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
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 | |||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2014-07-30 |
Name of individual signing | CORDIA BEVERLEY |
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 |
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 |
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 |
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 |
Name | Role | Address |
---|---|---|
CORDIA L BEVERLEY | Chief Executive Officer | 1085 PARK AVE, STE 1N, NEW YORK, NY, United States, 10128 |
Name | Role | Address |
---|---|---|
CLB MEDICAL SERVICES, P.C. | DOS Process Agent | 1085 PARK AVENUE, STE 1N, NEW YORK, NY, United States, 10128 |
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) |
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