| Name: | CROSSOVER HEALTH MEDICAL GROUP, APC |
| Jurisdiction: | New York |
| Legal type: | FOREIGN PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 20 Jun 2017 (7 years ago) |
| Entity Number: | 5157435 |
| ZIP code: | 12260 |
| County: | New York |
| Place of Formation: | California |
| Principal Address: | 101 WEST AVENIDA VISTA HERMOSA, SUITE 120, SAN CLEMENTE, CA, United States, 92672 |
| Address: | 99 WASHINGTON AVENUE, SUITE 700, ALBANY, NY, United States, 12260 |
| Name | Role | Address |
|---|---|---|
| REGISTERED AGENT SOLUTIONS, INC. | Agent | 99 WASHINGTON AVENUE, SUITE 700, ALBANY, NY, 12260 |
| Name | Role | Address |
|---|---|---|
| C/O REGISTERED AGENT SOLUTIONS, INC. | DOS Process Agent | 99 WASHINGTON AVENUE, SUITE 700, ALBANY, NY, United States, 12260 |
| Name | Role | Address |
|---|---|---|
| SCOTT SHREEVE, MD | Chief Executive Officer | 101 WEST AVENIDA VISTA HERMOSA, SUITE 120, SAN CLEMENTE, CA, United States, 92672 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2023-06-27 | 2023-06-27 | Address | 101 WEST AVENIDA VISTA HERMOSA, SUITE 120, SAN CLEMENTE, CA, 92672, USA (Type of address: Chief Executive Officer) |
| 2020-07-21 | 2023-06-27 | Address | 99 WASHINGTON AVENUE, SUITE 1008, ALBANY, NY, 12260, USA (Type of address: Service of Process) |
| 2020-07-21 | 2023-06-27 | Address | 99 WASHINGTON AVENUE, SUITE 1008, ALBANY, NY, 12260, USA (Type of address: Registered Agent) |
| 2020-03-05 | 2023-06-27 | Address | 101 WEST AVENIDA VISTA HERMOSA, SUITE 120, SAN CLEMENTE, CA, 92672, USA (Type of address: Chief Executive Officer) |
| 2020-01-23 | 2020-07-21 | Address | 80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process) |
| 2019-01-28 | 2020-01-23 | Address | 28 LIBERTY ST., NEW YORK, NY, 10005, USA (Type of address: Service of Process) |
| 2017-06-20 | 2019-01-28 | Address | 111 EIGHTH AVENUE, NEW YORK, NY, 10011, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 230627004159 | 2023-06-27 | BIENNIAL STATEMENT | 2023-06-01 |
| 210611060490 | 2021-06-11 | BIENNIAL STATEMENT | 2021-06-01 |
| 200721000167 | 2020-07-21 | CERTIFICATE OF CHANGE | 2020-07-21 |
| 200305060841 | 2020-03-05 | BIENNIAL STATEMENT | 2019-06-01 |
| 200123000482 | 2020-01-23 | CERTIFICATE OF CHANGE | 2020-01-23 |
| SR-79264 | 2019-01-28 | CERTIFICATE OF CHANGE (BY AGENT) | 2019-01-28 |
| 170620000482 | 2017-06-20 | APPLICATION OF AUTHORITY | 2017-06-20 |
Date of last update: 23 Nov 2024
Sources: New York Secretary of State
