2299 SW 27th Ave. Miami, FL 33145 T. (786) 406-7300 / F. (305) 675-0241 Officer Name Title Email Mobile 1. Company Information Legal name Phone Fax Address City, state, zip DBA FEIN# Business type & description Names of Related Entities, Subsidiaries, etc., if any along Federal ID numbers Sole ProprietorPartnershipLLCCorporation Date Founded / Incorporated State of Formation Additional Locations Last year sales Blue Book Rating Last 12 months sales Red Book Rating Monthly sales No. of customers No. of employees