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  5. UNIVERSITY EMERGENCY MEDICAL SERVICES, INC.

UNIVERSITY EMERGENCY MEDICAL SERVICES, INC.

Company Details

Name: UNIVERSITY EMERGENCY MEDICAL SERVICES, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION)
Status: Active
Date of registration: 26 Jan 1996 (29 years ago)
Entity Number: 1993850
ZIP code: 14215
County: Erie
Place of Formation: New York
Address: C/O ERIE COUNTY MEDICAL CENTER, 462 GRIDER STREET, BUFFALO, NY, United States, 14215

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
DN3ELCWBQJS7 2024-07-19 77 GOODELL ST, STE 340, BUFFALO, NY, 14203, 1243, USA 77 GOODELL STREET, STE 340, BUFFALO, NY, 14203, 1243, USA

Business Information
Congressional District 26
State/Country of Incorporation NY, USA
Activation Date 2023-07-24
Initial Registration Date 2009-12-02
Entity Start Date 1996-01-26
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JACQUELINE OLAY
Address 77 GOODELL STREET, BUFFALO, NY, 14203, USA
Title ALTERNATE POC
Name CHRISTINE CAPLIK
Address 77 GOODELL STREET STE 340, BUFFALO, NY, 14203, 3021, USA
Government Business
Title PRIMARY POC
Name JACQUELINE OLAY
Address 77 GOODELL STREET, BUFFALO, NY, 14203, USA
Title ALTERNATE POC
Name CHRISTINE CAPLIK
Address 77 GOODELL STREET STE 340, BUFFALO, NY, 14203, 3021, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
5TL15 Active Non-Manufacturer 2009-12-09 2024-06-03 2029-06-03 2025-05-30

Contact Information
POC JACQUELINE OLAY
Phone +1 716-645-9708
Fax +1 716-645-9701
Address 77 GOODELL ST, BUFFALO, NY, 14203 1243, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY EMERGENCY MEDICAL SERVICES, INC. DEFERRED COMPENSATION PLAN 2018 161494924 2019-03-13 UNIVERSITY EMERGENCY MEDICAL SERVICES INC. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168985925
Plan sponsor’s address 462 GRIDER STREET, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2019-03-13
Name of individual signing JEFF POKERWINSKI
Role Employer/plan sponsor
Date 2019-03-13
Name of individual signing JEFF POKERWINSKI
UNIVERSITY EMERGENCY MEDICAL SERVICES, INC. DEFERRED COMPENSATION PLAN 2017 161494924 2018-07-26 UNIVERSITY EMERGENCY MEDICAL SERVICES INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168985925
Plan sponsor’s address 462 GRIDER STREET, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing JEFF POKERWINSKI
Role Employer/plan sponsor
Date 2018-07-26
Name of individual signing JEFF POKERWINSKI
UNIVERSITY EMERGENCY MEDICAL SERVICES, INC. DEFERRED COMPENSATION PLAN 2016 161494924 2017-07-25 UNIVERSITY EMERGENCY MEDICAL SERVICES INC. 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168985925
Plan sponsor’s address 462 GRIDER STREET, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing JEFF POKERWINSKI
Role Employer/plan sponsor
Date 2017-07-25
Name of individual signing JEFF POKERWINSKI
UNIVERSITY EMERGENCY MEDICAL SERVICES, INC. DEFERRED COMPENSATION PLAN 2015 161494924 2016-07-08 UNIVERSITY EMERGENCY MEDICAL SERVICES INC. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168985925
Plan sponsor’s address 462 GRIDER STREET, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing JEFF POKERWINSKI
Role Employer/plan sponsor
Date 2016-07-05
Name of individual signing JEFF POKERWINSKI
UNIVERSITY EMERGENCY MEDICAL SERVICES, INC. DEFERRED COMPENSATION PLAN 2014 161494924 2015-07-16 UNIVERSITY EMERGENCY MEDICAL SERVICES INC. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168985925
Plan sponsor’s address 462 GRIDER STREET, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing JEFF POKERWINSKI
Role Employer/plan sponsor
Date 2015-07-16
Name of individual signing JEFF POKERWINSKI
UNIVERSITY EMERGENCY MEDICAL SERVICES, INC. DEFERRED COMPENSATION PLAN 2013 161494924 2014-07-23 UNIVERSITY EMERGENCY MEDICAL SERVICES INC. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168985925
Plan sponsor’s address 462 GRIDER STREET, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2014-07-23
Name of individual signing JEFF POKERWINSKI
Role Employer/plan sponsor
Date 2014-07-23
Name of individual signing JEFF POKERWINSKI
UNIVERSITY EMERGENCY MEDICAL SERVICES, INC. DEFERRED COMPENSATION PLAN 2012 161494924 2013-06-27 UNIVERSITY EMERGENCY MEDICAL SERVICES INC. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168985925
Plan sponsor’s address 462 GRIDER STREET, BUFFALO, NY, 14215

