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UNIVERSITY DENTAL PRACTICE SERVICES, INC.

Company Details

Name: UNIVERSITY DENTAL PRACTICE SERVICES, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 12 May 1997 (28 years ago) (Companies founded in May 1997)
Entity Number: 2142531
ZIP code: 14214 (Companies in Erie, 14214)
County: Erie
Place of Formation: New York
Address: UNIVERSITY DENTAL SERVICES,INC, 3435 MAIN ST - 325 SQUIRE HALL, BUFFALO, NY, United States, 14214

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY DENTAL PRACTICE SVCS, INC. 403(B) 2013 161534421 2014-11-04 UNIVERSITY DENTAL PRACTICE SERVICES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7168292836
Plan sponsor’s address 3435 MAIN STREET, 102 C SQUIRE HALL, BUFFALO, NY, 14214

Signature of
Role Plan administrator
Date 2014-11-03
Name of individual signing JAMES HARRIS
Role Employer/plan sponsor
Date 2014-11-03
Name of individual signing JAMES HARRIS
UNIVERSITY DENTAL PRACTICE SVCS, INC. 403(B) 2013 161534421 2014-06-30 UNIVERSITY DENTAL PRACTICE SERVICES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7168292836
Plan sponsor’s address 3435 MAIN STREET, 325 SQUIRE HALL, BUFFALO, NY, 14214

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing JAMES HARRIS
Role Employer/plan sponsor
Date 2014-06-30
Name of individual signing JAMES HARRIS
UNIVERSITY DENTAL PRACTICE SVCS, INC. 403(B) 2012 161534421 2013-07-11 UNIVERSITY DENTAL PRACTICE SERVICES, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7168292836
Plan sponsor’s address 3435 MAIN STREET, 325 SQUIRE HALL, BUFFALO, NY, 14214

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing JAMES M. HARRIS
Role Employer/plan sponsor
Date 2013-07-11
Name of individual signing JAMES M. HARRIS
UNIVERSITY DENTAL PRACTICE SVCS, INC. 403(B) 2011 161534421 2012-07-26 UNIVERSITY DENTAL PRACTICE SERVICES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7168292836
Plan sponsor’s address 3435 MAIN STREET, 325 SQUIRE HALL, BUFFALO, NY, 14214

Plan administrator’s name and address
Administrator’s EIN 161534421
Plan administrator’s name UNIVERSITY DENTAL PRACTICE SERVICES, INC.
Plan administrator’s address 3435 MAIN STREET, 325 SQUIRE HALL, BUFFALO, NY, 14214
Administrator’s telephone number 7168292836

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing JAMES HARRIS
Role Employer/plan sponsor
Date 2012-07-26
Name of individual signing JAMES HARRIS
UNIVERSITY DENTAL PRACTICE SVCS, INC. 403(B) 2010 161534421 2011-07-27 UNIVERSITY DENTAL PRACTICE SERVICES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7168292836
Plan sponsor’s address 3435 MAIN STREET, 325 SQUIRE HALL, BUFFALO, NY, 14214

Plan administrator’s name and address
Administrator’s EIN 161534421
Plan administrator’s name UNIVERSITY DENTAL PRACTICE SERVICES, INC.
Plan administrator’s address 3435 MAIN STREET, 325 SQUIRE HALL, BUFFALO, NY, 14214
Administrator’s telephone number 7168292836

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing JAMES HARRIS
Role Employer/plan sponsor
Date 2011-07-27
Name of individual signing JAMES HARRIS
UNIVERSITY DENTAL PRACTICE SVCS, INC. 403(B) 2009 161534421 2010-09-21 UNIVERSITY DENTAL PRACTICE SERVICES, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 7168292836
Plan sponsor’s address 3435 MAIN STREET, 325 SQUIRE HALL, BUFFALO, NY, 14214

Plan administrator’s name and address
Administrator’s EIN 161534421
Plan administrator’s name UNIVERSITY DENTAL PRACTICE SERVICES, INC
Plan administrator’s address 3435 MAIN STREET, 325 SQUIRE HALL, BUFFALO, NY, 14214
Administrator’s telephone number 7168292836

Signature of
Role Plan administrator
Date 2010-09-20
Name of individual signing JAMES HARRIS
Role Employer/plan sponsor
Date 2010-09-20
Name of individual signing JAMES HARRIS

DOS Process Agent

Name Role Address
C/O LOUIS GOLDBERG DDS DEAN, SUNYAB SCHOOL OF DENTAL MEDICINE DOS Process Agent UNIVERSITY DENTAL SERVICES,INC, 3435 MAIN ST - 325 SQUIRE HALL, BUFFALO, NY, United States, 14214

Filings

Filing Number Date Filed Type Effective Date
970512000695 1997-05-12 CERTIFICATE OF INCORPORATION 1997-05-12

Related by officers

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Related by address

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Date of last update: 12 Nov 2024

Sources: New York Secretary of State

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