BUFFALO ANESTHESIA ASSOCIATES, P.C. PENSION TRUST PLAN
|
2023
|
160989463
|
2024-04-29
|
BUFFALO ANESTHESIA ASSOCIATES, P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-05-01
|
Business code |
621399
|
Sponsor’s telephone number |
7164742341
|
Plan sponsor’s mailing address |
60 SCHOOL STREET, #955, ORCHARD PARK, NY, 14127
|
Plan sponsor’s
address |
60 SCHOOL STREET, #955, ORCHARD PARK, NY, 14127
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-03-20 |
Name of individual signing |
DAVID UMFREY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-03-20 |
Name of individual signing |
DAVID UMFREY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO ANESTHESIA ASSOCIATES, P.C. PENSION TRUST PLAN
|
2022
|
160989463
|
2023-07-31
|
BUFFALO ANESTHESIA ASSOCIATES, P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-05-01
|
Business code |
621399
|
Sponsor’s telephone number |
7164742341
|
Plan sponsor’s mailing address |
60 SCHOOL STREET, #955, ORCHARD PARK, NY, 14127
|
Plan sponsor’s
address |
60 SCHOOL STREET, #955, ORCHARD PARK, NY, 14127
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
17 |
Number of
participants
with
account balances as of the end of the plan year |
20 |
Signature of
Role |
Plan administrator |
Date |
2023-07-24 |
Name of individual signing |
DAVID UMFREY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-24 |
Name of individual signing |
DAVID UMFREY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO ANESTHESIA ASSOCIATES, P.C. PENSION TRUST PLAN
|
2021
|
160989463
|
2022-07-25
|
BUFFALO ANESTHESIA ASSOCIATES, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-05-01
|
Business code |
621399
|
Sponsor’s telephone number |
7164742341
|
Plan sponsor’s mailing address |
60 SCHOOL STREET, #955, ORCHARD PARK, NY, 14127
|
Plan sponsor’s
address |
60 SCHOOL STREET, #955, ORCHARD PARK, NY, 14127
|
Number of participants as of the end of the plan year
Active participants |
20 |
Retired or separated participants receiving
benefits |
4 |
Number of
participants
with
account balances as of the end of the plan year |
24 |
Signature of
Role |
Plan administrator |
Date |
2022-06-16 |
Name of individual signing |
DAVID UMFREY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-16 |
Name of individual signing |
DAVID UMFREY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO ANESTHESIA ASSOCIATES, P.C. PENSION TRUST PLAN
|
2020
|
160989463
|
2021-07-27
|
BUFFALO ANESTHESIA ASSOCIATES, P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-05-01
|
Business code |
621399
|
Sponsor’s telephone number |
7164742341
|
Plan sponsor’s mailing address |
60 SCHOOL STREET, #955, ORCHARD PARK, NY, 14127
|
Plan sponsor’s
address |
60 SCHOOL STREET, #955, ORCHARD PARK, NY, 14127
|
Number of participants as of the end of the plan year
Active participants |
16 |
Retired or separated participants receiving
benefits |
6 |
Number of
participants
with
account balances as of the end of the plan year |
22 |
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
DAVID UMFREY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-22 |
Name of individual signing |
DAVID UMFREY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO ANESTHESIA ASSOCIATES, P.C. PENSION TRUST PLAN
|
2019
|
160989463
|
2020-10-14
|
BUFFALO ANESTHESIA ASSOCIATES, P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-05-01
|
Business code |
621399
|
Sponsor’s telephone number |
7168860444
|
Plan sponsor’s mailing address |
4511 HARLEM ROAD, SUITE 3, AMHERST, NY, 14226
|
Plan sponsor’s
address |
4511 HARLEM ROAD, SUITE 3, AMHERST, NY, 14226
|
Number of participants as of the end of the plan year
Active participants |
20 |
Retired or separated participants receiving
benefits |
5 |
Number of
participants
with
account balances as of the end of the plan year |
