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WILLIAMSVILLE FAMILY DENTISTRY, P.C.

Company Details

Name: WILLIAMSVILLE FAMILY DENTISTRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Oct 2005 (19 years ago)
Entity Number: 3270786
ZIP code: 14221
County: Erie
Place of Formation: New York
Address: 1630 MAPLE RD, WILLIAMSVILLE, NY, United States, 14221

Contact Details

Phone +1 716-568-2273

Shares Details

Shares issued 20000

Share Par Value 1

Type PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLIAMSVILLE FAMILY DENTISTRY P.C. 401(K) 2013 203743064 2014-08-06 WILLIAMSVILLE FAMILY DENTISTRY P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7165682273
Plan sponsor’s address 1630 MAPLE RD., SUITE 400, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2014-08-06
Name of individual signing KEVIN CLAUSER
Role Employer/plan sponsor
Date 2014-08-06
Name of individual signing KEVIN CLAUSER
WILLIAMSVILLE FAMILY DENTISTRY, PC 401(K) 2012 203743064 2013-10-01 WILLIAMSVILLE FAMILY DENTISTRY, P C 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7165682273
Plan sponsor’s address 1630 MAPLE RD., SUITE 400, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2013-10-01
Name of individual signing KEVIN G CLAUSER
Role Employer/plan sponsor
Date 2013-10-01
Name of individual signing KEVIN G CLAUSER
WILLIAMSVILLE FAMILY DENTISTRY, PC 401(K) 2011 203743064 2012-08-07 WILLIAMSVILLE FAMILY DENTISTRY, P C 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7165682273
Plan sponsor’s address 1630 MAPLE RD., SUITE 400, WILLIAMSVILLE, NY, 14221

Plan administrator’s name and address

Administrator’s EIN 203743064
Plan administrator’s name WILLIAMSVILLE FAMILY DENTISTRY, P C
Plan administrator’s address 1630 MAPLE RD., SUITE 400, WILLIAMSVILLE, NY, 14221
Administrator’s telephone number 7165682273

Signature of

Role Plan administrator
Date 2012-08-07
Name of individual signing KEVIN CLAUSER
Role Employer/plan sponsor
Date 2012-08-07
Name of individual signing KEVIN CLAUSER
WILLIAMSVILLE FAMILY DENTISTRY, PC 401(K) 2010 203743064 2011-11-07 WILLIAMSVILLE FAMILY DENTISTRY, P C 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7165682273
Plan sponsor’s address 1630 MAPLE RD., SUITE 400, WILLIAMSVILLE, NY, 14221

Plan administrator’s name and address

Administrator’s EIN 203743064
Plan administrator’s name WILLIAMSVILLE FAMILY DENTISTRY, P C
Plan administrator’s address 1630 MAPLE RD., SUITE 400, WILLIAMSVILLE, NY, 14221
Administrator’s telephone number 7165682273

Signature of

Role Plan administrator
Date 2011-10-28
Name of individual signing KEVIN CLAUSER
WILLIAMSVILLE FAMILY DENTISTRY, PC 401(K) 2010 203743064 2011-10-28 WILLIAMSVILLE FAMILY DENTISTRY, P C 6
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 7165682273
Plan sponsor’s address 1630 MAPLE RD., SUITE 400, WILLIAMSVILLE, NY, 14221

Plan administrator’s name and address

Administrator’s EIN 203743064
Plan administrator’s name WILLIAMSVILLE FAMILY DENTISTRY, P C
Plan administrator’s address 1630 MAPLE RD., SUITE 400, WILLIAMSVILLE, NY, 14221
Administrator’s telephone number 7165682273

Signature of

Role Plan administrator
Date 2011-10-28
Name of individual signing KEVIN CLAUSER

Chief Executive Officer

Name Role Address
KEVIN G CLAUSER DDS Chief Executive Officer 1630 MAPLE RD, WILLIAMSVILLE, NY, United States, 14221

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1630 MAPLE RD, WILLIAMSVILLE, NY, United States, 14221

History

Start date End date Type Value
2008-01-10 2013-10-21 Address 1630 MAPLE RD, WILLIAMSVILLE, NY, 14221, USA (Type of address: Chief Executive Officer)
2005-10-19 2008-01-10 Address 59 EVANS ST., WILLIAMSVILLE, NY, 14221, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
171004006071 2017-10-04 BIENNIAL STATEMENT 2017-10-01
151005006175 2015-10-05 BIENNIAL STATEMENT 2015-10-01
131021006042 2013-10-21 BIENNIAL STATEMENT 2013-10-01
111019002536 2011-10-19 BIENNIAL STATEMENT 2011-10-01
091002002758 2009-10-02 BIENNIAL STATEMENT 2009-10-01
080110002402 2008-01-10 BIENNIAL STATEMENT 2007-10-01
060223000717 2006-02-23 CERTIFICATE OF AMENDMENT 2006-02-23
051019000884 2005-10-19 CERTIFICATE OF INCORPORATION 2005-10-19

Date of last update: 31 Dec 2024

Sources: New York Secretary of State