| Name: | CRYSTAL RUN MEDICAL SERVICES, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 29 Mar 1990 (35 years ago) |
| Entity Number: | 1434798 |
| County: | Orange |
| Place of Formation: | New York |
| Principal Address: | 236 CRYSTAL RUN RD, MIDDLETOWN, NY, United States, 10941 |
| Principal Address ZIP Code: | 10941 |
| Address: | 236 CRYSTAL RUN RD, BUILDING A, SUITE 204, MIDDLETOWN, NY, United States, 10941 |
| Address ZIP Code: | 10941 |
Contact Details
Phone +1 212-734-6621
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CRYSTAL RUN MEDICAL SERVICES, P.C. 401(K) PLAN | 2023 | 061297050 | 2024-07-02 | CRYSTAL RUN MEDICAL SERVICES, P.C. | 6 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-07-02 |
| Name of individual signing | DR. RAYMOND S. BASRI M.D. |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8456923100 |
| Plan sponsor’s address | 236 CRYSTAL RUN RD STE 2, MIDDLETOWN, NY, 10941 |
Signature of
| Role | Plan administrator |
| Date | 2024-09-27 |
| Name of individual signing | DR. RAYMOND S. BASRI M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8456923100 |
| Plan sponsor’s address | 236 CRYSTAL RUN RD STE 2, MIDDLETOWN, NY, 10941 |
Signature of
| Role | Plan administrator |
| Date | 2023-03-22 |
| Name of individual signing | DR. RAYMOND S. BASRI M.D. |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8456923100 |
| Plan sponsor’s address | 236 CRYSTAL RUN RD STE 2, MIDDLETOWN, NY, 10941 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-08 |
| Name of individual signing | DR. RAYMOND S. BASRI M.D. |
| Name | Role | Address |
|---|---|---|
| RAYMOND S BASRI MD | DOS Process Agent | 236 CRYSTAL RUN RD, BUILDING A, SUITE 204, MIDDLETOWN, NY, United States, 10941 |
| Name | Role | Address |
|---|---|---|
| RAYMOND BASRI, MD | Agent | 61 HIGHLAND AVENUE, MIDDLETOWN, NY |
| Name | Role | Address |
|---|---|---|
| RAYMOND S BASRI MD | Chief Executive Officer | 236 CRYSTAL RUN RD, MIDDLETOWN, NY, United States, 10941 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2000-03-20 | 2018-11-08 | Address | 236 CRYSTAL RUN RD, MIDDLETOWN, NY, 10941, USA (Type of address: Service of Process) |
| 1994-09-16 | 2000-03-20 | Address | 170 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 10940, USA (Type of address: Chief Executive Officer) |
| 1994-09-16 | 2000-03-20 | Address | 170 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 10940, USA (Type of address: Principal Executive Office) |
| 1994-09-16 | 2000-03-20 | Address | 170 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 10940, USA (Type of address: Service of Process) |
| 1990-03-29 | 1994-09-16 | Address | 61 HIGHLAND AVENUE, MIDDLETOWN, NY, 10940, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 181108006616 | 2018-11-08 | BIENNIAL STATEMENT | 2018-03-01 |
| 140514002382 | 2014-05-14 | BIENNIAL STATEMENT | 2014-03-01 |
| 120425002142 | 2012-04-25 | BIENNIAL STATEMENT | 2012-03-01 |
| 100407002397 | 2010-04-07 | BIENNIAL STATEMENT | 2010-03-01 |
| 080313003268 | 2008-03-13 | BIENNIAL STATEMENT | 2008-03-01 |
| 060406002036 | 2006-04-06 | BIENNIAL STATEMENT | 2006-03-01 |
| 040330002553 | 2004-03-30 | BIENNIAL STATEMENT | 2004-03-01 |
| 020311002119 | 2002-03-11 | BIENNIAL STATEMENT | 2002-03-01 |
| 000320003358 | 2000-03-20 | BIENNIAL STATEMENT | 2000-03-01 |
| 940916002020 | 1994-09-16 | BIENNIAL STATEMENT | 1994-03-01 |
Date of last update: 14 Nov 2024
Sources: New York Secretary of State
