| Name: | 5TH AVENUE MEDICAL, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Inactive |
| Date of registration: | 21 Dec 1993 (31 years ago) |
| Date of dissolution: | 29 Apr 2009 |
| Entity Number: | 1781409 |
| ZIP code: | 11717 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 177 VANDERBILT AVE, BRENTWOOD, NY, United States, 11717 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 177 VANDERBILT AVE, BRENTWOOD, NY, United States, 11717 |
| Name | Role | Address |
|---|---|---|
| DR. JUAN CARLOS PELLIN | Chief Executive Officer | 177 VANDERBILT AVE, BRENTWOOD, NY, United States, 11717 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1996-01-31 | 2001-11-28 | Address | 1647 FIFTH AVE, N BAYSHORE, NY, 11706, USA (Type of address: Chief Executive Officer) |
| 1996-01-31 | 2001-11-28 | Address | 1647 FIFTH AVE, N BAYSHORE, NY, 11706, USA (Type of address: Principal Executive Office) |
| 1996-01-31 | 2001-11-28 | Address | 1647 FIFTH AVENUE, NORTH BAY SHORE, NY, 11706, USA (Type of address: Service of Process) |
| 1993-12-21 | 1996-01-31 | Address | 1647 FIFTH AVENUE, NORTH BAY SHORE, NY, 00000, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| DP-1753382 | 2009-04-29 | DISSOLUTION BY PROCLAMATION | 2009-04-29 |
| 011128002526 | 2001-11-28 | BIENNIAL STATEMENT | 2001-12-01 |
| 000217002802 | 2000-02-17 | BIENNIAL STATEMENT | 1999-12-01 |
| 980128002665 | 1998-01-28 | BIENNIAL STATEMENT | 1997-12-01 |
| 960131002512 | 1996-01-31 | BIENNIAL STATEMENT | 1995-12-01 |
| 931221000449 | 1993-12-21 | CERTIFICATE OF INCORPORATION | 1993-12-21 |
Date of last update: 04 Jan 2025
Sources: New York Secretary of State
