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UB FAMILY MEDICINE, INC.

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Company Details

Name: UB FAMILY MEDICINE, INC.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Jul 1986 (39 years ago)
Entity Number: 1101292
ZIP code: 14215
County: Erie
Place of Formation: New York
Address: ERIE COUNTY MEDICAL CENTER, 462 GRIDER STREET, BUFFALO, NY, United States, 14215
Principal Address: 462 GRIDER ST, BUFFALO, NY, United States, 14215

Contact Details

Phone +1 716-550-8361

Phone +1 716-831-8612

Phone +1 716-859-5600

Phone +1 716-710-4399

Phone +1 716-568-3600

Phone +1 716-835-9800

Phone +1 716-688-9641

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
THOMAS C. ROSENTHAL, M.D. Chief Executive Officer 462 GRIDER STREET, BUFFALO, NY, United States, 14215

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ERIE COUNTY MEDICAL CENTER, 462 GRIDER STREET, BUFFALO, NY, United States, 14215

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
PLWFFKP6TET1
CAGE Code:
6RPP8
UEI Expiration Date:
2022-07-15

Business Information

Doing Business As:
UBMD FAMILY MEDICINE
Activation Date:
2021-06-23
Initial Registration Date:
2012-06-08

National Provider Identifier

NPI Number:
1942294467
Certification Date:
2020-03-11

Authorized Person:

Name:
HENRY W MCWILLIAMS
Role:
CFO/PLAN ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7168456699

Form 5500 Series

Employer Identification Number (EIN):
161280696
Plan Year:
2010
Number Of Participants:
114
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
119
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
97
Sponsors Telephone Number:

History

Start date End date Type Value
1995-07-05 2000-10-03 Name FAMILY MEDICINE FACULTY ASSOCIATES, INC.
1995-07-05 2000-10-03 Address ERIE COUNTY MEDICAL CENTER, 462 GRIDER STREET, BUFFALO, NY, 14215, USA (Type of address: Service of Process)
1993-03-04 1993-08-17 Address 462 GRIDER ST, BUFFALO, NY, 14215, USA (Type of address: Chief Executive Officer)
1993-03-04 1995-07-05 Address 462 GRIDER ST, BUFFALO, NY, 14215, USA (Type of address: Service of Process)
1986-07-30 1995-07-05 Name FAMILY MEDICINE FACULTY ASSOCIATES, P.C.

Filings

Filing Number Date Filed Type Effective Date
001003000383 2000-10-03 CERTIFICATE OF AMENDMENT 2000-10-03
950705000067 1995-07-05 CERTIFICATE OF REINCORPORATION 1995-07-05
930817002739 1993-08-17 BIENNIAL STATEMENT 1993-07-01
930304002356 1993-03-04 BIENNIAL STATEMENT 1992-07-01
B385891-6 1986-07-30 CERTIFICATE OF INCORPORATION 1986-07-30

USAspending Awards / Financial Assistance

Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1383075.00
Total Face Value Of Loan:
1383075.00

Tax Exempt

Employer Identification Number (EIN) :
16-1280696
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1996-02
National Taxonomy Of Exempt Entities:
Health Care: Group Health Practice (Health Maintenance Organizations)
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
1383075
Current Approval Amount:
1383075
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
1390615.6

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State