Signature of
Role Plan administrator
Date 2013-06-27
Name of individual signing JEFF POKERWINSKI
Role Employer/plan sponsor
Date 2013-06-27
Name of individual signing JEFF POKERWINSKI
UNIVERSITY EMERGENCY MEDICAL SERVICES, INC. DEFERRED COMPENSATION PLAN 2011 161494924 2012-06-06 UNIVERSITY EMERGENCY MEDICAL SERVICES INC. 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168985925
Plan sponsor’s address 462 GRIDER STREET, BUFFALO, NY, 14215

Plan administrator’s name and address
Administrator’s EIN 161494924
Plan administrator’s name UNIVERSITY EMERGENCY MEDICAL SERVIC
Plan administrator’s address 462 GRIDER STREET, BUFFALO, NY, 14215
Administrator’s telephone number 7168985925

Signature of
Role Plan administrator
Date 2012-06-06
Name of individual signing JEFF POKERWINSKI
Role Employer/plan sponsor
Date 2012-06-06
Name of individual signing JEFF POKERWINSKI
UNIVERSITY EMERGENCY MEDICAL SERVICES, INC. DEFERRED COMPENSATION PLAN 2010 161494924 2011-06-14 UNIVERSITY EMERGENCY MEDICAL SERVICES INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168985925
Plan sponsor’s address 462 GRIDER STREET, BUFFALO, NY, 14215

Plan administrator’s name and address
Administrator’s EIN 161494924
Plan administrator’s name UNIVERSITY EMERGENCY MEDICAL SERVIC
Plan administrator’s address 462 GRIDER STREET, BUFFALO, NY, 14215
Administrator’s telephone number 7168985925

Signature of
Role Plan administrator
Date 2011-06-14
Name of individual signing JEFF POKERWINSKI
Role Employer/plan sponsor
Date 2011-06-14
Name of individual signing JEFF POKERWINSKI
UNIVERSITY EMERGENCY MEDICAL SERVICES, INC. DEFERRED COMPENSATION PLAN 2009 161494924 2010-07-26 UNIVERSITY EMERGENCY MEDICAL SERVICES INC. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168985925
Plan sponsor’s address 462 GRIDER STREET, BUFFALO, NY, 14215

Plan administrator’s name and address
Administrator’s EIN 161494924
Plan administrator’s name UNIVERSITY EMERGENCY MEDICAL SERVIC
Plan administrator’s address 462 GRIDER STREET, BUFFALO, NY, 14215
Administrator’s telephone number 7168985925

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing JEFF POKERWINSKI
Role Employer/plan sponsor
Date 2010-07-26
Name of individual signing JEFF POKERWINSKI

DOS Process Agent

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

History

Start date End date Type Value
1996-01-26 2000-06-19 Address 462 GRIDER STREET, BUFFALO, NY, 14215, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
000619000737 2000-06-19 CERTIFICATE OF AMENDMENT 2000-06-19
960126000111 1996-01-26 CERTIFICATE OF INCORPORATION 1996-01-26

