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MAPLE MEDICAL SERVICES, P.C.

Company Details

Name: MAPLE MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Apr 1998 (27 years ago) (Companies founded in April 1998)
Entity Number: 2245974
ZIP code: 14221 (Companies in Erie, 14221)
County: Erie
Place of Formation: New York
Address: 41 MAPLE RD., WILLIAMSVILLE, NY, United States, 14221
Principal Address: 41 MAPLE RD, WILLIAMSVILLE, NY, United States, 14221

Contact Details

Phone +1 716-631-1045

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
MAPLE MEDICAL SERVICES, P.C. 401(K) PROFIT SHARING PLAN 2023 161547361 2024-10-03 MAPLE MEDICAL SERVICES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7166032659
Plan sponsor’s address 41 MAPLE ROAD, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2024-10-03
Name of individual signing KIM KELLY
Valid signature Filed with authorized/valid electronic signature
MAPLE MEDICAL SERVICES, P.C. 401(K) PROFIT SHARING PLAN 2022 161547361 2023-07-29 MAPLE MEDICAL SERVICES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7166032659
Plan sponsor’s address 41 MAPLE ROAD, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2023-07-29
Name of individual signing THEODORE COSTICH
MAPLE MEDICAL SERVICES, P.C. 401(K) PROFIT SHARING PLAN 2021 161547361 2022-07-11 MAPLE MEDICAL SERVICES, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7166032659
Plan sponsor’s address 41 MAPLE ROAD, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2022-07-11
Name of individual signing KIM KELLY
MAPLE MEDICAL SERVICES, P.C. 401(K) PROFIT SHARING PLAN 2020 161547361 2021-10-11 MAPLE MEDICAL SERVICES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7166032659
Plan sponsor’s address 41 MAPLE ROAD, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing KIM KELLY
MAPLE MEDICAL SERVICES, P.C. 401(K) PROFIT SHARING PLAN 2019 161547361 2020-07-10 MAPLE MEDICAL SERVICES, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7166032659
Plan sponsor’s address 41 MAPLE ROAD, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2020-07-10
Name of individual signing KIM KELLY
MAPLE MEDICAL SERVICES, P.C. 401(K) PROFIT SHARING PLAN 2018 161547361 2019-07-01 MAPLE MEDICAL SERVICES, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7166032659
Plan sponsor’s address 41 MAPLE ROAD, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2019-07-01
Name of individual signing KIM KELLY
MAPLE MEDICAL SERVICES, P.C. 401(K) PROFIT SHARING PLAN 2017 161547361 2018-07-24 MAPLE MEDICAL SERVICES, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7166032659
Plan sponsor’s address 41 MAPLE ROAD, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing KIM KELLY
MAPLE MEDICAL SERVICES, P.C. 401(K) PROFIT SHARING PLAN 2016 161547361 2017-06-27 MAPLE MEDICAL SERVICES, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7166032659
Plan sponsor’s address 41 MAPLE ROAD, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2017-06-27
Name of individual signing KIM KELLY
MAPLE MEDICAL SERVICES, P.C. 401(K) PROFIT SHARING PLAN 2015 161547361 2016-06-08 MAPLE MEDICAL SERVICES, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 7166032659
Plan sponsor’s address 41 MAPLE ROAD, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2016-06-08
Name of individual signing KIM KELLY

Chief Executive Officer

Name Role Address
THEODORE G. COSTICH, MD, FACOG Chief Executive Officer 41 MAPLE RD, WILLIAMSVILLE, NY, United States, 14221

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 41 MAPLE RD., WILLIAMSVILLE, NY, United States, 14221

History

Start date End date Type Value
2000-04-24 2002-04-04 Address 61 MAPLE ROAD, WILLIAMSVILLE, NY, 14221, USA (Type of address: Chief Executive Officer)
2000-04-24 2002-04-04 Address 61 MAPLE ROAD, WILLIAMSVILLE, NY, 14221, USA (Type of address: Principal Executive Office)
1998-04-03 2002-04-04 Address 5887 BENT BROOK COURT, EAST AMHERST, NY, 14051, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
120531002133 2012-05-31 BIENNIAL STATEMENT 2012-04-01
100512002429 2010-05-12 BIENNIAL STATEMENT 2010-04-01
080425002143 2008-04-25 BIENNIAL STATEMENT 2008-04-01
060530002686 2006-05-30 BIENNIAL STATEMENT 2006-04-01
051115000758 2005-11-15 CERTIFICATE OF AMENDMENT 2005-11-15
040610002010 2004-06-10 BIENNIAL STATEMENT 2004-04-01
020404002008 2002-04-04 BIENNIAL STATEMENT 2002-04-01
000424002176 2000-04-24 BIENNIAL STATEMENT 2000-04-01
980403000136 1998-04-03 CERTIFICATE OF INCORPORATION 1998-04-03

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

Related by address

41 MAPLE RD, WILLIAMSVILLE, NY, United States, 14221

MSEC, INC.

Date of last update: 12 Nov 2024

Sources: New York Secretary of State

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