Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Monroe
    4. ›
  4. 14618
    5. ›
  5. UCVA MEDICAL LLC

UCVA MEDICAL LLC

Company Details

Name: UCVA MEDICAL LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 29 May 1998 (27 years ago)
Date of dissolution: 21 Dec 2017
Entity Number: 2264227
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 2365 S CLINTON AVE / SUITE 100, ROCHESTER, NY, United States, 14618

Contact Details

Phone +1 585-442-5320

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
571F3 Active Non-Manufacturer 2008-09-16 2024-03-11 No data No data

Contact Information
POC CHERYL MAZURKIEWICZ
Phone +1 585-784-8097
Fax +1 585-784-8160
Address 2365 CLINTON AVE S STE 100, ROCHESTER, NY, 14618 2663, 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
UCVA MEDICAL, LLC 401(K) PROFIT SHARING PLAN 2015 161553113 2016-07-19 UCVA MEDICAL, LLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5857848099
Plan sponsor’s address 2365 S CLINTON AVE STE 100, ROCHESTER, NY, 14618

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing ROBERT DAITZ
UCVA MEDICAL LLC WELFARE BENEFIT PLAN 2014 161553113 2015-07-24 UCVA MEDICAL LLC 115
File View Page
Three-digit plan number (PN) 530
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 5856410781
Plan sponsor’s mailing address 2365 SOUTH CLINTON AVE, ROCHESTER, NY, 14618
Plan sponsor’s address 2365 SOUTH CLINTON AVE, ROCHESTER, NY, 14618

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2015-07-24
Name of individual signing ROBERT DAITZ
Valid signature Filed with authorized/valid electronic signature
UCVA MEDICAL LLC DISABILITY AND LIFE BENEFIT PLAN 2013 161553113 2014-10-10 UCVA MEDICAL LLC 86
File View Page
Three-digit plan number (PN) 531
Effective date of plan 1999-01-01
Business code 621112
Sponsor’s telephone number 5856410781
Plan sponsor’s mailing address 2365 SOUTH CLINTON AVE, SUITE 100, ROCHESTER, NY, 14618
Plan sponsor’s address 2365 SOUTH CLINTON AVE, SUITE 100, ROCHESTER, NY, 14618

Number of participants as of the end of the plan year
Active participants 121
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing ROBERT DAITZ
Valid signature Filed with authorized/valid electronic signature
UCVA MEDICAL LLC WELFARE BENEFIT PLAN 2013 161553113 2014-10-10 UCVA MEDICAL LLC 0
File View Page
Three-digit plan number (PN) 530
Effective date of plan 2013-01-01
Business code 621112
Sponsor’s telephone number 5856410781
Plan sponsor’s mailing address 2365 SOUTH CLINTON AVENUE, ROCHESTER, NY, 14618
Plan sponsor’s address 2365 SOUTH CLINTON AVENUE, ROCHESTER, NY, 14618

Number of participants as of the end of the plan year
Active participants 115
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing ROBERT DAITZ
Valid signature Filed with authorized/valid electronic signature
UCVA MEDICAL LLC DISABILITY AND LIFE BENEFIT PLAN 2012 161553113 2014-10-10 UCVA MEDICAL LLC 116
File View Page
Three-digit plan number (PN) 531
Effective date of plan 1999-01-01
Business code 621112
Sponsor’s telephone number 5856410781
Plan sponsor’s mailing address 2365 SOUTH CLINTON AVE, SUITE 100, ROCHESTER, NY, 14618
Plan sponsor’s address 2365 SOUTH CLINTON AVE, SUITE 100, ROCHESTER, NY, 14618

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing ROBERT DAITZ
Valid signature Filed with authorized/valid electronic signature
UCVA MEDICAL LLC DISABILITY AND LIFE BENEFIT PLAN 2011 161553113 2014-10-10 UCVA MEDICAL LLC 116
File View Page
Three-digit plan number (PN) 531
Effective date of plan 1999-01-01
Business code 621112
Sponsor’s telephone number 5856410781
Plan sponsor’s mailing address 2365 SOUTH CLINTON AVE, SUITE 100, ROCHESTER, NY, 14618
Plan sponsor’s address 2365 SOUTH CLINTON AVE, SUITE 100, ROCHESTER, NY, 14618

Plan administrator’s name and address
Administrator’s EIN 161553113
Plan administrator’s name UCVA MEDICAL LLC
Plan administrator’s address 2365 SOUTH CLINTON AVE, SUITE 100, ROCHESTER, NY, 14618
Administrator’s telephone number 5856410781

Number of participants as of the end of the plan year
Active participants 116
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing ROBERT DAITZ
Valid signature Filed with authorized/valid electronic signature
UCVA MEDICAL LLC DISABILITY AND LIFE BENEFIT PLAN 2010 161553113 2014-10-10 UCVA MEDICAL LLC 121
File View Page
Three-digit plan number (PN) 531
Effective date of plan 1999-01-01
Business code 621112
Sponsor’s telephone number 5856410781
Plan sponsor’s mailing address 2365 SOUTH CLINTON AVE, SUITE 100, ROCHESTER, NY, 14618
Plan sponsor’s address 2365 SOUTH CLINTON AVE, SUITE 100, ROCHESTER, NY, 14618

Plan administrator’s name and address
Administrator’s EIN 161553113
Plan administrator’s name UCVA MEDICAL LLC
Plan administrator’s address 2365 SOUTH CLINTON AVE, SUITE 100, ROCHESTER, NY, 14618
Administrator’s telephone number 5856410781

Number of participants as of the end of the plan year
Active participants 116
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing ROBERT DAITZ
Valid signature Filed with authorized/valid electronic signature
UCVA MEDICAL, LLC 401(K) PROFIT SHARING PLAN 2010 161553113 2011-10-04 UCVA MEDICAL, LLC 106
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5857848099
Plan sponsor’s address 2365 S CLINTON AVE STE 100, ROCHESTER, NY, 14618

