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  5. UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC.

UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC.

Company Details

Name: UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION)
Status: Active
Date of registration: 31 May 2000 (24 years ago)
Entity Number: 2515961
ZIP code: 14215
County: Erie
Place of Formation: New York
Address: %ERIE COUNTY MEDICAL CTR #171, 462 GRIDER STREET, BUFFALO, NY, United States, 14215

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. TAX DEFERRED ANNUITY PLAN 2023 161591241 2024-10-08 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 77 GOODELL ST, SUITE 550, BUFFALO, NY, 14203

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing BRIAN PARKER
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. RETIREMENT PLAN 2023 161591241 2024-10-08 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 77 GOODELL ST, SUITE 550, BUFFALO, NY, 14203

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing BRIAN PARKER
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. TAX DEFERRED ANNUITY PLAN 2022 161591241 2023-09-13 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 77 GOODELL ST, SUITE 550, BUFFALO, NY, 14203

Signature of
Role Plan administrator
Date 2023-09-13
Name of individual signing STACEY WATT
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. RETIREMENT PLAN 2022 161591241 2023-09-13 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 77 GOODELL ST, SUITE 550, BUFFALO, NY, 14203

Signature of
Role Plan administrator
Date 2023-09-13
Name of individual signing STACEY WATT
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. RETIREMENT PLAN 2021 161591241 2022-10-17 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 77 GOODELL STREET, SUITE 550, BUFFALO, NY, 14203
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. TAX DEFERRED ANNUITY PLAN 2021 161591241 2022-10-17 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 77 GOODELL STREET, SUITE 550, BUFFALO, NY, 14203
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. TAX DEFERRED ANNUITY PLAN 2020 161591241 2021-07-28 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 250 FARBER HALL, 3435 MAIN STREET, BUFFALO, NY, 14214
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. RETIREMENT PLAN 2020 161591241 2021-07-28 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 250 FARBER HALL, 3435 MAIN STREET, BUFFALO, NY, 14214
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. TAX DEFERRED ANNUITY PLAN 2019 161591241 2020-07-09 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 250 FARBER HALL, 3435 MAIN STREET, BUFFALO, NY, 14214
UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. RETIREMENT PLAN 2019 161591241 2020-07-09 UNIVERSITY AT BUFFALO ANESTHESIOLOGY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 611000
Sponsor’s telephone number 7168296105
Plan sponsor’s address 250 FARBER HALL, 3435 MAIN STREET, BUFFALO, NY, 14214

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent %ERIE COUNTY MEDICAL CTR #171, 462 GRIDER STREET, BUFFALO, NY, United States, 14215

Filings

Filing Number Date Filed Type Effective Date
000531000933 2000-05-31 CERTIFICATE OF INCORPORATION 2000-05-31

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD V562Q80243 2007-10-16 2007-10-26 2007-10-26
Unique Award Key CONT_AWD_V562Q80243_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title LETHALITY ASSESSMENT AND INTERVENTION
Product and Service Codes U005: TUITION/REG/MEMB FEES

Recipient Details
Recipient UNIVERSITY AT BUFFALO ANESTHESIOLOGY INC
UEI N6P6UP491GF9
Legacy DUNS 154148238
Recipient Address UNITED STATES, 3495 BAILEY AVE, BUFFALO, 142151199
PO AWARD V562Q80244 2007-10-16 2007-10-26 2007-10-26
Unique Award Key CONT_AWD_V562Q80244_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title TRAUMA TREATMENT COURSE
Product and Service Codes U005: TUITION/REG/MEMB FEES

Recipient Details
Recipient UNIVERSITY AT BUFFALO ANESTHESIOLOGY INC
UEI N6P6UP491GF9
Legacy DUNS 154148238
Recipient Address UNITED STATES, 3495 BAILEY AVE, BUFFALO, 142151199

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Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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