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  5. UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC.

UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC.

Company Details

Name: UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION)
Status: Active
Date of registration: 29 Aug 2003 (22 years ago)
Entity Number: 2948562
ZIP code: 14209
County: Erie
Place of Formation: New York
Address: 3 GATES CIRCLE, BUFFALO, NY, United States, 14209

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. PSP 2023 200194563 2024-01-16 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2022 200194563 2023-06-27 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2023-06-27
Name of individual signing LISA SHERRIS
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2021 200194563 2022-09-19 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2022-09-19
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2020 200194563 2021-10-14 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2019 200194563 2020-10-09 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2018 200194563 2019-10-11 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2017 200194563 2018-09-27 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2018-09-27
Name of individual signing DAVID SHERRIS, MD
Role Employer/plan sponsor
Date 2018-09-27
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2016 200194563 2017-10-09 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2015 200194563 2016-10-10 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2014 200194563 2015-10-05 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing DAVID SHERRIS, MD

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3 GATES CIRCLE, BUFFALO, NY, United States, 14209

Filings

Filing Number Date Filed Type Effective Date
030829000320 2003-08-29 CERTIFICATE OF INCORPORATION 2003-08-29

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
20-0194563 Corporation Unconditional Exemption 1237 DELAWARE AVE, BUFFALO, NY, 14209-1435 2004-06
In Care of Name -
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 Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
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 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 1703618
Income Amount 5497645
Form 990 Revenue Amount 5497645
National Taxonomy of Exempt Entities Education: Higher Education Institutions
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 OTOLARYNGOLOGY INC
EIN 20-0194563
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO OTOLARYNGOLOGY INC
EIN 20-0194563
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO OTOLARYNGOLOGY IN
EIN 20-0194563
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO OTOLARYNGOLOGY INC
EIN 20-0194563
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO OTOLARYNGOLOGY INC
EIN 20-0194563
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO OTOLARYNGOLOGY INC
EIN 20-0194563
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO OTOLARYNGOLOGY INC
EIN 20-0194563
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name UNIVERSITY AT BUFFALO OTOLARYNGLOGY INC
EIN 20-0194563
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
7850407103 2020-04-14 0296 PPP 1237 Delaware Avenue, Buffalo, NY, 14209
Loan Status Date 2021-05-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 241012
Loan Approval Amount (current) 241012
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 N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Buffalo, ERIE, NY, 14209-0001
Project Congressional District NY-26
Number of Employees 17
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 243303.26
Forgiveness Paid Date 2021-04-05
4697578310 2021-01-23 0296 PPS 1237 Delaware Ave, Buffalo, NY, 14209-1435
Loan Status Date 2022-01-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 238515
Loan Approval Amount (current) 238515
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 N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Buffalo, ERIE, NY, 14209-1435
Project Congressional District NY-26
Number of Employees 17
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 240612.63
Forgiveness Paid Date 2021-12-15

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Related by address

3 GATES CIRCLE, BUFFALO, NY, United States, 14209

MILLARD FILLMORE HOSPITALS EDWIN J. MANNING, M.D., P.C. WILLIAM R. KINKEL, M. D., P. C. UNIVERSITY AT BUFFALO NEUROSURGERY, INC. ALLEN L. GOLDFARB, M.D., P.C. LAWRENCE H. GOLDEN, M.D., P.C. NEUROSURGERY, P.C. HANDOX ASSOCIATES, INC. DENT NEUROLOGIC GROUP, INC.

Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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