| Name: | OLIVIA SMITH-BLACKWELL, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 02 Nov 2004 (20 years ago) |
| Entity Number: | 3121341 |
| ZIP code: | 14120 |
| County: | Niagara |
| Place of Formation: | New York |
| Address: | 601 DIVISION ST, NORTH TONAWANDA, NY, United States, 14120 |
Contact Details
Phone +1 716-693-0118
Shares Details
Shares issued 20000
Share Par Value 1
Type PAR VALUE
| Name | Role | Address |
|---|---|---|
| OLIVIA SMITH-BLACKWELL, MD | Chief Executive Officer | 601 DIVISION ST, NORTH TONAWANDA, NY, United States, 14120 |
| Name | Role | Address |
|---|---|---|
| OLIVIA SMITH-BLACKWELL, MD | DOS Process Agent | 601 DIVISION ST, NORTH TONAWANDA, NY, United States, 14120 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2007-12-24 | 2012-11-28 | Address | 533 MEADOW DR, STE 2, NORTH TONAWANDA, NY, 14120, USA (Type of address: Chief Executive Officer) |
| 2007-12-24 | 2012-11-28 | Address | 533 MEADOW DR, STE 2, NORTH TONAWANDA, NY, 14120, USA (Type of address: Principal Executive Office) |
| 2007-12-24 | 2012-11-28 | Address | 533 MEADOW DR, STE 2, NORTH TONAWANDA, NY, 14120, USA (Type of address: Service of Process) |
| 2004-11-02 | 2007-12-24 | Address | ONE M & T PLAZA, SUITE 2000, BUFFALO, NY, 14203, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 181105006796 | 2018-11-05 | BIENNIAL STATEMENT | 2018-11-01 |
| 141110006665 | 2014-11-10 | BIENNIAL STATEMENT | 2014-11-01 |
| 121128002444 | 2012-11-28 | BIENNIAL STATEMENT | 2012-11-01 |
| 101110002926 | 2010-11-10 | BIENNIAL STATEMENT | 2010-11-01 |
| 081114002439 | 2008-11-14 | BIENNIAL STATEMENT | 2008-11-01 |
| 071224003174 | 2007-12-24 | BIENNIAL STATEMENT | 2006-11-01 |
| 041102000742 | 2004-11-02 | CERTIFICATE OF INCORPORATION | 2004-11-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9942047207 | 2020-04-28 | 0296 | PPP | 601 Division St, North Tonawanda, NY, 14120-4417 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 29 Mar 2025
Sources: New York Secretary of State
