| Name: | KEITH RYAN JACKSON, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 10 Sep 2002 (22 years ago) |
| Entity Number: | 2809732 |
| ZIP code: | 10304 |
| County: | Richmond |
| Place of Formation: | New York |
| Address: | 11 RALPH PLACE, SUITE 209, STATEN ISLAND, NY, United States, 10304 |
Contact Details
Phone +1 718-727-1331
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| LISA M CLEMENTI, CPA | Agent | 125 BAY TERRACE, STATEN ISLAND, NY, 10306 |
| Name | Role | Address |
|---|---|---|
| KEITH RYAN JACKSON MD | Chief Executive Officer | 11 RALPH PLACE, SUITE 209, STATEN ISLAND, NY, United States, 10304 |
| Name | Role | Address |
|---|---|---|
| KEITH RYAN JACKSON, M.D., P.C. | DOS Process Agent | 11 RALPH PLACE, SUITE 209, STATEN ISLAND, NY, United States, 10304 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2024-09-01 | 2024-09-01 | Address | 11 RALPH PLACE, SUITE 209, STATEN ISLAND, NY, 10304, USA (Type of address: Chief Executive Officer) |
| 2023-03-07 | 2024-09-01 | Address | 125 BAY TERRACE, STATEN ISLAND, NY, 10306, USA (Type of address: Registered Agent) |
| 2023-03-07 | 2024-09-01 | Address | 11 RALPH PLACE, SUITE 209, STATEN ISLAND, NY, 10304, USA (Type of address: Chief Executive Officer) |
| 2023-03-07 | 2023-03-07 | Address | 11 RALPH PLACE, SUITE 209, STATEN ISLAND, NY, 10304, USA (Type of address: Chief Executive Officer) |
| 2023-03-07 | 2024-09-01 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2023-03-07 | 2024-09-01 | Address | 11 RALPH PLACE, SUITE 209, STATEN ISLAND, NY, 10304, USA (Type of address: Service of Process) |
| 2006-08-21 | 2023-03-07 | Address | 11 RALPH PLACE, SUITE 209, STATEN ISLAND, NY, 10304, USA (Type of address: Service of Process) |
| 2006-08-21 | 2023-03-07 | Address | 11 RALPH PLACE, SUITE 209, STATEN ISLAND, NY, 10304, USA (Type of address: Chief Executive Officer) |
| 2005-11-04 | 2006-08-21 | Address | 11 RALPH PLACE #6D, STATEN ISLAND, NY, 10304, USA (Type of address: Service of Process) |
| 2004-11-15 | 2005-11-04 | Address | 432 MOUNTAIN AVE, STATEN ISLAND, NY, 10314, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 240901035122 | 2024-09-01 | BIENNIAL STATEMENT | 2024-09-01 |
| 230307000634 | 2023-03-07 | BIENNIAL STATEMENT | 2022-09-01 |
| 160901006726 | 2016-09-01 | BIENNIAL STATEMENT | 2016-09-01 |
| 140902006979 | 2014-09-02 | BIENNIAL STATEMENT | 2014-09-01 |
| 120907006758 | 2012-09-07 | BIENNIAL STATEMENT | 2012-09-01 |
| 101004002399 | 2010-10-04 | BIENNIAL STATEMENT | 2010-09-01 |
| 081015002073 | 2008-10-15 | BIENNIAL STATEMENT | 2008-09-01 |
| 060821002583 | 2006-08-21 | BIENNIAL STATEMENT | 2006-09-01 |
| 051104000011 | 2005-11-04 | CERTIFICATE OF CHANGE | 2005-11-04 |
| 041115002256 | 2004-11-15 | BIENNIAL STATEMENT | 2004-09-01 |
Date of last update: 19 Jan 2025
Sources: New York Secretary of State
