| Name: | UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC NOT-FOR-PROFIT CORPORATION |
| Status: | Active |
| Date of registration: | 05 Dec 1984 (40 years ago) |
| Entity Number: | 1805914 |
| ZIP code: | 14222 |
| County: | Erie |
| Place of Formation: | New York |
| Address: | CHILDREN'S HOSPITAL OF BUFFALO, 219 BRYANT STREET, BUFFALO, NY, United States, 14222 |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5XW57 | Obsolete | Non-Manufacturer | 2010-03-23 | 2024-03-11 | 2022-06-20 | No data | |||||||||||||||
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| POC | KERRI BLAKE BLAKE |
| Phone | +1 716-878-7996 |
| Fax | +1 716-878-7339 |
| Address | 239 BRYANT ST 2ND FLR, BUFFALO, NY, 14222 2006, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
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| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES, INC. FLEXIBLE BENEFITS PLAN | 2009 | 161238821 | 2011-07-15 | UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES, INC. | 217 | |||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 161238821 |
| Plan administrator’s name | UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES, INC. |
| Plan administrator’s address | 239 BRYANT STREET, BUFFALO, NY, 14222 |
| Administrator’s telephone number | 7168787300 |
Number of participants as of the end of the plan year
| Active participants | 217 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-16 |
| Name of individual signing | SANDRA CARLO |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1995-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7168787300 |
| Plan sponsor’s mailing address | 239 BRYANT STREET, BUFFALO, NY, 14222 |
| Plan sponsor’s address | SAME, BUFFALO, NY, 14222 |
Plan administrator’s name and address
| Administrator’s EIN | 161238821 |
| Plan administrator’s name | UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES, INC. |
| Plan administrator’s address | 239 BRYANT STREET, BUFFALO, NY, 14222 |
| Administrator’s telephone number | 7168787300 |
Number of participants as of the end of the plan year
| Active participants | 217 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-16 |
| Name of individual signing | SANDRA CARLO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | CHILDREN'S HOSPITAL OF BUFFALO, 219 BRYANT STREET, BUFFALO, NY, United States, 14222 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1994-03-24 | 2000-06-20 | Address | 219 BRYANT STREET, BUFFALO, NY, 14222, USA (Type of address: Service of Process) |
| 1985-02-08 | 1994-03-24 | Name | UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES, P.C. |
| 1984-12-05 | 1985-02-08 | Name | UNIVERSITY AT BUFFALO PEDIATRICS ASSOCIATES, P.C. |
| 1984-12-05 | 1994-03-24 | Address | 219 BRYANT ST., BUFFALO, NY, 14222, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 000620000490 | 2000-06-20 | CERTIFICATE OF AMENDMENT | 2000-06-20 |
| 940324000094 | 1994-03-24 | CERTIFICATE OF AMENDMENT | 1994-03-24 |
| B191263-6 | 1985-02-08 | CERTIFICATE OF AMENDMENT | 1985-02-08 |
| B168838-7 | 1984-12-05 | CERTIFICATE OF INCORPORATION | 1984-12-05 |
Date of last update: 01 Dec 2024
Sources: New York Secretary of State
