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KEITH M. BLECHMAN, M.D., P.C.

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Company Details

Name: KEITH M. BLECHMAN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Aug 2013 (12 years ago)
Entity Number: 4445904
ZIP code: 12207
County: New York
Place of Formation: New York
Address: 80 state street, ALBANY, NY, United States, 12207
Principal Address: 800A Fifth Ave, Suite 300, New York, NY, United States, 10065

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O CORPORATION SERVICE COMPANY DOS Process Agent 80 state street, ALBANY, NY, United States, 12207

Chief Executive Officer

Name Role Address
KEITH BLECHMAN Chief Executive Officer 800A FIFTH AVE, SUITE 300, NEW YORK, NY, United States, 10065

National Provider Identifier

NPI Number:
1093104473
Certification Date:
2023-02-21

Authorized Person:

Name:
KEITH M. BLECHMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6042823037

Form 5500 Series

Employer Identification Number (EIN):
463594048
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:

History

Start date End date Type Value
2023-08-22 2023-08-22 Address 800A FIFTH AVE, SUITE 300, NEW YORK, NY, 10065, USA (Type of address: Chief Executive Officer)
2022-03-04 2023-08-22 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
2022-03-04 2023-08-22 Address 800A FIFTH AVE, SUITE 300, NEW YORK, NY, 10065, USA (Type of address: Chief Executive Officer)
2022-03-04 2023-08-22 Address 80 state street, ALBANY, NY, 12207, USA (Type of address: Service of Process)
2013-08-15 2022-03-04 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
230822000794 2023-08-22 BIENNIAL STATEMENT 2023-08-01
220304002107 2022-03-04 CERTIFICATE OF CHANGE BY ENTITY 2022-03-04
210713000606 2021-07-13 BIENNIAL STATEMENT 2021-07-13
130815000207 2013-08-15 CERTIFICATE OF INCORPORATION 2013-08-15

USAspending Awards / Financial Assistance

Date:
2015-07-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
70000.00
Total Face Value Of Loan:
70000.00

Trademarks Section

Serial Number:
90187658
Mark:
GENDERPLASTY
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2020-09-17
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
GENDERPLASTY

Goods And Services

For:
Medical services, namely, surgical procedures in the field of plastic and reconstructive surgery
First Use:
2022-03-28
International Classes:
044 - Primary Class
Class Status:
Active

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$81,537.09
Date Approved:
2021-02-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$81,537.09
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$82,345.76
Servicing Lender:
Square Capital, LLC
Use of Proceeds:
Payroll: $81,537.09
Jobs Reported:
4
Initial Approval Amount:
$81,537.09
Date Approved:
2020-05-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$81,537.09
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$82,321.19
Servicing Lender:
Square Capital, LLC
Use of Proceeds:
Payroll: $61,152.81
Utilities: $10,192.14
Mortgage Interest: $10,192.14

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State