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THE ROCHESTER OTOLARYNGOLOGY GROUP, P. C.

Company Details

Name: THE ROCHESTER OTOLARYNGOLOGY GROUP, P. C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Mar 1971 (54 years ago)
Entity Number: 304983
ZIP code: 14625
County: Monroe
Place of Formation: New York
Address: 360 LINDEN OAKS SUITE 220, ROCHESTER, NY, United States, 14625

Shares Details

Shares issued 2000

Share Par Value 10

Type PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401(K) PLAN AND TRUST 2016 160982377 2017-12-20 ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 24
Three-digit plan number (PN) 001
Effective date of plan 1972-03-01
Business code 621111
Sponsor’s telephone number 5852443510
Plan sponsor’s address 360 LINDEN OAKS, SUITE 220, SUITE 220, ROCHESTER, NY, 14625

Signature of

Role Plan administrator
Date 2017-12-20
Name of individual signing KEVIN L. KOZARA, DO
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401(K) PLAN AND TRUST 2016 160982377 2018-05-25 ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-03-01
Business code 621111
Sponsor’s telephone number 5852443510
Plan sponsor’s address 360 LINDEN OAKS, SUITE 220, SUITE 220, ROCHESTER, NY, 14625

Signature of

Role Plan administrator
Date 2018-05-25
Name of individual signing KEVIN L. KOZARA, DO
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401 (K) PLAN AND TRUST 2015 160982377 2016-11-11 ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-03-01
Business code 621111
Sponsor’s telephone number 5852443510
Plan sponsor’s address 360 LINDEN OAKS, SUITE 220, ROCHESTER, NY, 14625

Signature of

Role Plan administrator
Date 2016-11-11
Name of individual signing KEVIN L. KOZARA, DO
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401 (K) PLAN AND TRUST 2014 160982377 2015-12-04 ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-03-01
Business code 621111
Sponsor’s telephone number 5852443510
Plan sponsor’s address 360 LINDEN OAKS, SUITE 220, ROCHESTER, NY, 14625

Signature of

Role Plan administrator
Date 2015-12-04
Name of individual signing FRANK N. SALAMONE
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401 (K) PLAN AND TRUST 2013 160982377 2014-09-30 ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-03-01
Business code 621111
Sponsor’s telephone number 5852443510
Plan sponsor’s address 2561 LAC DE VILLE BLVD., SUITE 100, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2014-09-30
Name of individual signing FRANK N. SALAMONE
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401 (K) PLAN AND TRUST 2012 160982377 2013-10-18 ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-03-01
Business code 621111
Sponsor’s telephone number 5852443510
Plan sponsor’s address 2561 LAC DEVILLE BLVD., SUITE 100, ROCHESTER, NY, 14618

Signature of

Role Plan administrator
Date 2013-10-18
Name of individual signing FRANK N. SALAMONE
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401 (K) PLAN AND TRUST 2011 160982377 2012-09-28 ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-03-01
Business code 621111
Sponsor’s telephone number 5852443510
Plan sponsor’s address 2561 LAC DEVILLE BLVD., SUITE 100, ROCHESTER, NY, 14618

Plan administrator’s name and address

Administrator’s EIN 160982377
Plan administrator’s name ROCHESTER OTOLARYNGOLOGY GROUP, P.C.
Plan administrator’s address 2561 LAC DEVILLE BLVD., SUITE 100, ROCHESTER, NY, 14618
Administrator’s telephone number 5852443510

Signature of

Role Plan administrator
Date 2012-09-28
Name of individual signing KEVIN L. KOZARA
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401(K) PLAN AND TRUST 2010 160982377 2011-10-27 ROCHESTER OTOLARYNGOLOGY GROUP, P.C 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-03-01
Business code 621111
Sponsor’s telephone number 5852443510
Plan sponsor’s address 2561 LAC DE VILLE BLVD, SUITE 100, ROCHESTER, NY, 146185631

Plan administrator’s name and address

Administrator’s EIN 160982377
Plan administrator’s name ROCHESTER OTOLARYNGOLOGY GROUP, P.C
Plan administrator’s address 2561 LAC DE VILLE BLVD, SUITE 100, ROCHESTER, NY, 146185631
Administrator’s telephone number 5852443510

Signature of

Role Plan administrator
Date 2011-10-27
Name of individual signing KEVIN L. KOZARA
ROCHESTER OTOLARYNGOLOGY GROUP, P.C. 401(K) PLAN AND TRUST 2009 160982377 2010-10-01 ROCHESTER OTOLARYNGOLOGY GROUP, P.C 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-03-01
Business code 621111
Sponsor’s telephone number 5852443510
Plan sponsor’s address 2561 LAC DE VILLE BLVD, SUITE 100, ROCHESTER, NY, 146185631

Plan administrator’s name and address

Administrator’s EIN 160982377
Plan administrator’s name ROCHESTER OTOLARYNGOLOGY GROUP, P.C
Plan administrator’s address 2561 LAC DE VILLE BLVD, SUITE 100, ROCHESTER, NY, 146185631
Administrator’s telephone number 5852443510

Signature of

Role Plan administrator
Date 2010-09-30
Name of individual signing PETER E. MULBURY, M.D.

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 360 LINDEN OAKS SUITE 220, ROCHESTER, NY, United States, 14625

Chief Executive Officer

Name Role Address
KEVIN KOZARA Chief Executive Officer 360 LINDEN OAKS SUITE 220, ROCHESTER, NY, United States, 14625

History

Start date End date Type Value
2023-06-14 2023-06-14 Address 360 LINDEN OAKS SUITE 220, ROCHESTER, NY, 14625, USA (Type of address: Chief Executive Officer)
2023-06-14 2023-06-15 Shares Share type: PAR VALUE, Number of shares: 2000, Par value: 10
2015-09-10 2023-06-14 Address 360 LINDEN OAKS SUITE 220, ROCHESTER, NY, 14625, USA (Type of address: Service of Process)
2011-12-01 2015-09-10 Address 2561 LA DE VILLE BOULEVARD, SUITE 100, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)
1994-03-28 2011-12-01 Address 1641 EAST AVENUE, ROCHESTER, NY, 14610, USA (Type of address: Service of Process)
1993-04-19 2023-06-14 Address 1641 EAST AVENUE, ROCHESTER, NY, 14610, USA (Type of address: Chief Executive Officer)
1971-03-25 1994-03-28 Address 1641 EAST AVE., ROCHESTER, NY, 14610, USA (Type of address: Service of Process)
1971-03-25 2023-06-14 Shares Share type: PAR VALUE, Number of shares: 2000, Par value: 10

Filings

Filing Number Date Filed Type Effective Date
230614005151 2023-06-14 BIENNIAL STATEMENT 2023-03-01
150910000147 2015-09-10 CERTIFICATE OF CHANGE 2015-09-10
111201000398 2011-12-01 CERTIFICATE OF CHANGE 2011-12-01
C336357-2 2003-09-09 ASSUMED NAME CORP INITIAL FILING 2003-09-09
940328002103 1994-03-28 BIENNIAL STATEMENT 1994-03-01
930419002150 1993-04-19 BIENNIAL STATEMENT 1993-03-01
897069-6 1971-03-25 CERTIFICATE OF INCORPORATION 1971-03-25

Date of last update: 21 Dec 2024

Sources: New York Secretary of State