25 |
Signature of
Role |
Plan administrator |
Date |
2020-09-28 |
Name of individual signing |
DAVID UMFREY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-28 |
Name of individual signing |
DAVID UMFREY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO ANESTHESIA ASSOCIATES, P.C. PENSION TRUST PLAN
|
2018
|
160989463
|
2019-07-25
|
BUFFALO ANESTHESIA ASSOCIATES, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-05-01
|
Business code |
621399
|
Sponsor’s telephone number |
7168860444
|
Plan sponsor’s mailing address |
4511 HARLEM ROAD, SUITE 3, AMHERST, NY, 14226
|
Plan sponsor’s
address |
4511 HARLEM ROAD, SUITE 3, AMHERST, NY, 14226
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-24 |
Name of individual signing |
KATHY GREENE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-24 |
Name of individual signing |
MACIEJ TYNSKI, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO ANESTHESIA ASSOCIATES, P.C. PENSION TRUST PLAN
|
2017
|
160989463
|
2018-07-26
|
BUFFALO ANESTHESIA ASSOCIATES, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-05-01
|
Business code |
621399
|
Sponsor’s telephone number |
7168860444
|
Plan sponsor’s mailing address |
4511 HARLEM ROAD, SUITE 3, AMHERST, NY, 14226
|
Plan sponsor’s
address |
4511 HARLEM ROAD, SUITE 3, AMHERST, NY, 14226
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
KATHY GREENE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-26 |
Name of individual signing |
DAVID K. UMFREY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO ANESTHESIA ASSOCIATES, P.C. PENSION TRUST PLAN
|
2016
|
160989463
|
2017-07-24
|
BUFFALO ANESTHESIA ASSOCIATES, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-05-01
|
Business code |
621399
|
Sponsor’s telephone number |
7168860444
|
Plan sponsor’s mailing address |
4511 HARLEM ROAD, SUITE 3, AMHERST, NY, 14226
|
Plan sponsor’s
address |
4511 HARLEM ROAD, SUITE 3, AMHERST, NY, 14226
|
Number of participants as of the end of the plan year
Active participants |
15 |
Number of
participants
with
account balances as of the end of the plan year |
15 |
Signature of
Role |
Plan administrator |
Date |
2017-07-24 |
Name of individual signing |
KATHY GREENE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-24 |
Name of individual signing |
SURESH C. SHARMA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO ANESTHESIA ASSOCIATES, P.C. PENSION TRUST PLAN
|
2015
|
160989463
|
2016-07-19
|
BUFFALO ANESTHESIA ASSOCIATES, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-05-01
|
Business code |
621399
|
Sponsor’s telephone number |
7168860444
|
Plan sponsor’s mailing address |
4510 MAIN STREET, SUITE 105, AMHERST, NY, 14226
|
Plan sponsor’s
address |
4510 MAIN STREET, SUITE 105, AMHERST, NY, 14226
|
Number of participants as of the end of the plan year
Active participants |
15 |
Number of
participants
with
account balances as of the end of the plan year |
15 |
Signature of
Role |
Plan administrator |
Date |
2016-07-14 |
Name of individual signing |
KATHY GREENE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BUFFALO ANESTHESIA ASSOCIATES, P.C. PENSION TRUST PLAN
|
2014
|
160989463
|
2015-07-16
|
BUFFALO ANESTHESIA ASSOCIATES, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1972-05-01
|
Business code |
621399
|
Sponsor’s telephone number |
7168860444
|
Plan sponsor’s mailing address |
4510 MAIN STREET, SUITE 105, AMHERST, NY, 14226
|
Plan sponsor’s
address |
4510 MAIN STREET, SUITE 105, AMHERST, NY, 14226
|
Number of participants as of the end of the plan year
Active participants |
14 |
Number of
participants
with
account balances as of the end of the plan year |
15 |
Signature of
Role |
Plan administrator |
Date |
2015-07-08 |
Name of individual signing |
KATHY GREENE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|