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  5. FAMILY CARE MEDICINE, P.C.

FAMILY CARE MEDICINE, P.C.

Company Details

Name: FAMILY CARE MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Sep 1997 (27 years ago)
Entity Number: 2179242
ZIP code: 14221
County: Erie
Place of Formation: New York
Address: 78 STONEY BROOK LANE, WILLIAMSVILLE, NY, United States, 14221
Principal Address: 1208 NIAGARA FALLS BLVD., TONAWANDA, NY, United States, 14150

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
FAMILY CARE MEDICINE, PC 401(K) PLAN 2014 161536603 2015-10-06 FAMILY CARE MEDICINE, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-04-01
Business code 621111
Sponsor’s telephone number 7168332200
Plan sponsor’s address 1208 NIAGARA FALLS BLVD, TONAWANDA, NY, 14150

Plan administrator’s name and address
Administrator’s EIN 161389816
Plan administrator’s name FEELEY, BONAVENTURA, & HYZY,CPAS,PC
Plan administrator’s address 5695 MAIN STREET, WILLIAMSVILLE, NY, 14221
Administrator’s telephone number 7166320606

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing JAMES PANZARELLA
FAMILY CARE MEDICINE, PC 401(K) PLAN 2013 161536603 2014-05-19 FAMILY CARE MEDICINE, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-04-01
Business code 621111
Sponsor’s telephone number 7168332200
Plan sponsor’s address 1208 NIAGARA FALLS BLVD, TONAWANDA, NY, 14150

Plan administrator’s name and address
Administrator’s EIN 161389816
Plan administrator’s name FEELEY, BONAVENTURA, & HYZY,CPAS,PC
Plan administrator’s address 5695 MAIN STREET, WILLIAMSVILLE, NY, 14221
Administrator’s telephone number 7166320606

Signature of
Role Plan administrator
Date 2014-03-19
Name of individual signing THOMAS D HYZY
Role Employer/plan sponsor
Date 2014-05-16
Name of individual signing JAMES PANZARELLA
FAMILY CARE MEDICINE, PC 401(K) PLAN 2012 161536603 2013-06-03 FAMILY CARE MEDICINE, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-04-01
Business code 621111
Sponsor’s telephone number 7168332200
Plan sponsor’s address 1208 NIAGARA FALLS BLVD, TONAWANDA, NY, 14150

Plan administrator’s name and address
Administrator’s EIN 161389816
Plan administrator’s name FEELEY, BONAVENTURA, & HYZY,CPAS,PC
Plan administrator’s address 5695 MAIN STREET, WILLIAMSVILLE, NY, 14221
Administrator’s telephone number 7166320606

Signature of
Role Plan administrator
Date 2013-05-22
Name of individual signing THOMAS D HYZY
Role Employer/plan sponsor
Date 2013-05-29
Name of individual signing JAMES PANZARELLA
FAMILY CARE MEDICINE, PC 401(K) PLAN 2011 161536603 2012-07-02 FAMILY CARE MEDICINE, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-04-01
Business code 621111
Sponsor’s telephone number 7168332200
Plan sponsor’s address 1208 NIAGARA FALLS BLVD, TONAWANDA, NY, 14150

Plan administrator’s name and address
Administrator’s EIN 161536603
Plan administrator’s name FAMILY CARE MEDICINE, P.C.
Plan administrator’s address 1208 NIAGARA FALLS BLVD, TONAWANDA, NY, 14150
Administrator’s telephone number 7168332200

Signature of
Role Plan administrator
Date 2012-05-02
Name of individual signing THOMAS D HYZY
Role Employer/plan sponsor
Date 2012-06-29
Name of individual signing JAMES PANZARELLA
FAMILY CARE MEDICINE, PC 401(K) PLAN 2010 161536603 2011-06-06 FAMILY CARE MEDICINE, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-04-01
Business code 621111
Sponsor’s telephone number 7168332200
Plan sponsor’s address 1208 NIAGARA FALLS BLVD, TONAWANDA, NY, 14150

Plan administrator’s name and address
Administrator’s EIN 161536603
Plan administrator’s name FAMILY CARE MEDICINE, P.C.
Plan administrator’s address 1208 NIAGARA FALLS BLVD, TONAWANDA, NY, 14150
Administrator’s telephone number 7168332200

Signature of
Role Plan administrator
Date 2011-06-06
Name of individual signing THOMAS D HYZY
Role Employer/plan sponsor
Date 2011-05-02
Name of individual signing JAMES PANZARELLA
FAMILY CARE MEDICINE, PC 401(K) PLAN 2009 161536603 2010-06-14 FAMILY CARE MEDICINE, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-04-01
Business code 621111
Sponsor’s telephone number 7168332200
Plan sponsor’s address 1208 NIAGARA FALLS BLVD, TONAWANDA, NY, 14150

Plan administrator’s name and address
Administrator’s EIN 161536603
Plan administrator’s name FAMILY CARE MEDICINE, P.C.
Plan administrator’s address 1208 NIAGARA FALLS BLVD, TONAWANDA, NY, 14150
Administrator’s telephone number 7168332200

Signature of
Role Plan administrator
Date 2010-05-17
Name of individual signing THOMAS D HYZY
Role Employer/plan sponsor
Date 2010-06-14
Name of individual signing JAMES PANZARELLA

DOS Process Agent

Name Role Address
C/O JAMES J PANZARELLA DOS Process Agent 78 STONEY BROOK LANE, WILLIAMSVILLE, NY, United States, 14221

Chief Executive Officer

Name Role Address
JAMES J. PANZARELLA Chief Executive Officer 1208 NIAGARA FALLS BLVD., TONAWANDA, NY, United States, 14150

History

Start date End date Type Value
1997-09-11 2001-09-14 Address 60 FENEC LANE, EAST AMHERST, NY, 14051, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
131008002402 2013-10-08 BIENNIAL STATEMENT 2013-09-01
110920002942 2011-09-20 BIENNIAL STATEMENT 2011-09-01
090826002305 2009-08-26 BIENNIAL STATEMENT 2009-09-01
070917002236 2007-09-17 BIENNIAL STATEMENT 2007-09-01
051103003568 2005-11-03 BIENNIAL STATEMENT 2005-09-01
030919002615 2003-09-19 BIENNIAL STATEMENT 2003-09-01
010914002623 2001-09-14 BIENNIAL STATEMENT 2001-09-01
991022002450 1999-10-22 BIENNIAL STATEMENT 1999-09-01
970911000108 1997-09-11 CERTIFICATE OF INCORPORATION 1997-09-11

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: New York Secretary of State

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