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PREFERRED PHYSICIAN CARE, P.C.

Company Details

Name: PREFERRED PHYSICIAN CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 May 2011 (14 years ago)
Entity Number: 4093131
ZIP code: 14215
County: Erie
Place of Formation: New York
Address: 462 GRIDER STREET, BUFFALO, NY, United States, 14215
Principal Address: 462 Grider Street, Attn: Preferred Physician Care, P.C., Buffalo, NY, United States, 14215

Contact Details

Phone +1 716-646-5500

Phone +1 716-608-6116

Phone +1 716-667-1980

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
PREFERRED PHYSICIAN CARE P.C. 401(K) PLAN 2023 452237989 2024-07-29 PREFERRED PHYSICIAN CARE P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7169550240
Plan sponsor’s address 5959 BIG TREE ROAD, SUITE 107, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2024-07-29
Name of individual signing NEIL GRUPPO
PREFERRED PHYSICIAN CARE P.C. 401(K) PLAN 2022 452237989 2023-10-11 PREFERRED PHYSICIAN CARE P.C 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7169550240
Plan sponsor’s address 5959 BIG TREE ROAD, SUITE 107, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing NEIL GRUPPO
PREFERRED PHYSICIAN CARE P.C. 401(K) PLAN 2021 452237989 2022-07-27 PREFERRED PHYSICIAN CARE P.C 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7169550240
Plan sponsor’s address 5959 BIG TREE ROAD, SUITE 107, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2022-07-27
Name of individual signing NEIL GRUPPO
PREFERRED PHYSICIAN CARE P.C. 401(K) PLAN 2020 452237989 2021-10-04 PREFERRED PHYSICIAN CARE P.C 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7169550240
Plan sponsor’s address 5959 BIG TREE ROAD, SUITE 107, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2021-10-04
Name of individual signing NEIL GRUPPO
PREFERRED PHYSICIAN CARE P.C. 401(K) PLAN 2019 452237989 2020-10-08 PREFERRED PHYSICIAN CARE P.C 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7169550240
Plan sponsor’s address 5959 BIG TREE ROAD, SUITE 107, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2020-10-08
Name of individual signing NEIL GRUPPO
PREFERRED PHYSICIAN CARE P.C. 401(K) PLAN 2018 452237989 2019-10-08 PREFERRED PHYSICIAN CARE P.C 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7169550240
Plan sponsor’s address 5959 BIG TREE ROAD, SUITE 107, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2019-10-08
Name of individual signing NEIL GRUPPO
PREFERRED PHYSICIAN CARE P.C. 401(K) PLAN 2017 452237989 2018-10-15 PREFERRED PHYSICIAN CARE P.C 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7169550240
Plan sponsor’s address 5959 BIG TREE ROAD, SUITE 107, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing NEIL GRUPPO
PREFERRED PHYSICIAN CARE P.C. 401(K) PLAN 2016 452237989 2019-04-05 PREFERRED PHYSICIAN CARE P.C 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 7169550240
Plan sponsor’s address 5959 BIG TREE ROAD, SUITE 107, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2019-04-05
Name of individual signing NEIL GRUPPO

DOS Process Agent

Name Role Address
PREFERRED PHYSICIAN CARE, P.C. DOS Process Agent 462 GRIDER STREET, BUFFALO, NY, United States, 14215

Chief Executive Officer

Name Role Address
SAMUEL D. CLOUD, DO Chief Executive Officer 462 GRIDER STREET, ATTN: PREFERRED PHYSICIAN CARE, P.C., BUFFALO, NY, United States, 14215

History

Start date End date Type Value
2024-12-03 2024-12-03 Address 5959 BIG TREE ROAD, SUITE 107, ORCHARD PARK, NY, 14127, USA (Type of address: Chief Executive Officer)
2021-05-11 2024-12-03 Address 462 GRIDER STREET, BUFFALO, NY, 14215, USA (Type of address: Service of Process)
2021-05-11 2024-12-03 Address 5959 BIG TREE ROAD, SUITE 107, ORCHARD PARK, NY, 14127, USA (Type of address: Chief Executive Officer)
2013-05-07 2021-05-11 Address 2000 LIBERTY BUILDING, BUFFALO, NY, 14202, USA (Type of address: Service of Process)
2013-05-07 2021-05-11 Address 908 NIAGARA FALLS BOULEVARD, SUITE 208, NORTH TONAWANDA, NY, 14210, USA (Type of address: Chief Executive Officer)
2011-05-11 2024-12-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2011-05-11 2013-05-07 Address 2000 LIBERTY BUILDING, BUFFALO, NY, 14202, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241203000991 2024-12-03 BIENNIAL STATEMENT 2024-12-03
210511060319 2021-05-11 BIENNIAL STATEMENT 2021-05-01
150504006188 2015-05-04 BIENNIAL STATEMENT 2015-05-01
130507006235 2013-05-07 BIENNIAL STATEMENT 2013-05-01
110511000834 2011-05-11 CERTIFICATE OF INCORPORATION 2011-05-11

Date of last update: 09 Mar 2025

Sources: New York Secretary of State