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CITYBLOCK HEALTH, INC.

CITYBLOCK HEALTH, INC.

Company Details

Name:	CITYBLOCK HEALTH, INC.
Jurisdiction:	New York
Legal type:	FOREIGN BUSINESS CORPORATION
Status:	Active
Date of registration:	27 Sep 2017 (7 years ago)
Entity Number:	5208873
ZIP code:	10168
County:	New York
Place of Formation:	Delaware
Principal Address:	495 Flatbush Ave., Suite C5, Brooklyn, NY, United States, 11225
Address:	122 EAST 42ND STREET, 18TH FLOOR, NEW YORK, NY, United States, 10168

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

CITYBLOCK 401(K) PLAN

2019

822839581

2020-10-15

CITYBLOCK HEALTH, INC

74

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621111
Sponsor’s telephone number	7174396961
Plan sponsor’s address	55 WATER ST, UNIT 4C, BROOKLYN, NY, 11201

Signature of

Role	Plan administrator
Date	2020-10-15
Name of individual signing	WENDY CHOW

CITYBLOCK 401(K) PLAN

2018

822839581

2019-08-09

CITYBLOCK HEALTH, INC

15

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	621111
Sponsor’s telephone number	7174396961
Plan sponsor’s address	55 WASHINGTON ST, UNIT 552, BROOKLYN, NY, 11201

DOS Process Agent

Name	Role	Address
COGENCY GLOBAL INC.	DOS Process Agent	122 EAST 42ND STREET, 18TH FLOOR, NEW YORK, NY, United States, 10168

Agent

Name	Role	Address
COGENCY GLOBAL INC.	Agent	122 EAST 42ND STREET, 18TH FLOOR, NEW YORK, NY, 10168

Chief Executive Officer

Name	Role	Address
OLUWATOYIN AJAYI	Chief Executive Officer	495 FLATBUSH AVE., SUITE C5, BROOKLYN, NY, United States, 11225

History

Start date	End date	Type	Value
2024-12-27	2024-12-27	Address	55 WATER STREET, SUITE 4C, BROOKLYN, NY, 11201, USA (Type of address: Chief Executive Officer)
2024-12-27	2024-12-27	Address	495 FLATBUSH AVE., SUITE C5, BROOKLYN, NY, 11225, USA (Type of address: Chief Executive Officer)
2023-09-01	2024-12-27	Address	28 LIBERTY STREET, NEW YORK, NY, 10005, USA (Type of address: Registered Agent)
2023-09-01	2024-12-27	Address	495 FLATBUSH AVE., SUITE C5, BROOKLYN, NY, 11225, USA (Type of address: Chief Executive Officer)
2023-09-01	2024-12-27	Address	28 LIBERTY STREET, NEW YORK, NY, 10005, USA (Type of address: Service of Process)
2023-09-01	2023-09-01	Address	55 WATER STREET, SUITE 4C, BROOKLYN, NY, 11201, USA (Type of address: Chief Executive Officer)
2023-09-01	2023-09-01	Address	495 FLATBUSH AVE., SUITE C5, BROOKLYN, NY, 11225, USA (Type of address: Chief Executive Officer)
2022-12-20	2023-09-01	Address	28 LIBERTY STREET, NEW YORK, NY, 10005, USA (Type of address: Service of Process)
2022-12-20	2022-12-20	Address	495 FLATBUSH AVE., SUITE C5, BROOKLYN, NY, 11225, USA (Type of address: Chief Executive Officer)
2022-12-20	2023-09-01	Address	55 WATER STREET, SUITE 4C, BROOKLYN, NY, 11201, USA (Type of address: Chief Executive Officer)
2022-12-20	2023-09-01	Address	28 LIBERTY STREET, NEW YORK, NY, 10005, USA (Type of address: Registered Agent)
2022-12-20	2022-12-20	Address	55 WATER STREET, SUITE 4C, BROOKLYN, NY, 11201, USA (Type of address: Chief Executive Officer)
2022-12-20	2023-09-01	Address	495 FLATBUSH AVE., SUITE C5, BROOKLYN, NY, 11225, USA (Type of address: Chief Executive Officer)
2020-06-12	2022-12-20	Address	55 WATER STREET, SUITE 4C, BROOKLYN, NY, 11201, USA (Type of address: Chief Executive Officer)
2020-06-12	2022-12-20	Address	111 EIGHTH AVENUE, 13TH FLOOR, NEW YORK, NY, 10011, USA (Type of address: Service of Process)
2017-09-27	2020-06-12	Address	10 HUDSON YARDS, 26TH FLOOR, NEW YORK, NY, 10001, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
241227001534	2024-12-10	CERTIFICATE OF CHANGE BY ENTITY	2024-12-10
230901001806	2023-09-01	BIENNIAL STATEMENT	2023-09-01
221220001352	2022-12-19	CERTIFICATE OF CHANGE BY ENTITY	2022-12-19
220901004037	2022-09-01	BIENNIAL STATEMENT	2021-09-01
200612060341	2020-06-12	BIENNIAL STATEMENT	2019-09-01
170927000460	2017-09-27	APPLICATION OF AUTHORITY	2017-09-27

Date of last update: 13 Jan 2025

Sources: New York Secretary of State