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TIBBETTS ORTHODONTICS, P.C.

Company Details

Name: TIBBETTS ORTHODONTICS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Mar 1972 (53 years ago)
Entity Number: 326512
ZIP code: 14221
County: Erie
Place of Formation: New York
Address: 5353 MAIN ST, WILLIAMSVILLE, NY, United States, 14221

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2017 160994242 2018-01-19 TIBBETTS ORTHODONTICS, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621210
Sponsor’s telephone number 7166343511
Plan sponsor’s address 5330 MAIN STREET, SUITE 230, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2018-01-19
Name of individual signing JOHN TIBBETTS
Role Employer/plan sponsor
Date 2018-01-19
Name of individual signing JOHN TIBBETTS
TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2016 160994242 2017-06-12 TIBBETTS ORTHODONTICS, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621210
Sponsor’s telephone number 7166343511
Plan sponsor’s address 5330 MAIN STREET, SUITE 230, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2017-06-12
Name of individual signing JOHN R TIBBETTS
Role Employer/plan sponsor
Date 2017-06-12
Name of individual signing JOHN R TIBBETTS
TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2015 160994242 2016-10-03 TIBBETTS ORTHODONTICS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621210
Sponsor’s telephone number 7166343511
Plan sponsor’s address 5330 MAIN STREET, SUITE 230, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2016-10-03
Name of individual signing JOHN R TIBBETTS
Role Employer/plan sponsor
Date 2016-10-03
Name of individual signing JOHN R TIBBETTS
TIBBETTS ORTHODONTICS, P.C. RETIREMENT PLAN 2014 160994242 2015-10-12 TIBBETTS ORTHODONTICS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621210
Sponsor’s telephone number 7166343511
Plan sponsor’s address 5330 MAIN STREET, SUITE 230, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing JOHN TIBBETTS
Role Employer/plan sponsor
Date 2015-10-12
Name of individual signing JOHN TIBBETTS

DOS Process Agent

Name Role Address
JOHN R TIBBETTS, DDS MS DOS Process Agent 5353 MAIN ST, WILLIAMSVILLE, NY, United States, 14221

Chief Executive Officer

Name Role Address
JOHN R TIBBETTS, DDS, MS Chief Executive Officer 5353 MAIN ST, WILLIAMSVILLE, NY, United States, 14221

History

Start date End date Type Value
1997-07-07 2005-01-26 Name SCHULLER AND TIBBETTS ORTHODONTICS, P.C.
1993-05-03 2004-03-22 Address 5353 MAIN STREET, WILLIAMSVILLE, NY, 14221, USA (Type of address: Service of Process)
1993-05-03 2004-03-22 Address 5353 MAIN STREET, WILLIAMSVILLE, NY, 14221, USA (Type of address: Chief Executive Officer)
1993-05-03 2004-03-22 Address 5353 MAIN STREET, WILLIAMSVILLE, NY, 14221, USA (Type of address: Principal Executive Office)
1989-05-24 1997-07-07 Name GARY D. SCHULLER, D.D.S, P.C.
1988-04-12 1989-05-24 Name SCHULLER-RUCHLIN, D.D.S., P.C.
1972-03-28 1993-05-03 Address 5353 MAIN ST., WILLIAMSVILLE, NY, 14221, USA (Type of address: Service of Process)
1972-03-28 1988-04-12 Name GARY D. SCHULLER, D. D. S., P. C.

Filings

Filing Number Date Filed Type Effective Date
161222002035 2016-12-22 BIENNIAL STATEMENT 2016-03-01
080326002228 2008-03-26 BIENNIAL STATEMENT 2008-03-01
060328002142 2006-03-28 BIENNIAL STATEMENT 2006-03-01
050126000440 2005-01-26 CERTIFICATE OF AMENDMENT 2005-01-26
040322002305 2004-03-22 BIENNIAL STATEMENT 2004-03-01
C341963-2 2004-01-21 ASSUMED NAME CORP AMENDMENT 2004-01-21
C332424-2 2003-06-09 ASSUMED NAME CORP INITIAL FILING 2003-06-09
980320002464 1998-03-20 BIENNIAL STATEMENT 1998-03-01
970707000001 1997-07-07 CERTIFICATE OF AMENDMENT 1997-07-07
940331002685 1994-03-31 BIENNIAL STATEMENT 1994-03-01

Date of last update: 18 Mar 2025

Sources: New York Secretary of State