| Name: | LAKE CHAMPLAIN PHYSICIAN SERVICES, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 25 Oct 2010 (14 years ago) |
| Entity Number: | 4010801 |
| County: | Clinton |
| Place of Formation: | New York |
| Address: | 75 BEEKMAN STREET, Plattsburgh, NY, United States, 12901 |
| Address ZIP Code: | 12901 |
| Principal Address: | 75 BEEKMAN STREET, PLATTSBURGH, NY, United States, 12901 |
| Principal Address ZIP Code: | 12901 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| LAKE CHAMPLAIN PHYSICIAN SERVICES, P.C. | DOS Process Agent | 75 BEEKMAN STREET, Plattsburgh, NY, United States, 12901 |
| Name | Role | Address |
|---|---|---|
| LISA MARK, M.D., FACS | Chief Executive Officer | 75 BEEKMAN STREET, PLATTSBURGH, NY, United States, 12901 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2024-10-01 | 2024-10-01 | Address | 75 BEEKMAN STREET, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer) |
| 2012-10-23 | 2024-10-01 | Address | 75 BEEKMAN STREET, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer) |
| 2012-10-23 | 2024-10-01 | Address | 52 TOM MILLER ROAD, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process) |
| 2010-10-25 | 2012-10-23 | Address | 75 BEEKMAN STREET, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process) |
| 2010-10-25 | 2024-10-01 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 241001037621 | 2024-10-01 | BIENNIAL STATEMENT | 2024-10-01 |
| 221114000079 | 2022-11-14 | BIENNIAL STATEMENT | 2022-10-01 |
| 211216000635 | 2021-12-16 | BIENNIAL STATEMENT | 2021-12-16 |
| 161003006671 | 2016-10-03 | BIENNIAL STATEMENT | 2016-10-01 |
| 141002006788 | 2014-10-02 | BIENNIAL STATEMENT | 2014-10-01 |
| 121023006216 | 2012-10-23 | BIENNIAL STATEMENT | 2012-10-01 |
| 101025000025 | 2010-10-25 | CERTIFICATE OF INCORPORATION | 2010-10-25 |
Date of last update: 08 Nov 2024
Sources: New York Secretary of State
