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KOMAL CHANDAN, PHYSICIAN, PLLC

Company Details

Name: KOMAL CHANDAN, PHYSICIAN, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Apr 2002 (23 years ago)
Entity Number: 2754162
ZIP code: 14221
County: Niagara
Place of Formation: New York
Address: 5780 MAIN STREET, WILLIAMSVILLE, NY, United States, 14221

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KOMAL CHANDAN PHYSICIAN PLLC RETIREMENT PLAN 2015 043651831 2018-07-25 KOMAL CHANDAN PHYSICIAN PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 7162984050
Plan sponsor’s address 4600 MILITARY RD STE A, NIAGARA FALLS, NY, 143051338
KOMAL CHANDAN PHYSICIAN, PLLC RETIREMENT PLAN 2014 043651831 2015-10-13 KOMAL CHANDAN PHYSICIAN, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 7162984050
Plan sponsor’s address 4600 MILITARY ROAD, SUITE A, NIAGARA FALLS, NY, 14305
KOMAL CHANDAN PHYSICIAN, PLLC RETIREMENT PLAN 2013 043651831 2014-10-21 KOMAL CHANDAN PHYSICIAN, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 7162984050
Plan sponsor’s address 4600 MILITARY ROAD, SUITE A, NIAGARA FALLS, NY, 14305
KOMAL CHANDAN PHYSICIAN, PLLC RETIREMENT PLAN 2013 043651831 2014-10-15 KOMAL CHANDAN PHYSICIAN, PLLC 6
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 7162984050
Plan sponsor’s address 4600 MILITARY ROAD, SUITE A, NIAGARA FALLS, NY, 14305

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing AMY LAROCCA
KOMAL CHANDAN PHYSICIAN, PLLC RETIREMENT PLAN 2012 043651831 2013-10-15 KOMAL CHANDAN PHYSICIAN, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 7162984050
Plan sponsor’s address 4600 MILITARY ROAD, SUITE A, NIAGARA FALLS, NY, 14305

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing JESSICA BERRY
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing JESSICA BERRY
KOMAL CHANDAN PHYSICIAN, PLLC RETIREMENT PLAN 2011 043651831 2012-10-15 KOMAL CHANDAN PHYSICIAN, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 7162984050
Plan sponsor’s address 4600 MILITARY ROAD, SUITE A, NIAGARA FALLS, NY, 14305

Plan administrator’s name and address

Administrator’s EIN 043651831
Plan administrator’s name KOMAL CHANDAN PHYSICIAN, PLLC
Plan administrator’s address 4600 MILITARY ROAD, SUITE A, NIAGARA FALLS, NY, 14305
Administrator’s telephone number 7162984050

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing JESSICA BERRY
KOMAL CHANDAN PHYSICIAN, PLLC RETIREMENT PLAN 2010 043651831 2011-10-17 KOMAL CHANDAN PHYSICIAN, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 7162984050
Plan sponsor’s address 4600 MILITARY ROAD, SUITE A, NIAGARA FALLS, NY, 14305

Plan administrator’s name and address

Administrator’s EIN 043651831
Plan administrator’s name KOMAL CHANDAN PHYSICIAN, PLLC
Plan administrator’s address 4600 MILITARY ROAD, SUITE A, NIAGARA FALLS, NY, 14305
Administrator’s telephone number 7162984050

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing JESSICA BERRY
KOMAL CHANDAN PHYSICIAN, PLLC RETIREMENT PLAN 2009 043651831 2010-10-15 KOMAL CHANDAN PHYSICIAN, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 621111
Sponsor’s telephone number 7162984050
Plan sponsor’s address 4600 MILITARY ROAD, SUITE A, NIAGARA FALLS, NY, 14305

Plan administrator’s name and address

Administrator’s EIN 043651831
Plan administrator’s name KOMAL CHANDAN PHYSICIAN, PLLC
Plan administrator’s address 4600 MILITARY ROAD, SUITE A, NIAGARA FALLS, NY, 14305
Administrator’s telephone number 7162984050

Signature of

Role Plan administrator
Date 2010-10-15
Name of individual signing JESSICA BERRY

DOS Process Agent

Name Role Address
C/O SUNIL BAKSHI, ESQ., GRASHOW & BAKSHI DOS Process Agent 5780 MAIN STREET, WILLIAMSVILLE, NY, United States, 14221

Filings

Filing Number Date Filed Type Effective Date
060411002106 2006-04-11 BIENNIAL STATEMENT 2006-04-01
020702000405 2002-07-02 AFFIDAVIT OF PUBLICATION 2002-07-02
020702000408 2002-07-02 AFFIDAVIT OF PUBLICATION 2002-07-02
020412000022 2002-04-12 ARTICLES OF ORGANIZATION 2002-04-12

Date of last update: 12 Mar 2025

Sources: New York Secretary of State