| Name: | KEITH R. BRUNCKHORST, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 30 Jun 2004 (21 years ago) |
| Entity Number: | 3072963 |
| ZIP code: | 10021 |
| County: | New York |
| Place of Formation: | New York |
| Address: | 157 EAST 72ND STREET, LOWER LEVEL, NEW YORK, NY, United States, 10021 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| KEITH R. BRUNCKHORST, M.D., P.C. | DOS Process Agent | 157 EAST 72ND STREET, LOWER LEVEL, NEW YORK, NY, United States, 10021 |
| Name | Role | Address |
|---|---|---|
| KEITH R BRUNCKHORST MD. PC | Chief Executive Officer | 157 EAST 72ND STREET, LOWER LEVEL, NEW YORK, NY, United States, 10021 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2006-05-24 | 2018-06-05 | Address | 110 E 59TH ST, SUITE 9B, NEW YORK, NY, 10022, USA (Type of address: Chief Executive Officer) |
| 2006-05-24 | 2018-06-05 | Address | 110 E 59TH ST, SUITE 9B, NEW YORK, NY, 10022, USA (Type of address: Principal Executive Office) |
| 2004-06-30 | 2018-06-05 | Address | SUITE 9B, 110 EAST 59TH STREET, NEW YORK, NY, 10022, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 200612060442 | 2020-06-12 | BIENNIAL STATEMENT | 2020-06-01 |
| 180605006950 | 2018-06-05 | BIENNIAL STATEMENT | 2018-06-01 |
| 160602006038 | 2016-06-02 | BIENNIAL STATEMENT | 2016-06-01 |
| 140610006797 | 2014-06-10 | BIENNIAL STATEMENT | 2014-06-01 |
| 120717002935 | 2012-07-17 | BIENNIAL STATEMENT | 2012-06-01 |
| 100611002495 | 2010-06-11 | BIENNIAL STATEMENT | 2010-06-01 |
| 080611002320 | 2008-06-11 | BIENNIAL STATEMENT | 2008-06-01 |
| 060524002266 | 2006-05-24 | BIENNIAL STATEMENT | 2006-06-01 |
| 040630000713 | 2004-06-30 | CERTIFICATE OF INCORPORATION | 2004-06-30 |
Date of last update: 18 Jan 2025
Sources: New York Secretary of State
