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UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC.

Company Details

Name: UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION)
Status: Active
Date of registration: 31 May 2000 (25 years ago)
Entity Number: 2515961
ZIP code: 14215
County: Erie
Place of Formation: New York
Address: %ERIE COUNTY MEDICAL CTR #171, 462 GRIDER STREET, BUFFALO, NY, United States, 14215

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. TAX DEFERRED ANNUITY PLAN 2023 161591241 2024-10-08 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 77 GOODELL ST, SUITE 550, BUFFALO, NY, 14203

Signature of

Role Plan administrator
Date 2024-10-08
Name of individual signing BRIAN PARKER
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. RETIREMENT PLAN 2023 161591241 2024-10-08 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 77 GOODELL ST, SUITE 550, BUFFALO, NY, 14203

Signature of

Role Plan administrator
Date 2024-10-08
Name of individual signing BRIAN PARKER
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. TAX DEFERRED ANNUITY PLAN 2022 161591241 2023-09-13 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 77 GOODELL ST, SUITE 550, BUFFALO, NY, 14203

Signature of

Role Plan administrator
Date 2023-09-13
Name of individual signing STACEY WATT
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. RETIREMENT PLAN 2022 161591241 2023-09-13 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 77 GOODELL ST, SUITE 550, BUFFALO, NY, 14203

Signature of

Role Plan administrator
Date 2023-09-13
Name of individual signing STACEY WATT
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. RETIREMENT PLAN 2021 161591241 2022-10-17 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 77 GOODELL STREET, SUITE 550, BUFFALO, NY, 14203
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. TAX DEFERRED ANNUITY PLAN 2021 161591241 2022-10-17 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 77 GOODELL STREET, SUITE 550, BUFFALO, NY, 14203
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. RETIREMENT PLAN 2020 161591241 2021-07-28 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 250 FARBER HALL, 3435 MAIN STREET, BUFFALO, NY, 14214
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. TAX DEFERRED ANNUITY PLAN 2020 161591241 2021-07-28 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 250 FARBER HALL, 3435 MAIN STREET, BUFFALO, NY, 14214
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. TAX DEFERRED ANNUITY PLAN 2019 161591241 2020-07-09 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 250 FARBER HALL, 3435 MAIN STREET, BUFFALO, NY, 14214
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. RETIREMENT PLAN 2019 161591241 2020-07-09 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 250 FARBER HALL, 3435 MAIN STREET, BUFFALO, NY, 14214

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent %ERIE COUNTY MEDICAL CTR #171, 462 GRIDER STREET, BUFFALO, NY, United States, 14215

Filings

Filing Number Date Filed Type Effective Date
000531000933 2000-05-31 CERTIFICATE OF INCORPORATION 2000-05-31

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD V562Q80243 2007-10-16 2007-10-26 2007-10-26
Unique Award Key CONT_AWD_V562Q80243_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title LETHALITY ASSESSMENT AND INTERVENTION
Product and Service Codes U005: TUITION/REG/MEMB FEES

Recipient Details

Recipient UNIVERSITY AT BUFFALO ANESTHESIOLOGY INC
UEI N6P6UP491GF9
Legacy DUNS 154148238
Recipient Address UNITED STATES, 3495 BAILEY AVE, BUFFALO, 142151199
PO AWARD V562Q80244 2007-10-16 2007-10-26 2007-10-26
Unique Award Key CONT_AWD_V562Q80244_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title TRAUMA TREATMENT COURSE
Product and Service Codes U005: TUITION/REG/MEMB FEES

Recipient Details

Recipient UNIVERSITY AT BUFFALO ANESTHESIOLOGY INC
UEI N6P6UP491GF9
Legacy DUNS 154148238
Recipient Address UNITED STATES, 3495 BAILEY AVE, BUFFALO, 142151199

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
16-1591241 Corporation Unconditional Exemption 77 GOODELL ST STE 550, BUFFALO, NY, 14203-1258 2001-04
In Care of Name % ANESTHESIOLOGY
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 1,000,000 to 4,999,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 1285249
Income Amount 932682
Form 990 Revenue Amount 932682
National Taxonomy of Exempt Entities Health Care: Health Treatment Facilities, Primarily Outpatient
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 AT BUFFALO ANESTHESIOLOGY INC
EIN 16-1591241
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO ANESTHESIOLOGY INC
EIN 16-1591241
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO ANESTHESIOLOGY IN
EIN 16-1591241
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO ANESTHESIOLOGYINC
EIN 16-1591241
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO ANESTHESIOLOGYINC
EIN 16-1591241
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO ANESTHESIOLOGYINC
EIN 16-1591241
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO ANESTHESIOLOGYINC
EIN 16-1591241
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO ANESTHESIOLOGY INC
EIN 16-1591241
Tax Period 201512
Filing Type E
Return Type 990
File View File

Date of last update: 30 Mar 2025

Sources: New York Secretary of State