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KEVIN B. KULICK, M.D., P.C.

Company Details

Name: KEVIN B. KULICK, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 13 Aug 1990 (34 years ago)
Date of dissolution: 01 Oct 2010
Entity Number: 1467801
ZIP code: 14217
County: Erie
Place of Formation: New York
Address: 3839 DELAWARE AVENUE, KENMORE, NY, United States, 14217
Principal Address: 3839 DELAWARE AVE, KENMORE, NY, United States, 14217

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KEVIN B. KULICK, M.D., P.C. MONEY PURCHASE PENSION PLAN 2010 161378623 2010-12-01 KEVIN B. KULICK, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7168742134
Plan sponsor’s address 3839 DELAWARE AVENUE, BUFFALO, NY, 14217

Plan administrator’s name and address

Administrator’s EIN 161378623
Plan administrator’s name KEVIN B. KULICK, M.D., P.C.
Plan administrator’s address 3839 DELAWARE AVENUE, BUFFALO, NY, 14217
Administrator’s telephone number 7168742134

Signature of

Role Plan administrator
Date 2010-11-30
Name of individual signing KEVIN KULICK
Role Employer/plan sponsor
Date 2010-11-30
Name of individual signing KEVIN KULICK
KEVIN B. KULICK, M.D., P.C. RETIREMENT PLAN 2010 161378623 2010-12-01 KEVIN B. KULICK, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 7168742134
Plan sponsor’s address 3839 DELAWARE AVENUE, BUFFALO, NY, 14217

Plan administrator’s name and address

Administrator’s EIN 161378623
Plan administrator’s name KEVIN B. KULICK, M.D., P.C.
Plan administrator’s address 3839 DELAWARE AVENUE, BUFFALO, NY, 14217
Administrator’s telephone number 7168742134

Signature of

Role Plan administrator
Date 2010-11-30
Name of individual signing KEVIN KULICK
Role Employer/plan sponsor
Date 2010-11-30
Name of individual signing KEVIN KULICK
KEVIN B. KULICK, M.D., P.C. MONEY PURCHASE PENSION PLAN 2009 161378623 2010-07-19 KEVIN B. KULICK, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7168742134
Plan sponsor’s address 3839 DELAWARE AVENUE, BUFFALO, NY, 14217

Plan administrator’s name and address

Administrator’s EIN 161378623
Plan administrator’s name KEVIN B. KULICK, M.D., P.C.
Plan administrator’s address 3839 DELAWARE AVENUE, BUFFALO, NY, 14217
Administrator’s telephone number 7168742134

Signature of

Role Plan administrator
Date 2010-07-17
Name of individual signing KEVIN B. KULICK
Role Employer/plan sponsor
Date 2010-07-17
Name of individual signing KEVIN B. KULICK
KEVIN B. KULICK, M.D., P.C. RETIREMENT PLAN 2009 161378623 2010-07-19 KEVIN B. KULICK, M.D., P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 7168742134
Plan sponsor’s address 3839 DELAWARE AVENUE, BUFFALO, NY, 14217

Plan administrator’s name and address

Administrator’s EIN 161378623
Plan administrator’s name KEVIN B. KULICK, M.D., P.C.
Plan administrator’s address 3839 DELAWARE AVENUE, BUFFALO, NY, 14217
Administrator’s telephone number 7168742134

Signature of

Role Plan administrator
Date 2010-07-17
Name of individual signing KEVIN B. KULICK
Role Employer/plan sponsor
Date 2010-07-17
Name of individual signing KEVIN B. KULICK

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3839 DELAWARE AVENUE, KENMORE, NY, United States, 14217

Chief Executive Officer

Name Role Address
KEVIN B. KULICK, M.D. Chief Executive Officer 3839 DELAWARE AVENUE, KENMORE, NY, United States, 14217

History

Start date End date Type Value
1993-10-21 2000-08-18 Address 3839 DELAWARE AVENUE, KENMORE, NY, 14217, 1040, USA (Type of address: Principal Executive Office)
1990-08-13 1993-10-21 Address 3839 DELAWARE AVE., KENMORE, NY, 14217, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
101001000496 2010-10-01 CERTIFICATE OF DISSOLUTION 2010-10-01
100924002770 2010-09-24 BIENNIAL STATEMENT 2010-08-01
070123002739 2007-01-23 BIENNIAL STATEMENT 2006-08-01
050131002614 2005-01-31 BIENNIAL STATEMENT 2004-08-01
030307002399 2003-03-07 BIENNIAL STATEMENT 2002-08-01
000818002264 2000-08-18 BIENNIAL STATEMENT 2000-08-01
980818002074 1998-08-18 BIENNIAL STATEMENT 1998-08-01
960823002102 1996-08-23 BIENNIAL STATEMENT 1996-08-01
931021002426 1993-10-21 BIENNIAL STATEMENT 1993-08-01
900813000055 1990-08-13 CERTIFICATE OF INCORPORATION 1990-08-13

Date of last update: 22 Jan 2025

Sources: New York Secretary of State