| Name: | PROVIDER ADMINISTRATIVE SERVICES, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Active |
| Date of registration: | 22 Jun 2009 (16 years ago) |
| Entity Number: | 3825093 |
| ZIP code: | 11214 |
| County: | Kings |
| Place of Formation: | New York |
| Address: | 1659 78TH STREET, STE 2C, BROOKLYN, NY, United States, 11214 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 1659 78TH STREET, STE 2C, BROOKLYN, NY, United States, 11214 |
| Name | Role | Address |
|---|---|---|
| regina prokofyeva | Agent | 1659 78TH STREET,, ste 2c, BROOKLYN, NY, 11214 |
| Name | Role | Address |
|---|---|---|
| REGINA PROKOFYEVA | Chief Executive Officer | 1659 78TH STREET, STE 2C, BROOKLYN, NY, United States, 11214 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2024-09-04 | 2024-09-06 | Address | 1659 78TH STREET 2ND FL, BROOKLYN, NY, 11214, USA (Type of address: Registered Agent) |
| 2024-09-04 | 2024-09-06 | Address | 1659 78TH STREET, STE 2C, BROOKLYN, NY, 11214, USA (Type of address: Service of Process) |
| 2024-09-04 | 2024-09-05 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2024-09-04 | 2024-09-06 | Address | 1659 78TH STREET, STE 2C, BROOKLYN, NY, 11214, USA (Type of address: Chief Executive Officer) |
| 2016-12-19 | 2024-09-04 | Address | 1659 78TH STREET 2ND FL, BROOKLYN, NY, 11214, USA (Type of address: Registered Agent) |
| 2009-06-22 | 2016-12-19 | Address | 1659 78TH STREET 2ND FL, BROOKLYN, NY, 11214, USA (Type of address: Registered Agent) |
| 2009-06-22 | 2024-09-04 | Address | 1659 78TH STREET 2ND FL, BROOKLYN, NY, 11214, USA (Type of address: Service of Process) |
| 2009-06-22 | 2024-09-04 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 240906002518 | 2024-09-05 | CERTIFICATE OF CHANGE BY ENTITY | 2024-09-05 |
| 240904004234 | 2024-09-04 | BIENNIAL STATEMENT | 2024-09-04 |
| 161219000544 | 2016-12-19 | CERTIFICATE OF CHANGE | 2016-12-19 |
| 090622000543 | 2009-06-22 | CERTIFICATE OF INCORPORATION | 2009-06-22 |
Date of last update: 17 Jan 2025
Sources: New York Secretary of State
