10608 97TH AVENUE, OZONE PARK, 11416, NEW YORK
					
				| Entity Name | FORM NEW YORK LLC | 
| Entity Number | 5478939 | 
| Status | ACTIVE | 
| Incorporation Date | 22nd January 2019 | 
| Dos Process Address | 3 DAKOTA DRIVE, LAKE SUCCESS, 11042, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | DUTCHESS | 
| Legal form | DOMESTIC LIMITED LIABILITY COMPANY |