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  5. ROSWELL PARK ALLIANCE FOUNDATION

ROSWELL PARK ALLIANCE FOUNDATION

Company Details

Name: ROSWELL PARK ALLIANCE FOUNDATION
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 15 Mar 1991 (34 years ago)
Entity Number: 1516273
ZIP code: 14202
County: Erie
Place of Formation: New York
Address: 700 GUARANTY BUILDING, 28 CHURCH STREET, BUFFALO, NY, United States, 14202

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROSWELL PARK ALLIANCE FOUNDATION RETIREMENT PLAN 403(B) 2023 161391608 2024-10-09 ROSWELL PARK ALLIANCE FOUNDATION 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 813000
Sponsor’s telephone number 7168458033
Plan sponsor’s address ELM AND CARLTON STREETS, BUFFALO, NY, 14263

Signature of
Role Plan administrator
Date 2024-10-09
Name of individual signing TAMMY LIGHTCAP
Valid signature Filed with authorized/valid electronic signature
ROSWELL PARK ALLIANCE FOUNDATION RETIREMENT PLAN 403(B) 2022 161391608 2023-09-27 ROSWELL PARK ALLIANCE FOUNDATION 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 813000
Sponsor’s telephone number 7168458033
Plan sponsor’s address ELM AND CARLTON STREETS, BUFFALO, NY, 14263

Signature of
Role Plan administrator
Date 2023-09-25
Name of individual signing TAMMY LIGHTCAP
ROSWELL PARK ALLIANCE FOUNDATION RETIREMENT PLAN 403(B) 2021 161391608 2022-07-13 ROSWELL PARK ALLIANCE FOUNDATION 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 813000
Sponsor’s telephone number 7168458033
Plan sponsor’s address ELM AND CARLTON STREETS, BUFFALO, NY, 14263

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing TAMMY LIGHTCAP
ROSWELL PARK ALLIANCE FOUNDATION RETIREMENT PLAN 403(B) 2020 161391608 2021-07-13 ROSWELL PARK ALLIANCE FOUNDATION 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 813000
Sponsor’s telephone number 7168458033
Plan sponsor’s address ELM AND CARLTON STREETS, BUFFALO, NY, 14263

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing TAMMY LIGHTCAP
ROSWELL PARK ALLIANCE FOUNDATION RETIREMENT PLAN 403(B) 2019 161391608 2020-07-13 ROSWELL PARK ALLIANCE FOUNDATION 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 813000
Sponsor’s telephone number 7168458033
Plan sponsor’s address ELM AND CARLTON STREETS, BUFFALO, NY, 14263

Signature of
Role Plan administrator
Date 2020-07-10
Name of individual signing TAMMY LIGHTCAP
ROSWELL PARK ALLIANCE FOUNDATION RETIREMENT PLAN 403(B) 2018 161391608 2019-06-28 ROSWELL PARK ALLIANCE FOUNDATION 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 813000
Sponsor’s telephone number 7168458033
Plan sponsor’s address ELM AND CARLTON STREETS, BUFFALO, NY, 14263

Signature of
Role Plan administrator
Date 2019-06-26
Name of individual signing TAMMY LIGHTCAP
ROSWELL PARK ALLIANCE FOUNDATION RETIREMENT PLAN 403(B) 2017 161391608 2018-06-22 ROSWELL PARK ALLIANCE FOUNDATION 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 813000
Sponsor’s telephone number 7168458033
Plan sponsor’s address ELM AND CARLTON STREETS, BUFFALO, NY, 14263

Signature of
Role Plan administrator
Date 2018-06-22
Name of individual signing TAMMY LIGHTCAP
ROSWELL PARK ALLIANCE FOUNDATION RETIREMENT PLAN 403(B) 2016 161391608 2017-06-27 ROSWELL PARK ALLIANCE FOUNDATION 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 813000
Sponsor’s telephone number 7168458033
Plan sponsor’s address ELM AND CARLTON STREETS, BUFFALO, NY, 14263

Signature of
Role Plan administrator
Date 2017-06-22
Name of individual signing TAMMY LIGHTCAP
ROSWELL PARK ALLIANCE FOUNDATION RETIREMENT PLAN 403(B) 2015 161391608 2016-07-08 ROSWELL PARK ALLIANCE FOUNDATION 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 813000
Sponsor’s telephone number 7168458033
Plan sponsor’s address ELM AND CARLTON STREETS, BUFFALO, NY, 14263

Signature of
Role Plan administrator
Date 2016-07-08
Name of individual signing TAMMY LIGHTCAP
ROSWELL PARK ALLIANCE FOUNDATION RETIREMENT PLAN 403(B) 2014 161391608 2015-10-05 ROSWELL PARK ALLIANCE FOUNDATION 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 813000
Sponsor’s telephone number 7168458033
Plan sponsor’s address ELM AND CARLTON STREETS, BUFFALO, NY, 14263

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing TAMMY LIGHTCAP

DOS Process Agent

Name Role Address
% LIPPES, KAMINSKY, SILVERSTEIN, MATHIAS & WEXLER DOS Process Agent 700 GUARANTY BUILDING, 28 CHURCH STREET, BUFFALO, NY, United States, 14202

Filings

Filing Number Date Filed Type Effective Date
910315000194 1991-03-15 CERTIFICATE OF INCORPORATION 1991-03-15

Related by officers

% LIPPES, KAMINSKY, SILVERSTEIN, MATHIAS & WEXLER

HLS MILLERSPORT PROPERTIES, INC.

Related by address

700 GUARANTY BUILDING, 28 CHURCH STREET, BUFFALO, NY, United States, 14202

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Date of last update: 14 Nov 2024

Sources: New York Secretary of State

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