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DO AWARD VA52812J0758 2012-04-16 2012-10-15 2013-04-15
Unique Award Key CONT_AWD_VA52812J0758_3600_VA52812D0085_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title OT-EMERGENCY ROOM OPERATIONS AND STAFFING OF PHYSICIANS AND MIDLEVEL PROVIDERS
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q201: MEDICAL- GENERAL HEALTH CARE

Recipient Details
Recipient UNIVERSITY EMERGENCY MEDICAL SERVICES INC
UEI DN3ELCWBQJS7
Legacy DUNS 007838209
Recipient Address UNITED STATES, 462 GRIDER ST, BUFFALO, 142153021
No data IDV VA52812D0085 2012-04-16 No data No data
Unique Award Key CONT_IDV_VA52812D0085_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title EMERGENCY DEPARTMENT OPERATIONS AND STAFFING OF PHYICIANS/MID-LEVEL PROVIDERS FOR THE BUFFALO VA MEDICAL CENTER.
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q201: MEDICAL- GENERAL HEALTH CARE

Recipient Details
Recipient UNIVERSITY EMERGENCY MEDICAL SERVICES INC
UEI DN3ELCWBQJS7
Legacy DUNS 007838209
Recipient Address UNITED STATES, 462 GRIDER ST, BUFFALO, 142153021
DEFINITIVE CONTRACT AWARD 36C24220C0072 2020-03-01 2024-02-29 2025-02-28
Unique Award Key CONT_AWD_36C24220C0072_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 18969012.36
Current Award Amount 18969012.36
Potential Award Amount 22316983.94

Description
Title BOARD CERTIFIED/BOARD ELIGIBLE EMERGENCY DEPARTMENT PHYSICIAN AND ADVANCED PRACTICE PROVIDER SERVICES ON BEHALF OF THE VA WESTERN NEW YORK HEALTHCARE SYSTEM AT BUFFALO - DECREASE EXCESS FUNDS
NAICS Code 611310: COLLEGES, UNIVERSITIES, AND PROFESSIONAL SCHOOLS
Product and Service Codes Q201: MEDICAL- MANAGED HEALTHCARE

Recipient Details
Recipient UNIVERSITY EMERGENCY MEDICAL SERVICES INC
UEI DN3ELCWBQJS7
Recipient Address UNITED STATES, 100 HIGH ST, BUFFALO, ERIE, NEW YORK, 142151126

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
16-1494924 Corporation Unconditional Exemption 77 GOODELL ST STE 340, BUFFALO, NY, 14203-1243 1996-09
In Care of Name % JEFFREY POKERWINSKI ADM
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 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 16079293
Income Amount 71170544
Form 990 Revenue Amount 71170544
National Taxonomy of Exempt Entities -
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 UNIVERSITY EMERGENCY MEDICAL SERVICES INC
EIN 16-1494924
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY EMERGENCY MEDICAL SVCV INC
EIN 16-1494924
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY EMERGENCY MEDICAL SVCV INC
EIN 16-1494924
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY EMERGENCY MEDICAL SVCV INC
EIN 16-1494924
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name UNIVERSITY EMERGENCY MEDICAL SVCV INC
EIN 16-1494924
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name UNIVERSITY EMERGENCY MEDICAL SVCV INC
EIN 16-1494924
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY EMERGENCY MEDICAL SVCV INC
EIN 16-1494924
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
8408667102 2020-04-15 0296 PPP 77 Goodell Street Suite 340, Buffalo, NY, 14203
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) 4231995
Loan Approval Amount (current) 4231995
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 Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Buffalo, ERIE, NY, 14203-1000
Project Congressional District NY-26
Number of Employees 190
NAICS code 624230
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 4279996.26
Forgiveness Paid Date 2021-06-10

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Related by address

C/O ERIE COUNTY MEDICAL CENTER, 462 GRIDER STREET, BUFFALO, NY, United States, 14215

UNIVERSITY AT BUFFALO SURGEONS, INC. UNIVERSITY PSYCHIATRIC PRACTICE, INC.

Date of last update: 14 Mar 2025

Sources: New York Secretary of State

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