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  5. OCULOFACIAL PLASTIC SURGERY OF WNY, PLLC

OCULOFACIAL PLASTIC SURGERY OF WNY, PLLC

Company Details

Name: OCULOFACIAL PLASTIC SURGERY OF WNY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Feb 2014 (11 years ago)
Entity Number: 4533047
ZIP code: 14226
County: Erie
Place of Formation: New York
Address: 651 LEBRUN ROAD, AMHERST, NY, United States, 14226

Contact Details

Phone +1 716-862-1910

Phone +1 716-932-7670

Phone +1 716-285-2020

Phone +1 716-831-9435

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OCULOFACIAL PLASTIC SURGERY 401(K) PLAN 2023 464586863 2024-06-17 OCULOFACIAL PLASTIC SURGERY OF WNY, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7169327670
Plan sponsor’s address 651 LEBRUN ROAD, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2024-06-15
Name of individual signing TRACY HURLEY
Role Employer/plan sponsor
Date 2024-06-15
Name of individual signing TRACY HURLEY
OCULOFACIAL PLASTIC SURGERY 401(K) PLAN 2022 464586863 2023-04-19 OCULOFACIAL PLASTIC SURGERY OF WNY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7169327670
Plan sponsor’s address 651 LEBRUN ROAD, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2023-04-18
Name of individual signing TRACY HURLEY
Role Employer/plan sponsor
Date 2023-04-18
Name of individual signing TRACY HURLEY
OCULOFACIAL PLASTIC SURGERY 401(K) PLAN 2021 464586863 2022-06-02 OCULOFACIAL PLASTIC SURGERY OF WNY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7169327670
Plan sponsor’s address 651 LEBRUN ROAD, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2022-06-01
Name of individual signing TRACY HURLEY
Role Employer/plan sponsor
Date 2022-06-01
Name of individual signing TRACY HURLEY
OCULOFACIAL PLASTIC SURGERY 401(K) PLAN 2020 464586863 2021-07-16 OCULOFACIAL PLASTIC SURGERY OF WNY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7169327670
Plan sponsor’s address 651 LEBRUN ROAD, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2021-07-16
Name of individual signing TRACY HURLEY
Role Employer/plan sponsor
Date 2021-07-16
Name of individual signing TRACY HURLEY
OCULOFACIAL PLASTIC SURGERY 401(K) PLAN 2019 464586863 2020-07-14 OCULOFACIAL PLASTIC SURGERY OF WNY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7169327670
Plan sponsor’s address 651 LEBRUN ROAD, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing PETER HURLEY
Role Employer/plan sponsor
Date 2020-07-14
Name of individual signing PETER HURLEY
OCULOFACIAL PLASTIC SURGERY 401(K) PLAN 2018 464586863 2019-05-30 OCULOFACIAL PLASTIC SURGERY OF WNY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7169327670
Plan sponsor’s address 651 LEBRUN ROAD, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2019-05-30
Name of individual signing PETER HURLEY
Role Employer/plan sponsor
Date 2019-05-30
Name of individual signing PETER HURLEY
OCULOFACIAL PLASTIC SURGERY 401(K) PLAN 2017 464586863 2018-03-05 OCULOFACIAL PLASTIC SURGERY OF WNY, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7169327670
Plan sponsor’s address 651 LEBRUN ROAD, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2018-03-05
Name of individual signing TRACY HURLEY
Role Employer/plan sponsor
Date 2018-03-05
Name of individual signing TRACY HURLEY
OCULOFACIAL PLASTIC SURGERY 401(K) PLAN 2016 464586863 2017-04-13 OCULOFACIAL PLASTIC SURGERY OF WNY, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7169327670
Plan sponsor’s address 651 LEBRUN ROAD, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2017-04-13
Name of individual signing PETER HURLEY
Role Employer/plan sponsor
Date 2017-04-13
Name of individual signing PETER HURLEY
OCULOFACIAL PLASTIC SURGERY 401(K) PLAN 2015 464586863 2016-05-02 OCULOFACIAL PLASTIC SURGERY OF WNY, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 7169327670
Plan sponsor’s address 5800 MAIN STREET, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2016-05-02
Name of individual signing PETER HURLEY
Role Employer/plan sponsor
Date 2016-05-02
Name of individual signing PETER HURLEY

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 651 LEBRUN ROAD, AMHERST, NY, United States, 14226

Filings

Filing Number Date Filed Type Effective Date
140602000058 2014-06-02 CERTIFICATE OF PUBLICATION 2014-06-02
140221000813 2014-02-21 ARTICLES OF ORGANIZATION 2014-02-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4684538310 2021-01-23 0296 PPS 5800 Main St, Williamsville, NY, 14221-8220
Loan Status Date 2021-10-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 68390
Loan Approval Amount (current) 68390
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Williamsville, ERIE, NY, 14221-8220
Project Congressional District NY-26
Number of Employees 105
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Sole Proprietorship
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 68817.2
Forgiveness Paid Date 2021-09-20
8104927109 2020-04-15 0296 PPP 5800 Main Street, Williamsville, NY, 14221
Loan Status Date 2021-03-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 67297
Loan Approval Amount (current) 67297
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Williamsville, ERIE, NY, 14221-1000
Project Congressional District NY-26
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Sole Proprietorship
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 67824.31
Forgiveness Paid Date 2021-02-01

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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