| Name: | INNOVATION SPINE MEDICAL, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 30 Aug 2010 (14 years ago) |
| Entity Number: | 3990075 |
| County: | Queens |
| Place of Formation: | New York |
| Address: | 97-01 66th Avenue, Rego Park, NY, United States, 11374 |
| Address ZIP Code: | 11374 |
Shares Details
Shares issued 10
Share Par Value 0.01
Type PAR VALUE
| Name | Role | Address |
|---|---|---|
| DMITRIY FUZAYLOV, MD | DOS Process Agent | 97-01 66th Avenue, Rego Park, NY, United States, 11374 |
| Name | Role | Address |
|---|---|---|
| DMITRIY FUZAYLOV, MD | Chief Executive Officer | 97-01 66TH AVENUE, REGO PARK, NY, United States, 11374 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2024-09-17 | 2024-09-17 | Address | 4 WEBER AVE, MALVERNE, NY, 11565, USA (Type of address: Chief Executive Officer) |
| 2010-08-30 | 2024-09-17 | Shares | Share type: PAR VALUE, Number of shares: 10, Par value: 0.01 |
| 2010-08-30 | 2024-09-17 | Address | 7014 13TH AVENUE, SUITE 202, BROOKLYN, NY, 11228, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 240917000933 | 2024-09-17 | BIENNIAL STATEMENT | 2024-09-17 |
| 220204002057 | 2022-02-04 | BIENNIAL STATEMENT | 2022-02-04 |
| 100830000029 | 2010-08-30 | CERTIFICATE OF INCORPORATION | 2010-08-30 |
Date of last update: 08 Nov 2024
Sources: New York Secretary of State