Plan administrator’s name and address
Administrator’s EIN 161553113
Plan administrator’s name UCVA MEDICAL, LLC
Plan administrator’s address 2365 S CLINTON AVE STE 100, ROCHESTER, NY, 14618
Administrator’s telephone number 5857848099

Signature of
Role Plan administrator
Date 2011-10-04
Name of individual signing ROBERT DAITZ
UCVA MEDICAL, LLC 401(K) PROFIT SHARING PLAN 2009 161553113 2010-10-03 UCVA MEDICAL, LLC 84
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 5857848099
Plan sponsor’s address 2365 S CLINTON AVE STE 100, ROCHESTER, NY, 14618

Plan administrator’s name and address
Administrator’s EIN 161553113
Plan administrator’s name UCVA MEDICAL, LLC
Plan administrator’s address 2365 S CLINTON AVE STE 100, ROCHESTER, NY, 14618
Administrator’s telephone number 5857848099

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing ROBERT DAITZ

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2365 S CLINTON AVE / SUITE 100, ROCHESTER, NY, United States, 14618

History

Start date End date Type Value
2002-08-23 2006-06-09 Name UNIVERSITY CARDIOVASCULAR ASSOCIATES, LLC
2002-08-23 2004-06-02 Address 2400 CLINTON AVE.SO., BUILDING H, SUITE 150, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)
2002-05-15 2002-08-23 Address CARDIOVASCULAR ASSOCIATES, 2400 S CLINTON AVE/BLDG H/#150, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)
2000-05-16 2002-05-15 Address 2400 S. CLINTON AVE., BLDG C SUITE 150, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)
1998-05-29 2002-08-23 Name VARON CARDIOLOGY, LLC
1998-05-29 2000-05-16 Address 2237 CLINTON AVENUE SOUTH, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
171221000329 2017-12-21 CERTIFICATE OF DISSOLUTION 2017-12-21
160711006042 2016-07-11 BIENNIAL STATEMENT 2016-05-01
140505007291 2014-05-05 BIENNIAL STATEMENT 2014-05-05
100607002944 2010-06-07 BIENNIAL STATEMENT 2010-05-01
080512002201 2008-05-12 BIENNIAL STATEMENT 2008-05-01
060609000779 2006-06-09 CERTIFICATE OF AMENDMENT 2006-06-09
060516002518 2006-05-16 BIENNIAL STATEMENT 2006-05-01
040602002546 2004-06-02 BIENNIAL STATEMENT 2004-05-01
020823000745 2002-08-23 CERTIFICATE OF AMENDMENT 2002-08-23
020515002020 2002-05-15 BIENNIAL STATEMENT 2002-05-01

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD VA528C82129 2008-08-01 2009-02-01 2009-02-01
Unique Award Key CONT_AWD_VA528C82129_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title CARDIOLOGY SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient UCVA MEDICAL LLC
UEI LQLNKZ6P6881
Legacy DUNS 884624313
Recipient Address UNITED STATES, 2365 S CLINTON AVE S STE C150, ROCHESTER, 146182663
PO AWARD VA528C92022 2008-10-01 2008-12-31 2009-03-31
Unique Award Key CONT_AWD_VA528C92022_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title CARDIOLOGY SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient UCVA MEDICAL LLC
UEI LQLNKZ6P6881
Legacy DUNS 884624313
Recipient Address UNITED STATES, 2365 S CLINTON AVE S STE C150, ROCHESTER, 146182663
No data IDV VA528P0698 2010-08-18 No data No data
Unique Award Key CONT_IDV_VA528P0698_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 973747.84

Description
Title CARDIOLOGY SERVICES ROPC
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient UCVA MEDICAL LLC
UEI LQLNKZ6P6881
Recipient Address UNITED STATES, 2365 S CLINTON AVE S STE C150, ROCHESTER, MONROE, NEW YORK, 146182663
DO AWARD VA528C02115 2010-02-16 2013-02-28 2013-08-31
Unique Award Key CONT_AWD_VA528C02115_3600_VA528P0698_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title CARDIOLOGY SERVICES ROPC
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient UCVA MEDICAL LLC
UEI LQLNKZ6P6881
Legacy DUNS 884624313
Recipient Address UNITED STATES, 2365 S CLINTON AVE S STE C150, ROCHESTER, 146182663
PO AWARD VA528C02049 2009-10-01 2010-02-28 2010-03-31
Unique Award Key CONT_AWD_VA528C02049_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title CARDIOLOGY SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient UCVA MEDICAL LLC
UEI LQLNKZ6P6881
Legacy DUNS 884624313
Recipient Address UNITED STATES, 2365 S CLINTON AVE S STE C150, ROCHESTER, 146182663
DO AWARD VA528C12046 2010-10-17 2013-02-28 2013-08-31
Unique Award Key CONT_AWD_VA528C12046_3600_VA528P0698_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title CARDIOLOGY SERVICES ROPC
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient UCVA MEDICAL LLC
UEI LQLNKZ6P6881
Legacy DUNS 884624313
Recipient Address UNITED STATES, 2365 S CLINTON AVE S STE C150, ROCHESTER, 146182663

Related by officers

THE LLC

HITTERZZ, LLC PLJ PROPERTIES, LLC 7119 20TH AVE. LLC THE TALLY-HO INN, LLC HAGOP TANKIAN LLC NEXIS REALTY GROUP, LLC KILBORN LLC BKN PROPERTIES, LLC COTTON TEES, LLC PLAYDATE 4 YOU LLC

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: New York Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 bizyork.com, Part of Big Data Integrated