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CLB MEDICAL SERVICES, P.C.

Company Details

Name: CLB MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 29 Aug 1996 (28 years ago)
Date of dissolution: 15 Jun 2015
Entity Number: 2061408
ZIP code: 10128
County: New York
Place of Formation: New York
Principal Address: 1365 YORK AVENUE, NEW YORK, NY, United States, 10021
Address: 1085 PARK AVENUE, STE 1N, NEW YORK, NY, United States, 10128

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLB MEDICAL SERVICES P C 401 K PROFIT SHARING PLAN TRUST 2013 133924816 2014-07-30 CLB MEDICAL SERVICES P C 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 9179916843
Plan sponsor’s address PO BOX 287267, NEW YORK, NY, 101280022

Signature of

Role Plan administrator
Date 2014-07-30
Name of individual signing CORDIA BEVERLEY
CLB MEDICAL SERVICES P C 401 K PROFIT SHARING PLAN TRUST 2012 133924816 2013-07-30 CLB MEDICAL SERVICES P C 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 2128761886
Plan sponsor’s address 1085 PARK AVE OFC 1N, NEW YORK, NY, 101281180

Signature of

Role Plan administrator
Date 2013-07-30
Name of individual signing CLB MEDICAL SERVICES P C
CLB MEDICAL SERVICES P C 401 K PROFIT SHARING PLAN TRUST 2011 133924816 2012-07-31 CLB MEDICAL SERVICES P C 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 2128761886
Plan sponsor’s address 1085 PARK AVE OFC 1N, NEW YORK, NY, 101281180

Plan administrator’s name and address

Administrator’s EIN 133924816
Plan administrator’s name CLB MEDICAL SERVICES P C
Plan administrator’s address 1085 PARK AVE OFC 1N, NEW YORK, NY, 101281180
Administrator’s telephone number 2128761886

Signature of

Role Plan administrator
Date 2012-07-31
Name of individual signing CLB MEDICAL SERVICES P C
CLB MEDICAL SERVICES P C 401 K PROFIT SHARING PLAN TRUST 2010 133924816 2011-07-05 CLB MEDICAL SERVICES P C 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 2128761886
Plan sponsor’s address 1085 PARK AVE NO 1N, NEW YORK, NY, 101280000

Plan administrator’s name and address

Administrator’s EIN 133924816
Plan administrator’s name CLB MEDICAL SERVICES P C
Plan administrator’s address 1085 PARK AVE NO 1N, NEW YORK, NY, 101280000
Administrator’s telephone number 2128761886

Signature of

Role Plan administrator
Date 2011-07-05
Name of individual signing CLB MEDICAL SERVICES P C
CLB MEDICAL SERVICES P C 2009 133924816 2010-11-30 CLB MEDICAL SERVICES P C 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 812990
Sponsor’s telephone number 2128761886
Plan sponsor’s address 1085 PARK AVE NO 1N, NEW YORK, NY, 101280000

Plan administrator’s name and address

Administrator’s EIN 133924816
Plan administrator’s name CLB MEDICAL SERVICES P C
Plan administrator’s address 1085 PARK AVE NO 1N, NEW YORK, NY, 101280000
Administrator’s telephone number 2128761886

Signature of

Role Plan administrator
Date 2010-11-30
Name of individual signing CLB MEDICAL SERVICES P C

Chief Executive Officer

Name Role Address
CORDIA L BEVERLEY Chief Executive Officer 1085 PARK AVE, STE 1N, NEW YORK, NY, United States, 10128

DOS Process Agent

Name Role Address
CLB MEDICAL SERVICES, P.C. DOS Process Agent 1085 PARK AVENUE, STE 1N, NEW YORK, NY, United States, 10128

History

Start date End date Type Value
2010-09-13 2012-08-20 Address 1085 PARK AVENUE, STE 117, NEW YORK, NY, 10128, USA (Type of address: Service of Process)
2010-09-13 2012-08-20 Address 1085 PARK AVE, STE 117, NEW YORK, NY, 10128, USA (Type of address: Chief Executive Officer)
2008-08-07 2010-09-13 Address 1085 PARK AVE, STE 117, NEW YORK, NY, 10128, USA (Type of address: Chief Executive Officer)
2008-08-07 2010-09-13 Address 1085 PARK AVE, STE 117, NEW YORK, NY, 10128, USA (Type of address: Principal Executive Office)
2008-08-07 2010-09-13 Address 1085 PARK AVENUE, STE 117, NEW YORK, NY, 10128, USA (Type of address: Service of Process)
2005-08-18 2008-08-07 Address 1085 PARK AVE, NEW YORK, NY, 10128, USA (Type of address: Chief Executive Officer)
2005-08-18 2008-08-07 Address 1085 PARK AVE, NEW YORK, NY, 10128, USA (Type of address: Principal Executive Office)
2000-08-10 2005-08-18 Address 1085 PARK AVE, STE 1N, NEW YORK, NY, 10128, USA (Type of address: Chief Executive Officer)
1998-07-24 2005-08-18 Address 1085 PARK AVE, STE 1N, NEW YORK, NY, 10128, USA (Type of address: Principal Executive Office)
1998-07-24 2000-08-10 Address 1085 PARK AVE, STE 1N, NEW YORK, NY, 10128, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
150615000937 2015-06-15 CERTIFICATE OF DISSOLUTION 2015-06-15
120820006081 2012-08-20 BIENNIAL STATEMENT 2012-08-01
100913003004 2010-09-13 BIENNIAL STATEMENT 2010-08-01
080807002689 2008-08-07 BIENNIAL STATEMENT 2008-08-01
050818002343 2005-08-18 BIENNIAL STATEMENT 2004-08-01
020801002501 2002-08-01 BIENNIAL STATEMENT 2002-08-01
000810002035 2000-08-10 BIENNIAL STATEMENT 2000-08-01
980724002182 1998-07-24 BIENNIAL STATEMENT 1998-08-01
960829000192 1996-08-29 CERTIFICATE OF INCORPORATION 1996-08-29

Date of last update: 13 Nov 2024

Sources: New York Secretary of State