMETOLOGY SALON RN . 00 12 00006991 COSMETOLOGIST RN . 00 11 00007033 COSMETOLOGIST RN . 00 11 00006992 COSMETOLOGY SALON RN . 00 11 00006991 COSMETOLOGIST RN . 00 More. . . Total Amount Due .00 F3=Exit F5=Officers F7=Miscellaneous information F12=Cancel