| Name: | BREITBECK PHYSICIAN MEDICINE SERVICES, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 09 Jul 2018 (6 years ago) |
| Entity Number: | 5372219 |
| ZIP code: | 10005 |
| County: | Oswego |
| Place of Formation: | New York |
| Address: | 28 LIBERTY ST., NEW YORK, NY, United States, 10005 |
| Principal Address: | 200 CORPORATE BLVD, LAFAYETTE, LA, United States, 70508 |
Shares Details
Shares issued 200
Share Par Value 0.01
Type PAR VALUE
| Name | Role | Address |
|---|---|---|
| DERIK KENT KING, M.D. | Agent | 6 CLERMONT LANE, SAINT LOUIS, MO, 63124 |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | DOS Process Agent | 28 LIBERTY ST., NEW YORK, NY, United States, 10005 |
| Name | Role | Address |
|---|---|---|
| BRUCE WHITMAN, DO | Chief Executive Officer | 200 CORPORATE BLVD, LAFAYETTE, LA, United States, 70508 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2024-07-24 | 2024-07-24 | Address | 200 CORPORATE BLVD, LAFAYETTE, LA, 70508, USA (Type of address: Chief Executive Officer) |
| 2020-07-09 | 2024-07-24 | Address | 200 CORPORATE BLVD, LAFAYETTE, LA, 70508, USA (Type of address: Chief Executive Officer) |
| 2019-01-28 | 2024-07-24 | Address | 28 LIBERTY ST., NEW YORK, NY, 10005, USA (Type of address: Service of Process) |
| 2018-07-09 | 2024-07-24 | Shares | Share type: PAR VALUE, Number of shares: 200, Par value: 0.01 |
| 2018-07-09 | 2024-07-24 | Address | 6 CLERMONT LANE, SAINT LOUIS, MO, 63124, 1304, USA (Type of address: Registered Agent) |
| 2018-07-09 | 2019-01-28 | Address | 111 EIGHTH AVENUE - 13TH FLOOR, NEW YORK, NY, 10011, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 240724000569 | 2024-07-24 | BIENNIAL STATEMENT | 2024-07-24 |
| 220715002669 | 2022-07-15 | BIENNIAL STATEMENT | 2022-07-01 |
| 200709061279 | 2020-07-09 | BIENNIAL STATEMENT | 2020-07-01 |
| SR-83586 | 2019-01-28 | CERTIFICATE OF CHANGE (BY AGENT) | 2019-01-28 |
| 180709000506 | 2018-07-09 | CERTIFICATE OF INCORPORATION | 2018-07-09 |
Date of last update: 22 Nov 2024
Sources: New York Secretary of State
