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  5. MILLARD FILLMORE SURGERY CENTER, LLC

MILLARD FILLMORE SURGERY CENTER, LLC

Company Details

Name: MILLARD FILLMORE SURGERY CENTER, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Apr 2005 (20 years ago)
Entity Number: 3185438
ZIP code: 14221
County: Erie
Place of Formation: New York
Address: 215 KLEIN RD, WILLIAMSVILLE, NY, United States, 14221

Contact Details

Phone +1 716-859-8478

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MILLARD FILLMORE SURGERY CENTER, LLC 401(A) PLAN 2023 261582864 2024-10-08 MILLARD FILLMORE SURGERY CENTER, LLC 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-03-01
Business code 621493
Sponsor’s telephone number 7165686100
Plan sponsor’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713

Plan administrator’s name and address
Administrator’s EIN 261582864
Plan administrator’s name MILLARD FILLMORE SURGERY CENTER, LLC
Plan administrator’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713
Administrator’s telephone number 7165686151

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing JUDY BAUMGARTNER
Valid signature Filed with authorized/valid electronic signature
MILLARD FILLMORE SURGERY CENTER, LLC 401(A) PLAN 2022 261582864 2023-10-06 MILLARD FILLMORE SURGERY CENTER, LLC 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-03-01
Business code 621493
Sponsor’s telephone number 7165686100
Plan sponsor’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713

Plan administrator’s name and address
Administrator’s EIN 261582864
Plan administrator’s name MILLARD FILLMORE SURGERY CENTER, LLC
Plan administrator’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713
Administrator’s telephone number 7165686151

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing JUDY BAUMGARTNER
MILLARD FILLMORE SURGERY CENTER, LLC 401(A) PLAN 2021 261582864 2023-10-06 MILLARD FILLMORE SURGERY CENTER, LLC 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-03-01
Business code 621493
Sponsor’s telephone number 7165686100
Plan sponsor’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713

Plan administrator’s name and address
Administrator’s EIN 261582864
Plan administrator’s name MILLARD FILLMORE SURGERY CENTER, LLC
Plan administrator’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713
Administrator’s telephone number 7165686151

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing JUDY BAUMGARTNER
MILLARD FILLMORE SURGERY CENTER, LLC 401(A) PLAN 2021 261582864 2022-10-10 MILLARD FILLMORE SURGERY CENTER, LLC 53
Three-digit plan number (PN) 002
Effective date of plan 2008-03-01
Business code 621493
Sponsor’s telephone number 7165686100
Plan sponsor’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713

Plan administrator’s name and address
Administrator’s EIN 261582864
Plan administrator’s name MILLARD FILLMORE SURGERY CENTER, LLC
Plan administrator’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713
Administrator’s telephone number 7165686151

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing JUDY BAUMGARTNER
MILLARD FILLMORE SURGERY CENTER, LLC 401(A) PLAN 2020 261582864 2021-10-12 MILLARD FILLMORE SURGERY CENTER, LLC 51
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-03-01
Business code 621493
Sponsor’s telephone number 7165686100
Plan sponsor’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713

Plan administrator’s name and address
Administrator’s EIN 261582864
Plan administrator’s name MILLARD FILLMORE SURGERY CENTER, LLC
Plan administrator’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713
Administrator’s telephone number 7165686151

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing JUDY BAUMGARTNER
MILLARD FILLMORE SURGERY CENTER, LLC 401(A) PLAN 2019 261582864 2020-10-08 MILLARD FILLMORE SURGERY CENTER, LLC 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-03-01
Business code 621493
Sponsor’s telephone number 7165686100
Plan sponsor’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713

Plan administrator’s name and address
Administrator’s EIN 261582864
Plan administrator’s name MILLARD FILLMORE SURGERY CENTER, LLC
Plan administrator’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713
Administrator’s telephone number 7165686151

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing JUDY BAUMGARTNER
MILLARD FILLMORE SURGERY CENTER, LLC 401(A) PLAN 2018 261582864 2019-06-28 MILLARD FILLMORE SURGERY CENTER, LLC 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-03-01
Business code 621493
Sponsor’s telephone number 7165686100
Plan sponsor’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713

Plan administrator’s name and address
Administrator’s EIN 261582864
Plan administrator’s name MILLARD FILLMORE SURGERY CENTER, LLC
Plan administrator’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713
Administrator’s telephone number 7165686151

Signature of
Role Plan administrator
Date 2019-06-28
Name of individual signing DARCY CRAVEN
MILLARD FILLMORE SURGERY CENTER, LLC 401(A) PLAN 2017 261582864 2018-06-06 MILLARD FILLMORE SURGERY CENTER, LLC 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-03-01
Business code 621493
Sponsor’s telephone number 7165686151
Plan sponsor’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713

Plan administrator’s name and address
Administrator’s EIN 261582864
Plan administrator’s name MILLARD FILLMORE SURGERY CENTER, LLC
Plan administrator’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713
Administrator’s telephone number 7165686151

Signature of
Role Plan administrator
Date 2018-06-06
Name of individual signing DARCY CRAVEN
MILLARD FILLMORE SURGERY CENTER, LLC 401(A) PLAN 2016 261582864 2017-07-06 MILLARD FILLMORE SURGERY CENTER, LLC 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-03-01
Business code 621493
Sponsor’s telephone number 7165686151
Plan sponsor’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713

Plan administrator’s name and address
Administrator’s EIN 261582864
Plan administrator’s name MILLARD FILLMORE SURGERY CENTER, LLC
Plan administrator’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713
Administrator’s telephone number 7165686151

Signature of
Role Plan administrator
Date 2017-07-06
Name of individual signing DONALD BOYD
MILLARD FILLMORE SURGERY CENTER, LLC 401(A) PLAN 2015 261582864 2016-07-15 MILLARD FILLMORE SURGERY CENTER, LLC 59
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-03-01
Business code 621493
Sponsor’s telephone number 7165686151
Plan sponsor’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713

Plan administrator’s name and address
Administrator’s EIN 261582864
Plan administrator’s name MILLARD FILLMORE SURGERY CENTER, LLC
Plan administrator’s address 215 KLEIN ROAD, WILLIAMSVILLE, NY, 142211713
Administrator’s telephone number 7165686151

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing DONALD BOYD

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 215 KLEIN RD, WILLIAMSVILLE, NY, United States, 14221

History

Start date End date Type Value
2005-04-01 2011-05-06 Address 100 HIGH STREET, BUFFALO, NY, 14203, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130531002217 2013-05-31 BIENNIAL STATEMENT 2013-04-01
110506003278 2011-05-06 BIENNIAL STATEMENT 2011-04-01
080222000241 2008-02-22 CERTIFICATE OF AMENDMENT 2008-02-22
070427002311 2007-04-27 BIENNIAL STATEMENT 2007-04-01
050815000896 2005-08-15 AFFIDAVIT OF PUBLICATION 2005-08-15
050815000892 2005-08-15 AFFIDAVIT OF PUBLICATION 2005-08-15
050401000281 2005-04-01 ARTICLES OF ORGANIZATION 2005-04-01

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Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: New York Secretary of State

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