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DELAWARE SURGICAL GROUP P.C.

Company Details

Name: DELAWARE SURGICAL GROUP P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Mar 1994 (31 years ago)
Entity Number: 1804234
County: Erie
Place of Formation: New York
Address: 1150 YOUNGS ROAD, WILLIAMSVILLE, NY, United States, 14221
Address ZIP Code: 14221

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
DELAWARE SURGICAL GROUP, P.C. 401(K) PLAN 2019 161453839 2020-02-13 DELAWARE SURGICAL GROUP, P.C. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 7169327391
Plan sponsor’s address 1150 YOUNGS RD STE 202, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2020-02-12
Name of individual signing EVAN EVANS
Role Employer/plan sponsor
Date 2020-02-12
Name of individual signing EVAN EVANS
DELAWARE SURGICAL GROUP, P.C. 401(K) PLAN 2018 161453839 2019-10-14 DELAWARE SURGICAL GROUP, P.C. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 7169327391
Plan sponsor’s address 1150 YOUNGS RD STE 202, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing EVAN EVANS
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing EVAN EVANS
DELAWARE SURGICAL GROUP, P.C. 401(K) PLAN 2017 161453839 2018-09-24 DELAWARE SURGICAL GROUP, P.C. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 7169327391
Plan sponsor’s address 1150 YOUNGS RD STE 202, WILLIAMSVILLE, NY, 14221

Signature of

Role Plan administrator
Date 2018-09-20
Name of individual signing EVAN EVANS
Role Employer/plan sponsor
Date 2018-09-20
Name of individual signing EVAN EVANS
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2014 161453839 2015-12-01 DELAWARE SURGICAL GROUP, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-17
Business code 621111
Sponsor’s telephone number 7166369004
Plan sponsor’s address 1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024

Plan administrator’s name and address

Administrator’s EIN 161453839
Plan administrator’s name DELAWARE SURGICAL GROUP, P.C.
Plan administrator’s address 1150 YOUNGS ROAD, SUITE 202, AMHERST, NY, 14221
Administrator’s telephone number 7166369004

Signature of

Role Plan administrator
Date 2015-12-01
Name of individual signing EVAN EVANS
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2014 161453839 2015-06-09 DELAWARE SURGICAL GROUP, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-17
Business code 621111
Sponsor’s telephone number 7166369004
Plan sponsor’s address 1150 YOUNGS ROAD, SUITE 202, AMHERST, NY, 14221

Plan administrator’s name and address

Administrator’s EIN 161453839
Plan administrator’s name DELAWARE SURGICAL GROUP, P.C.
Plan administrator’s address 1150 YOUNGS ROAD,SUITE 202, AMHERST, NY, 14221
Administrator’s telephone number 7166369004

Signature of

Role Plan administrator
Date 2015-06-09
Name of individual signing EVAN EVANS
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2013 161453839 2014-06-24 DELAWARE SURGICAL GROUP, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-17
Business code 621111
Sponsor’s telephone number 7166369004
Plan sponsor’s address 1150 YOUNGS ROAD, SUITE 202, AMHERST, NY, 14221

Plan administrator’s name and address

Administrator’s EIN 161453839
Plan administrator’s name DELAWARE SURGICAL GROUP, P.C.
Plan administrator’s address 1150 YOUNGS ROAD,SUITE 202, AMHERST, NY, 14221
Administrator’s telephone number 7166369004

Signature of

Role Plan administrator
Date 2014-06-24
Name of individual signing EVAN EVANS
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2012 161453839 2013-08-22 DELAWARE SURGICAL GROUP, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-17
Business code 621111
Sponsor’s telephone number 7166369004
Plan sponsor’s address 1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024

Plan administrator’s name and address

Administrator’s EIN 161453839
Plan administrator’s name DELAWARE SURGICAL GROUP, P.C.
Plan administrator’s address 1150 YOUNGS ROAD,SUITE 202, WILLIAMSVILLE, NY, 14221
Administrator’s telephone number 7166369004

