| Name: | UB FAMILY MEDICINE, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 30 Jul 1986 (38 years ago) |
| Entity Number: | 1101292 |
| ZIP code: | 14215 |
| County: | Erie |
| Place of Formation: | New York |
| Address: | ERIE COUNTY MEDICAL CENTER, 462 GRIDER STREET, BUFFALO, NY, United States, 14215 |
| Principal Address: | 462 GRIDER ST, BUFFALO, NY, United States, 14215 |
Contact Details
Phone +1 716-859-5600
Phone +1 716-550-8361
Phone +1 716-710-4399
Phone +1 716-568-3600
Phone +1 716-835-9800
Phone +1 716-831-8612
Phone +1 716-688-9641
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PLWFFKP6TET1 | 2022-07-15 | 77 GOODELL ST STE 240, BUFFALO, NY, 14203, 1243, USA | 77 GOODELL ST, BUFFALO, NY, 14203, 1243, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | UBMD FAMILY MEDICINE |
| Congressional District | 26 |
| State/Country of Incorporation | NY, USA |
| Activation Date | 2021-06-23 |
| Initial Registration Date | 2012-06-08 |
| Entity Start Date | 1969-01-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CASEY SCHROEDER |
| Address | 77 GOODELL ST, SUITE 240, BUFFALO, NY, 14203, 1243, USA |
| Title | ALTERNATE POC |
| Name | CASEY SCHROEDER |
| Address | 77 GOODELL ST, SUITE 240, BUFFALO, NY, 14203, 1243, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CASEY SCHROEDER |
| Address | 77 GOODELL ST, SUITE 240, BUFFALO, NY, 14203, 1243, USA |
| Title | ALTERNATE POC |
| Name | CASEY SCHROEDER |
| Address | 77 GOODELL ST, SUITE 240, BUFFALO, NY, 14203, 1243, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | CASEY SCHROEDER |
| Address | 77 GOODELL ST, SUITE 240, BUFFALO, NY, 14203, USA |
| Title | ALTERNATE POC |
| Name | HENRY MCWILLIAMS |
| Address | 77 GOODWELL STREET, SUITE 240, BUFFALO, NY, 14203, USA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UB FAMILY MEDICINE , INC. PENSION PLAN | 2010 | 161280696 | 2011-08-31 | UB FAMILY MEDICINE , INC. | 114 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 161280696 |
| Plan administrator’s name | UB FAMILY MEDICINE , INC. |
| Plan administrator’s address | 462 GRIDER STREET, CC BUILDING, ROOM 160, BUFFALO, NY, 14215 |
| Administrator’s telephone number | 7168984744 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-31 |
| Name of individual signing | MARY ELLEN ASHE |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 1995-12-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7168984744 |
| Plan sponsor’s address | 462 GRIDER STREET, CC BUILDING ROOM 160, BUFFALO, NY, 14215 |
Plan administrator’s name and address
| Administrator’s EIN | 161280696 |
| Plan administrator’s name | UB FAMILY MEDICINE INC. |
| Plan administrator’s address | 462 GRIDER STREET, CC BUILDING ROOM 160, BUFFALO, NY, 14215 |
| Administrator’s telephone number | 7168984744 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-07 |
| Name of individual signing | MARY ELLEN ASHE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1991-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7168984744 |
| Plan sponsor’s address | 462 GRIDER STREET, CC BUILDING, ROOM 160, BUFFALO, NY, 14215 |
Plan administrator’s name and address
| Administrator’s EIN | 161280696 |
| Plan administrator’s name | UB FAMILY MEDICINE , INC. |
| Plan administrator’s address | 462 GRIDER STREET, CC BUILDING, ROOM 160, BUFFALO, NY, 14215 |
| Administrator’s telephone number | 7168984744 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-07 |
| Name of individual signing | MARY ELLEN ASHE |
| Name | Role | Address |
|---|---|---|
| THOMAS C. ROSENTHAL, M.D. | Chief Executive Officer | 462 GRIDER STREET, BUFFALO, NY, United States, 14215 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | ERIE COUNTY MEDICAL CENTER, 462 GRIDER STREET, BUFFALO, NY, United States, 14215 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1995-07-05 | 2000-10-03 | Name | FAMILY MEDICINE FACULTY ASSOCIATES, INC. |
| 1995-07-05 | 2000-10-03 | Address | ERIE COUNTY MEDICAL CENTER, 462 GRIDER STREET, BUFFALO, NY, 14215, USA (Type of address: Service of Process) |
| 1993-03-04 | 1993-08-17 | Address | 462 GRIDER ST, BUFFALO, NY, 14215, USA (Type of address: Chief Executive Officer) |
| 1993-03-04 | 1995-07-05 | Address | 462 GRIDER ST, BUFFALO, NY, 14215, USA (Type of address: Service of Process) |
| 1986-07-30 | 1995-07-05 | Name | FAMILY MEDICINE FACULTY ASSOCIATES, P.C. |
| 1986-07-30 | 1993-03-04 | Address | 1001 HUMBOLDT PARKWAY, BUFFALO, NY, 14208, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 001003000383 | 2000-10-03 | CERTIFICATE OF AMENDMENT | 2000-10-03 |
| 950705000067 | 1995-07-05 | CERTIFICATE OF REINCORPORATION | 1995-07-05 |
| 930817002739 | 1993-08-17 | BIENNIAL STATEMENT | 1993-07-01 |
| 930304002356 | 1993-03-04 | BIENNIAL STATEMENT | 1992-07-01 |
| B385891-6 | 1986-07-30 | CERTIFICATE OF INCORPORATION | 1986-07-30 |
Date of last update: 15 Nov 2024
Sources: New York Secretary of State
