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FORMATIV HEALTH MANAGEMENT, INC.

FORMATIV HEALTH MANAGEMENT, INC.

Company Details

Name:	FORMATIV HEALTH MANAGEMENT, INC.
Jurisdiction:	New York
Legal type:	FOREIGN BUSINESS CORPORATION
Status:	Active
Date of registration:	06 Mar 2017 (8 years ago)
Entity Number:	5097037
ZIP code:	10168
County:	Albany
Place of Formation:	Delaware
Address:	122 EAST 42ND STREET, 18TH FLOOR, NEW YORK, NY, United States, 10168
Principal Address:	4875 BELFORT RD, JACKSONVILLE, FL, United States, 32256

DOS Process Agent

Name	Role	Address
COGENCY GLOBAL INC.	DOS Process Agent	122 EAST 42ND STREET, 18TH FLOOR, NEW YORK, NY, United States, 10168

Agent

Name	Role	Address
COGENCY GLOBAL INC.	Agent	122 EAST 42ND STREET, 18TH FLOOR, NEW YORK, NY, 10168

Chief Executive Officer

Name	Role	Address
HOLLY KOEHLER	Chief Executive Officer	4875 BELFORT RD, JACKSONVILLE, FL, United States, 32256

History

Start date	End date	Type	Value
2023-07-03	2023-07-03	Address	4875 BELFORT RD, JACKSONVILLE, FL, 32256, USA (Type of address: Chief Executive Officer)
2023-03-02	2023-07-03	Address	99 WASHINGTON AVE STE 805A, ALBANY, NY, 12210, USA (Type of address: Service of Process)
2023-03-02	2023-07-03	Address	99 WASHINGTON AVE, STE 805A, ALBANY, NY, 12210, 2822, USA (Type of address: Registered Agent)
2023-03-02	2023-03-02	Address	4875 BELFORT RD, JACKSONVILLE, FL, 32256, USA (Type of address: Chief Executive Officer)
2023-03-02	2023-07-03	Address	4875 BELFORT RD, JACKSONVILLE, FL, 32256, USA (Type of address: Chief Executive Officer)
2022-08-04	2023-03-02	Address	99 WASHINGTON AVE, STE 805A, ALBANY, NY, 12210, 2822, USA (Type of address: Registered Agent)
2022-08-04	2023-03-02	Address	4875 BELFORT RD, JACKSONVILLE, FL, 32256, USA (Type of address: Chief Executive Officer)
2022-08-04	2023-03-02	Address	99 WASHINGTON AVE STE 805A, ALBANY, NY, 12210, 2822, USA (Type of address: Service of Process)
2021-03-01	2022-08-04	Address	4875 BELFORT RD, JACKSONVILLE, FL, 32256, USA (Type of address: Service of Process)
2020-05-26	2021-03-01	Address	4875 BELFORT RD, JACKSONVILLE, FL, 32256, USA (Type of address: Service of Process)
2020-05-26	2022-08-04	Address	4875 BELFORT RD, JACKSONVILLE, FL, 32256, USA (Type of address: Chief Executive Officer)
2019-04-24	2022-08-04	Address	ONE COMMERCE PLAZA, 99 WASHINGTON AVE., STE 805-A, ALBANY, NY, 12210, 2822, USA (Type of address: Registered Agent)
2017-03-06	2020-05-26	Address	2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
230703001428	2023-06-30	CERTIFICATE OF CHANGE BY ENTITY	2023-06-30
230302003128	2023-03-02	BIENNIAL STATEMENT	2023-03-01
220804001350	2022-08-03	CERTIFICATE OF CHANGE BY ENTITY	2022-08-03
210301061157	2021-03-01	BIENNIAL STATEMENT	2021-03-01
200526060174	2020-05-26	BIENNIAL STATEMENT	2019-03-01
190424000841	2019-04-24	CERTIFICATE OF CHANGE	2019-04-24
170306000624	2017-03-06	APPLICATION OF AUTHORITY	2017-03-06

Date of last update: 23 Nov 2024

Sources: New York Secretary of State