Signature of

Role Plan administrator
Date 2013-08-22
Name of individual signing EVAN EVANS
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2011 161453839 2012-04-24 DELAWARE SURGICAL GROUP, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-17
Business code 621111
Sponsor’s telephone number 7166369004
Plan sponsor’s address 1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024

Plan administrator’s name and address

Administrator’s EIN 161453839
Plan administrator’s name DELAWARE SURGICAL GROUP, P.C.
Plan administrator’s address 1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024
Administrator’s telephone number 7166369004

Signature of

Role Plan administrator
Date 2012-04-24
Name of individual signing EVAN EVANS
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2010 161453839 2011-04-11 DELAWARE SURGICAL GROUP, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-17
Business code 621111
Sponsor’s telephone number 7166369004
Plan sponsor’s address 1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024

Plan administrator’s name and address

Administrator’s EIN 161453839
Plan administrator’s name DELAWARE SURGICAL GROUP, P.C.
Plan administrator’s address 1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024
Administrator’s telephone number 7166369004

Signature of

Role Plan administrator
Date 2011-04-11
Name of individual signing EVAN EVANS
DELAWARE SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2009 161453839 2010-07-13 DELAWARE SURGICAL GROUP, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-03-17
Business code 621111
Sponsor’s telephone number 7166369004
Plan sponsor’s address 1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024

Plan administrator’s name and address

Administrator’s EIN 161453839
Plan administrator’s name DELAWARE SURGICAL GROUP, P.C.
Plan administrator’s address 1150 YOUNGS ROAD, SUITE 202, WILLIAMSVILLE, NY, 142218024
Administrator’s telephone number 7166369004

Signature of

Role Plan administrator
Date 2010-07-13
Name of individual signing EVAN EVANS

Chief Executive Officer

Name Role Address
EVAN J EVANS MD Chief Executive Officer 1150 YOUNGS RD, WILLIAMSVILLE, NY, United States, 14221

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1150 YOUNGS ROAD, WILLIAMSVILLE, NY, United States, 14221

History

Start date End date Type Value
2002-03-12 2010-03-30 Address 1150 YOUNGS RD, WILLIAMSVILLE, NY, 14221, USA (Type of address: Chief Executive Officer)
2000-03-20 2002-03-12 Address 1150 YOUNGS ROAD, WILLIAMSVILLE, NY, 14221, USA (Type of address: Chief Executive Officer)
1996-05-01 2000-03-20 Address 3 GATES CIRCLE, BUFFALO, NY, 14209, 1120, USA (Type of address: Chief Executive Officer)
1996-05-01 2000-03-20 Address 3 GATES CIRCLE, BUFFALO, NY, 14209, 1120, USA (Type of address: Principal Executive Office)
1996-05-01 2000-03-20 Address 3 GATES CIRCLE, BUFFALO, NY, 14209, 1120, USA (Type of address: Service of Process)
1994-03-17 1996-05-01 Address 3 GATES CIRCLE, BUFFALO, NY, 14209, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
120522002958 2012-05-22 BIENNIAL STATEMENT 2012-03-01
100330002526 2010-03-30 BIENNIAL STATEMENT 2010-03-01
080326002362 2008-03-26 BIENNIAL STATEMENT 2008-03-01
060406002286 2006-04-06 BIENNIAL STATEMENT 2006-03-01
040312002076 2004-03-12 BIENNIAL STATEMENT 2004-03-01
020312002442 2002-03-12 BIENNIAL STATEMENT 2002-03-01
000320002016 2000-03-20 BIENNIAL STATEMENT 2000-03-01
980316002020 1998-03-16 BIENNIAL STATEMENT 1998-03-01
960501002371 1996-05-01 BIENNIAL STATEMENT 1996-03-01
940317000245 1994-03-17 CERTIFICATE OF INCORPORATION 1994-03-17

Date of last update: 13 Nov 2024

Sources: New York Secretary of State