| Name: | LISA S. BALL FAMILY HEALTH NP, PLLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |
| Status: | Active |
| Date of registration: | 03 Oct 2017 (7 years ago) |
| Entity Number: | 5212139 |
| ZIP code: | 14203 |
| County: | Erie |
| Place of Formation: | New York |
| Address: | C/O ZABLOTSKI & SMYTH LLP, 2010 RAND BLDG 14 LAFAYETTE SQ, BUFFALO, NY, United States, 14203 |
Contact Details
Phone +1 716-688-0020
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LISA S. BALL FAMILY HEALTH RETIREMENT PLAN | 2023 | 822993849 | 2024-09-10 | LISA S. BALL FAMILY HEALTH NP PLLC | 12 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-09-10 |
| Name of individual signing | SHANE BALL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-09-10 |
| Name of individual signing | SHANE BALL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7166882328 |
| Plan sponsor’s address | 1140 YOUNGS ROAD, WILLIAMSVILLE, NY, 14221 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-30 |
| Name of individual signing | SHANE BALL |
| Role | Employer/plan sponsor |
| Date | 2023-06-30 |
| Name of individual signing | SHANE BALL |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7166882328 |
| Plan sponsor’s address | 1140 YOUNGS ROAD, WILLIAMSVILLE, NY, 14221 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-17 |
| Name of individual signing | SHANE BALL |
| Role | Employer/plan sponsor |
| Date | 2022-10-17 |
| Name of individual signing | SHANE BALL |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7166882328 |
| Plan sponsor’s address | 1140 YOUNGS ROAD, WILLIAMSVILLE, NY, 14221 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-15 |
| Name of individual signing | SHANE BALL |
| Role | Employer/plan sponsor |
| Date | 2021-06-15 |
| Name of individual signing | SHANE BALL |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7166882328 |
| Plan sponsor’s address | 1140 YOUNGS ROAD, WILLIAMSVILLE, NY, 14221 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-12 |
| Name of individual signing | SHANE BALL |
| Role | Employer/plan sponsor |
| Date | 2020-10-12 |
| Name of individual signing | SHANE BALL |
| Name | Role | Address |
|---|---|---|
| THE LLC | DOS Process Agent | C/O ZABLOTSKI & SMYTH LLP, 2010 RAND BLDG 14 LAFAYETTE SQ, BUFFALO, NY, United States, 14203 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 180213000714 | 2018-02-13 | CERTIFICATE OF PUBLICATION | 2018-02-13 |
| 171003000403 | 2017-10-03 | ARTICLES OF ORGANIZATION | 2017-10-03 |
Date of last update: 13 Jan 2025
Sources: New York Secretary of State
