| Name: | WELLSPRING PHYSICIAN, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 12 Aug 2014 (11 years ago) |
| Entity Number: | 4620582 |
| ZIP code: | 12207 |
| County: | Nassau |
| Place of Formation: | New York |
| Address: | 80 STATE STREET, ALBANY, NY, United States, 12207 |
| Principal Address: | 309 N. WASHINGTON AVENUE, SUITE 13, BRYAN, TX, United States, 77803 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | DOS Process Agent | 80 STATE STREET, ALBANY, NY, United States, 12207 |
| Name | Role | Address |
|---|---|---|
| ANKUSH KUMAR BANSAL, M.D. | Chief Executive Officer | 309 N. WASHINGTON AVENUE, SUITE 13, BRYAN, TX, United States, 77803 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2024-11-04 | 2024-11-04 | Address | 309 N. WASHINGTON AVENUE, SUITE 13, BRYAN, TX, 77803, USA (Type of address: Chief Executive Officer) |
| 2020-08-13 | 2024-11-04 | Address | 80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process) |
| 2018-08-01 | 2024-11-04 | Address | 309 N. WASHINGTON AVENUE, SUITE 13, BRYAN, TX, 77803, USA (Type of address: Chief Executive Officer) |
| 2016-08-22 | 2018-08-01 | Address | 219 N. MAIN STREET, FIFTH FLOOR, BRYAN, TX, 77803, USA (Type of address: Principal Executive Office) |
| 2016-08-22 | 2018-08-01 | Address | 219 N. MAIN STREET, FIFTH FLOOR, BRYAN, TX, 77803, USA (Type of address: Chief Executive Officer) |
| 2014-08-12 | 2024-11-04 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 2014-08-12 | 2020-08-13 | Address | 80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 241104001881 | 2024-11-04 | BIENNIAL STATEMENT | 2024-11-04 |
| 220830001129 | 2022-08-30 | BIENNIAL STATEMENT | 2022-08-01 |
| 200813060135 | 2020-08-13 | BIENNIAL STATEMENT | 2020-08-01 |
| 180801007007 | 2018-08-01 | BIENNIAL STATEMENT | 2018-08-01 |
| 160822006270 | 2016-08-22 | BIENNIAL STATEMENT | 2016-08-01 |
| 140812000443 | 2014-08-12 | CERTIFICATE OF INCORPORATION | 2014-08-12 |
Date of last update: 25 Mar 2025
Sources: New York Secretary of State
