| Name: | GREAT LAKES MEDICAL IMAGING, LLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 05 Jan 2011 (14 years ago) |
| Entity Number: | 4038231 |
| ZIP code: | 14221 |
| County: | Erie |
| Place of Formation: | New York |
| Address: | 111 N. Maplemere Road, Suite 120, Williamsville, NY, United States, 14221 |
Contact Details
Phone +1 716-898-2840
Phone +1 716-898-3000
Phone +1 315-507-5144
Phone +1 716-859-5600
Phone +1 716-433-9525
Phone +1 716-568-6400
Phone +1 845-673-6446
Phone +1 716-836-4646
Phone +1 585-266-4000
Phone +1 716-844-5300
Phone +1 716-362-1545
Phone +1 716-373-2600
Phone +1 716-514-5700
Phone +1 716-256-1114
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREAT LAKES MEDICAL IMAGING, LLC WELFARE BENEFITS PLAN | 2022 | 274495916 | 2024-02-12 | GREAT LAKES MEDICAL IMAGING, LLC | 143 | |||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||
| Active participants | 157 |
Signature of
| Role | Plan administrator |
| Date | 2024-02-12 |
| Name of individual signing | JASON FLOREANO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2019-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 7168364646 |
| Plan sponsor’s mailing address | 199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY, 142215269 |
| Plan sponsor’s address | 199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY, 142215269 |
Number of participants as of the end of the plan year
| Active participants | 145 |
Signature of
| Role | Plan administrator |
| Date | 2022-12-29 |
| Name of individual signing | JASON FLOREANO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2019-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 7168364646 |
| Plan sponsor’s mailing address | 199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY, 142215269 |
| Plan sponsor’s address | 199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY, 142215269 |
Number of participants as of the end of the plan year
| Active participants | 134 |
Signature of
| Role | Plan administrator |
| Date | 2021-12-20 |
| Name of individual signing | JASON FLOREANO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2019-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 7168364646 |
| Plan sponsor’s mailing address | 199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY, 142215269 |
| Plan sponsor’s address | 199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY, 142215269 |
Number of participants as of the end of the plan year
| Active participants | 121 |
Signature of
| Role | Plan administrator |
| Date | 2020-12-11 |
| Name of individual signing | JASON FLOREANO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2019-01-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 7168364646 |
| Plan sponsor’s mailing address | 199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY, 142215269 |
| Plan sponsor’s address | 199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY, 142215269 |
Number of participants as of the end of the plan year
| Active participants | 123 |
Signature of
| Role | Plan administrator |
| Date | 2019-12-18 |
| Name of individual signing | JASON FLOREANO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-12-18 |
| Name of individual signing | JASON FLOREANO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2017-07-01 |
| Business code | 621510 |
| Sponsor’s telephone number | 7168364646 |
| Plan sponsor’s mailing address | 199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY, 142215269 |
| Plan sponsor’s address | 199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY, 142215269 |
Number of participants as of the end of the plan year
| Active participants | 132 |
Signature of
| Role | Plan administrator |
| Date | 2018-11-07 |
| Name of individual signing | MEGAN ANDRIATCH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GREAT LAKES MEDICAL IMAGING, LLC | DOS Process Agent | 111 N. Maplemere Road, Suite 120, Williamsville, NY, United States, 14221 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2024-02-13 | 2025-01-02 | Address | 111 N. Maplemere Road, Suite 120, Williamsville, NY, 14221, USA (Type of address: Service of Process) |
| 2020-09-15 | 2024-02-13 | Address | 199 PARK CLUB LANE, WILLIAMSVILLE, NY, 14221, USA (Type of address: Service of Process) |
| 2015-01-05 | 2020-09-15 | Address | 199 PARK CLUB LANE SUITE 300, WILLIAMSVILLE, NY, 14221, USA (Type of address: Service of Process) |
| 2011-01-05 | 2015-01-05 | Address | 2828 SHERIDAN DRIVE, TONAWANDA, NY, 14150, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 250102002879 | 2025-01-02 | BIENNIAL STATEMENT | 2025-01-02 |
| 240213003803 | 2024-02-13 | BIENNIAL STATEMENT | 2024-02-13 |
| 221006002782 | 2022-10-06 | BIENNIAL STATEMENT | 2021-01-01 |
| 200915000456 | 2020-09-15 | CERTIFICATE OF AMENDMENT | 2020-09-15 |
| 150105006506 | 2015-01-05 | BIENNIAL STATEMENT | 2015-01-01 |
| 130221002390 | 2013-02-21 | BIENNIAL STATEMENT | 2013-01-01 |
| 110603000176 | 2011-06-03 | CERTIFICATE OF PUBLICATION | 2011-06-03 |
| 110105000191 | 2011-01-05 | ARTICLES OF ORGANIZATION | 2011-01-05 |
Date of last update: 16 Jan 2025
Sources: New York Secretary of State
