| Name: | RACHEL M. BAUTISTA, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 12 Jul 2007 (18 years ago) |
| Entity Number: | 3542599 |
| ZIP code: | 11788 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 227 MT PLEASANT RD, HAUPPAUGE, NY, United States, 11788 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 227 MT PLEASANT RD, HAUPPAUGE, NY, United States, 11788 |
| Name | Role | Address |
|---|---|---|
| RACHEL M BAUTISTA MD | Chief Executive Officer | 227 MT PLEASANT RD, HAUPPAUGE, NY, United States, 11788 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2007-07-12 | 2009-08-03 | Address | 300 EAST MAIN STREET SUITE 6, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 150603006768 | 2015-06-03 | BIENNIAL STATEMENT | 2013-07-01 |
| 110803002851 | 2011-08-03 | BIENNIAL STATEMENT | 2011-07-01 |
| 090803003033 | 2009-08-03 | BIENNIAL STATEMENT | 2009-07-01 |
| 070712001037 | 2007-07-12 | CERTIFICATE OF INCORPORATION | 2007-07-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8659527100 | 2020-04-15 | 0235 | PPP | 227 Mount Pleasant Road, Hauppauge, NY, 11788 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 28 Mar 2025
Sources: New York Secretary of State
