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  5. AMHERST PEDIATRIC ASSOCIATES, P.C.

AMHERST PEDIATRIC ASSOCIATES, P.C.

Company Details

Name: AMHERST PEDIATRIC ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jan 1986 (39 years ago)
Entity Number: 1128354
ZIP code: 14221
County: Erie
Place of Formation: New York
Address: 25 Hopkins Road, Williamsville, NY, United States, 14221
Principal Address: 38 Middlebury Road, Orchard Park, NY, United States, 14127

Contact Details

Phone +1 716-632-2729

Shares Details

Shares issued 40000

Share Par Value 1

Type PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMHERST PEDIATRIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2012 161260921 2013-05-21 AMHERST PEDIATRIC ASSOCIATES P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 7166328050
Plan sponsor’s mailing address 25 HOPKINS ROAD, WILLIAMSVILLE, NY, 14221
Plan sponsor’s address 25 HOPKINS ROAD, WILLIAMSVILLE, NY, 14221

Plan administrator’s name and address
Administrator’s EIN 161260921
Plan administrator’s name AMHERST PEDIATRIC ASSOCIATES P.C.
Plan administrator’s address 25 HOPKINS ROAD, WILLIAMSVILLE, NY, 14221
Administrator’s telephone number 7166328050

Number of participants as of the end of the plan year
Active participants 27
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 30
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2013-05-21
Name of individual signing KALISTA COZZA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-21
Name of individual signing KALISTA COZZA
Valid signature Filed with authorized/valid electronic signature
Role DFE
Date 2013-05-21
Name of individual signing KALISTA COZZA
Valid signature Filed with authorized/valid electronic signature
AMHERST PEDIATRIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2011 161260921 2012-09-19 AMHERST PEDIATRIC ASSOCIATES P.C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 7166328050
Plan sponsor’s mailing address 25 HOPKINS ROAD, WILLIAMSVILLE, NY, 14221
Plan sponsor’s address 25 HOPKINS ROAD, WILLIAMSVILLE, NY, 14221

Plan administrator’s name and address
Administrator’s EIN 161260921
Plan administrator’s name AMHERST PEDIATRIC ASSOCIATES P.C.
Plan administrator’s address 25 HOPKINS ROAD, WILLIAMSVILLE, NY, 14221
Administrator’s telephone number 7166328050

Number of participants as of the end of the plan year
Active participants 25
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 29
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-09-19
Name of individual signing KALISTA COZZA
Valid signature Filed with authorized/valid electronic signature
AMHERST PEDIATRIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2010 161260921 2011-10-07 AMHERST PEDIATRIC ASSOCIATES P.C. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 7166328050
Plan sponsor’s mailing address 25 HOPKINS ROAD, WILLIAMSVILLE, NY, 14221
Plan sponsor’s address 25 HOPKINS ROAD, WILLIAMSVILLE, NY, 14221

Plan administrator’s name and address
Administrator’s EIN 161260921
Plan administrator’s name AMHERST PEDIATRIC ASSOCIATES P.C.
Plan administrator’s address 25 HOPKINS ROAD, WILLIAMSVILLE, NY, 14221
Administrator’s telephone number 7166328050

Number of participants as of the end of the plan year
Active participants 27
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 29
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-07
Name of individual signing RACHEL KOEPKA
Valid signature Filed with authorized/valid electronic signature
AMHERST PEDIATRIC ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2009 161260921 2010-10-05 AMHERST PEDIATRIC ASSOCIATES P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 7166328050
Plan sponsor’s mailing address 25 HOPKINS ROAD, WILLIAMSVILLE, NY, 14221
Plan sponsor’s address 25 HOPKINS ROAD, WILLIAMSVILLE, NY, 14221

Plan administrator’s name and address
Administrator’s EIN 161260921
Plan administrator’s name AMHERST PEDIATRIC ASSOCIATES P.C.
Plan administrator’s address 25 HOPKINS ROAD, WILLIAMSVILLE, NY, 14221
Administrator’s telephone number 7166328050

Number of participants as of the end of the plan year
Active participants 29
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 32
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing RACHEL KOEPKA
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
AMHERST PEDIATRIC ASSOCIATES, P.C. DOS Process Agent 25 Hopkins Road, Williamsville, NY, United States, 14221

Chief Executive Officer

Name Role Address
NGA LE, MD Chief Executive Officer 25 HOPKINS ROAD, WILLIAMSVILLE, NY, United States, 14221

History

Start date End date Type Value
2023-12-26 2024-04-19 Shares Share type: PAR VALUE, Number of shares: 40000, Par value: 1
1986-01-02 2023-12-26 Shares Share type: PAR VALUE, Number of shares: 40000, Par value: 1
1986-01-02 2023-12-26 Address & GOODYEAR, 1 M & T PLZ STE 1800, BUFFALO, NY, 14203, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231226003223 2023-12-26 BIENNIAL STATEMENT 2023-12-26
B305881-7 1986-01-02 CERTIFICATE OF INCORPORATION 1986-01-02

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: New York Secretary of State

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