| Name: | ANDREW CLARK FAMILY HEALTH NURSE PRACTITIONER, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 05 May 2021 (4 years ago) |
| Entity Number: | 6006125 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 137 DARK HOLLOW ROAD, PORT JEFFERSON, NY, United States, 11777 |
| Address ZIP Code: | 11777 |
| Principal Address: | 137 Dark Hollow Rd., Port Jefferson, NY, United States, 11777 |
| Principal Address ZIP Code: | 11777 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 137 DARK HOLLOW ROAD, PORT JEFFERSON, NY, United States, 11777 |
| Name | Role | Address |
|---|---|---|
| ANDREW CLARK | Chief Executive Officer | 137 DARK HOLLOW RD., PORT JEFFERSON, NY, United States, 11777 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2021-05-05 | 2023-05-22 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2021-05-05 | 2023-05-22 | Address | 137 DARK HOLLOW ROAD, PORT JEFFERSON, NY, 11777, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 230522002143 | 2023-05-22 | BIENNIAL STATEMENT | 2023-05-01 |
| 210505000540 | 2021-05-05 | CERTIFICATE OF INCORPORATION | 2021-05-05 |
Date of last update: 03 Nov 2024
Sources: New York Secretary of State
