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KENMORE FAMILY MEDICINE LLP

Company Details

Name: KENMORE FAMILY MEDICINE LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 27 Oct 1995 (29 years ago)
Entity Number: 1968712
ZIP code: 14203
County: Blank
Place of Formation: New York
Principal Address: 2914 ELMWOOD AVE, KENMORE, NY, United States, 14217
Address: ATT JOHN J ZAK ESQ, 1800 ONE M & T PLAZA, BUFFALO, NY, United States, 14203

Contact Details

Phone +1 716-875-6700

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2023 161490418 2024-05-15 KENMORE FAMILY MEDICINE, LLP 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2024-05-15
Name of individual signing LISA MENDONZA
Role Employer/plan sponsor
Date 2024-05-15
Name of individual signing LISA MENDONZA
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2022 161490418 2023-07-24 KENMORE FAMILY MEDICINE, LLP 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2023-07-20
Name of individual signing LISA MENDONZA MD
Role Employer/plan sponsor
Date 2023-07-20
Name of individual signing LISA MENDONZA MD
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2021 161490418 2022-07-18 KENMORE FAMILY MEDICINE, LLP 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2022-07-18
Name of individual signing LISA M MENDONZA
Role Employer/plan sponsor
Date 2022-07-18
Name of individual signing LISA M MENDONZA
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2020 161490418 2021-07-09 KENMORE FAMILY MEDICINE, LLP 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2021-07-09
Name of individual signing LISA MENDONZA MD
Role Employer/plan sponsor
Date 2021-07-09
Name of individual signing LISA MENDONZA MD
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2019 161490418 2020-07-28 KENMORE FAMILY MEDICINE, LLP 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2020-07-27
Name of individual signing DAVID SILVERSTEIN
Role Employer/plan sponsor
Date 2020-07-27
Name of individual signing DAVID SILVERSTEIN
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2018 161490418 2019-07-29 KENMORE FAMILY MEDICINE, LLP 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing DAVID SILVERSTEIN
Role Employer/plan sponsor
Date 2019-07-29
Name of individual signing DAVID SILVERSTEIN
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2017 161490418 2018-06-29 KENMORE FAMILY MEDICINE, LLP 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2018-06-29
Name of individual signing DAVID SILVERSTEIN
Role Employer/plan sponsor
Date 2018-06-29
Name of individual signing DAVID SILVERSTEIN
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2016 161490418 2017-07-25 KENMORE FAMILY MEDICINE, LLP 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2017-07-25
Name of individual signing DAVID SILVERSTEIN
Role Employer/plan sponsor
Date 2017-07-25
Name of individual signing DAVID SILVERSTEIN
KENMORE FAMILY MEDICINE PROFIT SHARING PLAN 2015 161490418 2016-09-21 KENMORE FAMILY MEDICINE, LLP 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 7168756700
Plan sponsor’s address 2914 ELMWOOD AVENUE, KENMORE, NY, 14217

Signature of

Role Plan administrator
Date 2016-09-21
Name of individual signing DAVID SILVERSTEIN
Role Employer/plan sponsor
Date 2016-09-21
Name of individual signing DAVID SILVERSTEIN

DOS Process Agent

Name Role Address
C/O HODGSON RUSS ANDREWS WOODS & GOODYEAR LLP DOS Process Agent ATT JOHN J ZAK ESQ, 1800 ONE M & T PLAZA, BUFFALO, NY, United States, 14203

Filings

Filing Number Date Filed Type Effective Date
150909002011 2015-09-09 FIVE YEAR STATEMENT 2015-10-01
101004002640 2010-10-04 FIVE YEAR STATEMENT 2010-10-01
050926002352 2005-09-26 FIVE YEAR STATEMENT 2005-10-01
000927002347 2000-09-27 FIVE YEAR STATEMENT 2000-10-01
960105000217 1996-01-05 AFFIDAVIT OF PUBLICATION 1996-01-05
960105000212 1996-01-05 AFFIDAVIT OF PUBLICATION 1996-01-05
951027000365 1995-10-27 NOTICE OF REGISTRATION 1995-10-27

Date of last update: 13 Nov 2024

Sources: New York Secretary of State