| Name: | EXECUTIVE SPINE SURGERY, P.C. |
| Jurisdiction: | New York |
| Legal type: | FOREIGN PROFESSIONAL SERVICE CORPORATION |
| Status: | Inactive |
| Date of registration: | 27 Mar 2013 (12 years ago) |
| Date of dissolution: | 13 Jul 2017 |
| Entity Number: | 4379887 |
| ZIP code: | 07840 |
| County: | New York |
| Place of Formation: | New Jersey |
| Address: | 657 WILLOW GROVE ST, SUITE 402, HACKETTSTOWN, NJ, United States, 07840 |
| Principal Address: | 657 WILLOW GROVE STREET, #402, HACKETTSTOEN, NJ, United States, 07840 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 657 WILLOW GROVE ST, SUITE 402, HACKETTSTOWN, NJ, United States, 07840 |
| Name | Role | Address |
|---|---|---|
| CARL SPIVAK, MD | Chief Executive Officer | 657 WILLOW GROVE STREET, #402, HACKETTSTOWN, NJ, United States, 07840 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2013-03-27 | 2017-07-13 | Address | 657 WILLOW GROVE STREET, #402, HACKETTSTOWN, NJ, 07840, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 170713000069 | 2017-07-13 | SURRENDER OF AUTHORITY | 2017-07-13 |
| 150303006702 | 2015-03-03 | BIENNIAL STATEMENT | 2015-03-01 |
| 130327000417 | 2013-03-27 | APPLICATION OF AUTHORITY | 2013-03-27 |
Date of last update: 12 Dec 2024
Sources: New York Secretary of State
