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  5. ACADEMIC MEDICINE SERVICES, INC.

ACADEMIC MEDICINE SERVICES, INC.

Company Details

Name: ACADEMIC MEDICINE SERVICES, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION)
Status: Active
Date of registration: 08 Feb 1994 (31 years ago)
Entity Number: 1793771
ZIP code: 14215
County: Erie
Place of Formation: New York
Address: 462 GRIDER STREET, BUFFALO, NY, United States, 14215

Contact Details

Phone +1 716-961-9900

Phone +1 716-748-3100

Phone +1 814-362-8732

Phone +1 315-470-8340

Phone +1 585-424-6580

Phone +1 716-694-4500

Phone +1 716-859-5600

Phone +1 716-884-9101

Phone +1 716-568-3600

Phone +1 716-878-7000

Phone +1 716-884-4371

Phone +1 716-961-9400

Phone +1 716-348-3435

Phone +1 716-278-4000

Phone +1 716-859-5437

Phone +1 716-748-2000

Phone +1 716-845-1523

Phone +1 716-681-9480

Phone +1 716-297-4800

Phone +1 716-684-0202

Phone +1 716-898-5671

Phone +1 716-898-4803

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WELFARE BENEFIT PLAN 2014 161455134 2015-07-23 ACADEMIC MEDICINE SERVICES, INC. 191
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 7169619921
Plan sponsor’s DBA name UBMD INTERNAL MEDICINE
Plan sponsor’s mailing address 4498 MAIN STREET, AMHERST, NY, 14226
Plan sponsor’s address 4498 MAIN STREET, AMHERST, NY, 14226

Number of participants as of the end of the plan year
Active participants 186
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing DEBBIE HENGST
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

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

History

Start date End date Type Value
1994-02-08 2000-06-19 Address % JAMES P. NOLAN, M.D., DEPT OF MEDICINE,462 GRIDER ST, BUFFALO, NY, 14215, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
000619000693 2000-06-19 CERTIFICATE OF AMENDMENT 2000-06-19
940208000331 1994-02-08 CERTIFICATE OF INCORPORATION 1994-02-08

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
No data IDV V528P3818 2008-01-28 No data No data
Unique Award Key CONT_IDV_V528P3818_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title GI CLINICAL SERVICES
NAICS Code 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS
Product and Service Codes Q505: GASTROENTEROLOGY SERVICES

Recipient Details
Recipient ACADEMIC MEDICINE SERVICES, INC.
UEI LCJFZKXLP2M9
Legacy DUNS 156113412
Recipient Address UNITED STATES, 3980 SHERIDAN DRIVE, SUITE 601, AMHERST, 142261727
DO AWARD V528C80081 2008-01-10 2008-01-10 2008-01-10
Unique Award Key CONT_AWD_V528C80081_3600_V528P3941_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PLACE OF PERFORMANCE - BUFFALO VA MEDICAL CENTER -
NAICS Code 621340: OFFICES OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, AND AUDIOLOGISTS
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details
Recipient ACADEMIC MEDICINE SERVICES, INC.
UEI LCJFZKXLP2M9
Legacy DUNS 156113412
Recipient Address UNITED STATES, 3980 SHERIDAN DRIVE, SUITE 601, AMHERST, 142261727
No data IDV VA528P3818 2007-12-01 No data No data
Unique Award Key CONT_IDV_VA528P3818_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title GI SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes C114: HOSPITAL BUILDINGS

Recipient Details
Recipient ACADEMIC MEDICINE SERVICES, INC.
UEI LCJFZKXLP2M9
Legacy DUNS 156113412
Recipient Address UNITED STATES, 3980 SHERIDAN DRIVE, SUITE 601, AMHERST, 142261727
PO AWARD VA528C90269 2008-10-01 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_VA528C90269_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title CLINICAL SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes C114: HOSPITAL BUILDINGS

Recipient Details
Recipient ACADEMIC MEDICINE SERVICES, INC.
UEI LCJFZKXLP2M9
Legacy DUNS 156113412
Recipient Address UNITED STATES, 3980 SHERIDAN DRIVE, SUITE 601, AMHERST, 142261727
PO AWARD VA528C90270 2008-10-01 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_VA528C90270_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title MISC. NEUROSURGERY SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes C114: HOSPITAL BUILDINGS

Recipient Details
Recipient ACADEMIC MEDICINE SERVICES, INC.
UEI LCJFZKXLP2M9
Legacy DUNS 156113412
Recipient Address UNITED STATES, 3980 SHERIDAN DRIVE, SUITE 601, AMHERST, 142261727

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
16-1455134 Corporation Unconditional Exemption 4498 MAIN ST STE 23, AMHERST, NY, 14226-3826 1995-03
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 16459355
Income Amount 46528881
Form 990 Revenue Amount 46528881
National Taxonomy of Exempt Entities Health Care: Group Health Practice (Health Maintenance Organizations)
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name ACADEMIC MEDICINE SERVICES INC
EIN 16-1455134
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name ACADEMIC MEDICINE SERVICES INC
EIN 16-1455134
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name ACADEMIC MEDICINE SERVICES INC
EIN 16-1455134
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name ACADEMIC MEDICINE SERVICES INC
EIN 16-1455134
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name ACADEMIC MEDICINE SERVICES INC
EIN 16-1455134
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name ACADEMIC MEDICINE SERVICES INC
EIN 16-1455134
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name ACADEMIC MEDICINE SERVICES INC
EIN 16-1455134
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name ACADEMIC MEDICINE SERVICES INC
EIN 16-1455134
Tax Period 201512
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5829687102 2020-04-14 0296 PPP 4498 Main Street, BUFFALO, NY, 14226-3808
Loan Status Date 2021-07-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 4313147
Loan Approval Amount (current) 4313147
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BUFFALO, ERIE, NY, 14226-3808
Project Congressional District NY-26
Number of Employees 240
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 4362659.56
Forgiveness Paid Date 2021-06-11

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Related by address

462 GRIDER STREET, BUFFALO, NY, United States, 14215

ACADEMIC HEALTH PSYCHOLOGY ASSOCIATES, P.C. ECMC FOUNDATION, INC. PREMIER HEALTH PARTNERS, P.C. SYNERGY ACQUISITIONS AND DEVELOPMENT LLC UPSTATE CARDIOTHORACIC CONSULTING, P.C. MURRAY N. ANDERSEN, M.D., P.C. WYOMING-ERIE REGIONAL EMERGENCY MEDICAL SERVICES COUNCIL, INC. UNIVERSITY FACULTY OF ANESTHESIOLOGY, P.C. UNIVERSITY MEDICINE SERVICES, P.C.

Date of last update: 15 Mar 2025

Sources: New York Secretary of State

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