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MAPLE-GATE ANESTHESIOLOGISTS, P.C.

Company Details

Name: MAPLE-GATE ANESTHESIOLOGISTS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Jul 1983 (42 years ago)
Entity Number: 856015
ZIP code: 14221
County: Erie
Place of Formation: New York
Address: 30 SOUTH CAYUGA ROAD, WILLIAMSVILLE, NY, United States, 14221

Contact Details

Phone +1 716-859-2226

Phone +1 716-568-6333

Phone +1 716-568-6100

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
MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN 2023 161203772 2024-10-03 MAPLE-GATE ANESTHESIOLOGISTS, P.C. 92
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-07-25
Business code 621111
Sponsor’s telephone number 7166321088
Plan sponsor’s address 30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2024-10-03
Name of individual signing DAVID CAMPLING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-03
Name of individual signing DAVID CAMPLING
Valid signature Filed with authorized/valid electronic signature
MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN 2022 161203772 2023-10-12 MAPLE-GATE ANESTHESIOLOGISTS, P.C. 86
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-07-25
Business code 621111
Sponsor’s telephone number 7166321088
Plan sponsor’s address 30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2023-10-12
Name of individual signing DAVID CAMPLING
Role Employer/plan sponsor
Date 2023-10-12
Name of individual signing DAVID CAMPLING
MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN 2021 161203772 2022-10-11 MAPLE-GATE ANESTHESIOLOGISTS, P.C. 86
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-07-25
Business code 621111
Sponsor’s telephone number 7166321088
Plan sponsor’s address 30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing DAVID CAMPLING
Role Employer/plan sponsor
Date 2022-10-11
Name of individual signing DAVID CAMPLING
MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN 2020 161203772 2021-10-04 MAPLE-GATE ANESTHESIOLOGISTS, P.C. 88
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-07-25
Business code 621111
Sponsor’s telephone number 7166321088
Plan sponsor’s address 30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2021-10-04
Name of individual signing PHILIP LESZAK
Role Employer/plan sponsor
Date 2021-10-04
Name of individual signing PHILIP LESZAK
MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN 2019 161203772 2020-10-14 MAPLE-GATE ANESTHESIOLOGISTS, P.C. 89
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-07-25
Business code 621111
Sponsor’s telephone number 7166321088
Plan sponsor’s address 30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing PHILIP LESZAK
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing PHILIP LESZAK
MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN 2018 161203772 2019-10-15 MAPLE-GATE ANESTHESIOLOGISTS, P.C. 80
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-07-25
Business code 621111
Sponsor’s telephone number 7166321088
Plan sponsor’s address 30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing PHILIP LESZAK
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing PHILIP LESZAK
MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN 2017 161203772 2018-10-10 MAPLE-GATE ANESTHESIOLOGISTS, P.C. 79
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-07-25
Business code 621111
Sponsor’s telephone number 7166321088
Plan sponsor’s address 30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2018-10-10
Name of individual signing PHILIP LESZAK
MAPLE-GATE ANESTHESIOLOGISTS, P.C. DEFERRED PROFIT SHARING PLAN 2016 161203772 2017-06-28 MAPLE-GATE ANESTHESIOLOGISTS, P.C. 76
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-07-25
Business code 621111
Sponsor’s telephone number 7166321088
Plan sponsor’s address 30 S. CAYUGA ROAD, WILLIAMSVILLE, NY, 142210000

Signature of

Role Plan administrator
Date 2017-06-28
Name of individual signing MONT STERN, MD
Role Employer/plan sponsor
Date 2017-06-28
Name of individual signing MONT STERN, MD
MAPLE-GATE ANESTHESIOLOGISTS, P.C. DEFERRED PROFIT SHARING PLAN 2015 161203772 2016-10-13 MAPLE-GATE ANESTHESIOLOGISTS, P.C. 75
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-07-25
Business code 621111
Sponsor’s telephone number 7166321088
Plan sponsor’s address 30 S. CAYUGA ROAD, WILLIAMSVILLE, NY, 142210000

Signature of

Role Plan administrator
Date 2016-10-12
Name of individual signing MONT STERN, MD
Role Employer/plan sponsor
Date 2016-10-12
Name of individual signing MONT STERN, MD
MAPLE-GATE ANESTHESIOLOGISTS, P.C. DEFERRED PROFIT SHARING PLAN 2014 161203772 2015-10-09 MAPLE-GATE ANESTHESIOLOGISTS, P.C. 85
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1983-07-25
Business code 621111
Sponsor’s telephone number 7166321088
Plan sponsor’s address 30 S. CAYUGA ROAD, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2015-10-09
Name of individual signing MONT STERN, MD
Role Employer/plan sponsor
Date 2015-10-09
Name of individual signing MONT STERN, MD

Chief Executive Officer

Name Role Address
BENEDICTUS S BAHK, MD Chief Executive Officer 30 S CAYUGA RD, WILLIAMSVILLE, NY, United States, 14221

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 30 SOUTH CAYUGA ROAD, WILLIAMSVILLE, NY, United States, 14221

History

Start date End date Type Value
2023-06-29 2023-12-04 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2001-07-19 2013-07-23 Address 30 S CAYUGA RD, WILLIAMSVILLE, NY, 14221, 6728, USA (Type of address: Chief Executive Officer)
2000-01-24 2001-07-19 Address 30 SOUTH CAYUGA ROAD, WILLIAMSVILLE, NY, 14221, 6728, USA (Type of address: Chief Executive Officer)
1993-08-13 2000-01-24 Address 30 SOUTH CAYUGA ROAD, WILLIAMSVILLE, NY, 14221, 6728, USA (Type of address: Chief Executive Officer)
1983-07-19 2023-06-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1983-07-19 1993-08-13 Address 3 GATES CIRCLE, BUFFALO, NY, 14209, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130723002019 2013-07-23 BIENNIAL STATEMENT 2013-07-01
110908002776 2011-09-08 BIENNIAL STATEMENT 2011-07-01
090714002208 2009-07-14 BIENNIAL STATEMENT 2009-07-01
030724002535 2003-07-24 BIENNIAL STATEMENT 2003-07-01
010719002180 2001-07-19 BIENNIAL STATEMENT 2001-07-01
000124002502 2000-01-24 BIENNIAL STATEMENT 1999-07-01
971003002212 1997-10-03 BIENNIAL STATEMENT 1997-07-01
930813002254 1993-08-13 BIENNIAL STATEMENT 1993-07-01
B002678-6 1983-07-19 CERTIFICATE OF INCORPORATION 1983-07-19

Date of last update: 06 Jan 2025

Sources: New York Secretary of State