| Name: | REVIVED SOUL MEDICAL P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 04 Jan 2011 (14 years ago) |
| Entity Number: | 4037890 |
| ZIP code: | 11235 |
| County: | Kings |
| Place of Formation: | New York |
| Address: | 2650 OCEAN PKWY, #12B, SUITE #1A, BROOKLYN, NY, United States, 11235 |
| Principal Address: | 1901 AVE P, SUITE #1A, BROOKLYN, NY, United States, 11229 |
Contact Details
Phone +1 718-382-5060
Phone +1 718-743-5555
Phone +1 718-280-1920
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| IRINA KIBLITSKY | Chief Executive Officer | 1901 AVE P, SUITE #1A, BROOKLYN, NY, United States, 11229 |
| Name | Role | Address |
|---|---|---|
| REVIVED SOUL MEDICAL P.C. | DOS Process Agent | 2650 OCEAN PKWY, #12B, SUITE #1A, BROOKLYN, NY, United States, 11235 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2023-10-30 | 2023-10-30 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2023-10-30 | 2024-03-27 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2023-01-06 | 2023-10-30 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2022-03-23 | 2023-01-06 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2021-08-23 | 2022-03-23 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2011-01-04 | 2021-08-23 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2011-01-04 | 2013-01-24 | Address | 2650 OCEAN PKWY, #12B, BROOKLYN, NY, 11235, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 190729060355 | 2019-07-29 | BIENNIAL STATEMENT | 2019-01-01 |
| 170921006199 | 2017-09-21 | BIENNIAL STATEMENT | 2017-01-01 |
| 130124006003 | 2013-01-24 | BIENNIAL STATEMENT | 2013-01-01 |
| 110104000638 | 2011-01-04 | CERTIFICATE OF INCORPORATION | 2011-01-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7033597103 | 2020-04-14 | 0202 | PPP | 1329 E. 17th St. Unit 1, BROOKLYN, NY, 11230-6052 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6698788402 | 2021-02-10 | 0202 | PPS | 1329 E 17th St Unit 1, Brooklyn, NY, 11230-6052 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Mar 2025
Sources: New York Secretary of State
