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PEGASUS EMERGENCY MEDICINE TROY, N.Y., P.C.

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Company Details

Name: PEGASUS EMERGENCY MEDICINE TROY, N.Y., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 25 Mar 2004 (21 years ago)
Date of dissolution: 07 Feb 2023
Entity Number: 3031780
ZIP code: 12180
County: Rensselaer
Place of Formation: New York
Address: 1300 MASSACHUSETTS AVENUE, TROY, NY, United States, 12180

Shares Details

Shares issued 1000

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1300 MASSACHUSETTS AVENUE, TROY, NY, United States, 12180

Chief Executive Officer

Name Role Address
COLLEEN E KELLEY, MD Chief Executive Officer 1300 MASSACHUSETTS AVENUE, TROY, NY, United States, 12180

Agent

Name Role Address
JEFFREY RUZICH Agent 1300 MASSACHUSETTS AVENUE, TROY, NY, 12180

National Provider Identifier

NPI Number:
1255361531

Authorized Person:

Name:
ELLIOT JUSTIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5624680726
Fax:
8566161919

Form 5500 Series

Employer Identification Number (EIN):
200769587
Plan Year:
2018
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
20
Sponsors Telephone Number:

History

Start date End date Type Value
2024-06-28 2024-07-02 Shares Share type: NO PAR VALUE, Number of shares: 1000, Par value: 0
2023-05-27 2024-06-28 Shares Share type: NO PAR VALUE, Number of shares: 1000, Par value: 0
2022-09-09 2023-05-27 Shares Share type: NO PAR VALUE, Number of shares: 1000, Par value: 0
2022-03-10 2022-09-09 Shares Share type: NO PAR VALUE, Number of shares: 1000, Par value: 0
2014-05-12 2023-02-07 Address 1300 MASSACHUSETTS AVENUE, TROY, NY, 12180, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230207003549 2022-09-09 CERTIFICATE OF DISSOLUTION-CANCELLATION 2022-09-09
140512002249 2014-05-12 BIENNIAL STATEMENT 2014-03-01
120531002074 2012-05-31 BIENNIAL STATEMENT 2012-03-01
100419002797 2010-04-19 BIENNIAL STATEMENT 2010-03-01
091208002498 2009-12-08 AMENDMENT TO BIENNIAL STATEMENT 2008-03-01

Trademarks Section

Serial Number:
85849896
Mark:
ER FOLLOW-UP CLINIC
Status:
ABANDONED-FAILURE TO RESPOND OR LATE RESPONSE
Mark Type:
SERVICE MARK
Application Filing Date:
2013-02-14
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
ER FOLLOW-UP CLINIC

Goods And Services

For:
This clinic will provide appointment based urgent medical care. The clinic will mostly serve patients who can be safely discharged from the Emergency Department or Hospital but who will need urgent medical care most often 12-48 hours after discharge
International Classes:
045 - Primary Class
Class Status:
Active

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State