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SURGXL CARDIOTHORACIC SERVICES, P.C.

Company Details

Name: SURGXL CARDIOTHORACIC SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 20 Nov 2000 (24 years ago)
Entity Number: 2576050
County: Erie
Date of dissolution: 21 Dec 2021
Place of Formation: New York
Principal Address: 462 GRIDER ST., BUFFALO, NY, United States, 14215
Principal Address ZIP Code: 14215
Address: C/O ECMC, 462 GRIDER ST., BUFFALO, NY, United States, 14215
Address ZIP Code: 14215

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
SURGXL AC 401(K) PLAN 2017 161596806 2018-07-16 SURGXL CARDIOTHORACIC SERVICES, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7168281410
Plan sponsor’s address 22 CAZENOVIA STREET, BUFFALO, NY, 14220

Signature of
Role Plan administrator
Date 2018-07-13
Name of individual signing JOHN BELL THOMSON
Role Employer/plan sponsor
Date 2018-07-13
Name of individual signing JOHN BELL THOMSON
SURGXL AC 401(K) PLAN 2016 161596806 2017-06-22 SURGXL CARDIOTHORACIC SERVICES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7168281410
Plan sponsor’s address 22 CAZENOVIA STREET, BUFFALO, NY, 14220

Signature of
Role Plan administrator
Date 2017-06-22
Name of individual signing JOHN BELL THOMSON
Role Employer/plan sponsor
Date 2017-06-22
Name of individual signing JOHN BELL THOMSON
SURGXL AC 401(K) PLAN 2015 161596806 2016-09-14 SURGXL CARDIOTHORACIC SERVICES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7168281410
Plan sponsor’s address 22 CAZENOVIA STREET, BUFFALO, NY, 14220

Signature of
Role Plan administrator
Date 2016-09-14
Name of individual signing JOHN BELL THOMSON
Role Employer/plan sponsor
Date 2016-09-14
Name of individual signing JOHN BELL THOMSON
SURGXL AC 401(K) PLAN 2014 161596806 2015-10-13 SURGXL CARDIOTHORACIC SERVICES, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7168281410
Plan sponsor’s address 22 CAZENOVIA STREET, BUFFALO, NY, 14220

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing JOHN BELL THOMSON
Role Employer/plan sponsor
Date 2015-10-12
Name of individual signing JOHN BELL THOMSON
SURGXL AC 401(K) PLAN 2013 161596806 2014-09-25 SURGXL CARDIOTHORACIC SERVICES, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7168281410
Plan sponsor’s address 22 CAZENOVIA STREET, BUFFALO, NY, 14220

Signature of
Role Plan administrator
Date 2014-09-25
Name of individual signing JULIE ANN LUCZAK BELL-THOMSON
Role Employer/plan sponsor
Date 2014-09-25
Name of individual signing JULIE ANN LUCZAK BELL-THOMSON
SURGXL AC 401(K) PLAN 2012 161596806 2013-10-10 SURGXL CARDIOTHORACIC SERVICES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7168281410
Plan sponsor’s address 22 CAZENOVIA STREET, BUFFALO, NY, 14220

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing JOHN BELL THOMSON
Role Employer/plan sponsor
Date 2013-10-10
Name of individual signing JOHN BELL THOMSON
SURGXL AC 401(K) PLAN 2011 161596806 2012-09-19 SURGXL CARDIOTHORACIC SERVICES, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7168281410
Plan sponsor’s address 22 CAZENOVIA STREET, BUFFALO, NY, 14220

Plan administrator’s name and address
Administrator’s EIN 161596806
Plan administrator’s name SURGXL CARDIOTHORACIC SERVICES, P.C.
Plan administrator’s address 22 CAZENOVIA STREET, BUFFALO, NY, 14220
Administrator’s telephone number 7168281410

Signature of
Role Plan administrator
Date 2012-09-19
Name of individual signing JOHN BELL-THOMSON
Role Employer/plan sponsor
Date 2012-09-19
Name of individual signing JOHN BELL-THOMSON
SURGXL AC 401(K) PLAN 2010 161596806 2011-09-30 SURGXL CARDIOTHORACIC SERVICES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7168281410
Plan sponsor’s address 22 CAZENOVIA STREET, BUFFALO, NY, 14220

Plan administrator’s name and address
Administrator’s EIN 161596806
Plan administrator’s name SURGXL CARDIOTHORACIC SERVICES, P.C.
Plan administrator’s address 22 CAZENOVIA STREET, BUFFALO, NY, 14220
Administrator’s telephone number 7168281410

Signature of
Role Plan administrator
Date 2011-09-30
Name of individual signing JOHN BELL-THOMSON
Role Employer/plan sponsor
Date 2011-09-30
Name of individual signing JOHN BELL-THOMSON
SURGXL AC 401(K) PLAN 2009 161596806 2010-07-21 SURGXL CARDIOTHORACIC SERVICES, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 7168281410
Plan sponsor’s address 22 CAZENOVIA STREET, BUFFALO, NY, 14220

Plan administrator’s name and address
Administrator’s EIN 161596806
Plan administrator’s name SURGXL CARDIOTHORACIC SERVICES, P.C.
Plan administrator’s address 22 CAZENOVIA STREET, BUFFALO, NY, 14220
Administrator’s telephone number 7168281410

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing JOHN BELL-THOMSON
Role Employer/plan sponsor
Date 2010-07-21
Name of individual signing JOHN BELL-THOMSON

Chief Executive Officer

Name Role Address
JOHN BELL-THOMSON, MD Chief Executive Officer 462 GRIDER ST., BUFFALO, NY, United States, 14215

DOS Process Agent

Name Role Address
JOHN BELL THOMSON, MD DOS Process Agent C/O ECMC, 462 GRIDER ST., BUFFALO, NY, United States, 14215

History

Start date End date Type Value
2002-11-01 2022-06-08 Address 462 GRIDER ST., BUFFALO, NY, 14215, USA (Type of address: Chief Executive Officer)
2002-11-01 2022-06-08 Address C/O ECMC, 462 GRIDER ST., BUFFALO, NY, 14215, USA (Type of address: Service of Process)
2000-11-20 2021-12-21 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2000-11-20 2002-11-01 Address C/O ECMC, 462 GRIDER ST, BUFFALO, NY, 14215, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220608000277 2021-12-21 CERTIFICATE OF DISSOLUTION-CANCELLATION 2021-12-21
061101002646 2006-11-01 BIENNIAL STATEMENT 2006-11-01
050112002232 2005-01-12 BIENNIAL STATEMENT 2004-11-01
021101002388 2002-11-01 BIENNIAL STATEMENT 2002-11-01
001120000535 2000-11-20 CERTIFICATE OF INCORPORATION 2000-11-20

Related by officers

No related officers

Related by address

462 GRIDER ST., BUFFALO, NY, United States, 14215

UPSTATE CARDIOTHORACIC CONSULTING, P.C. VOLUNTEER BOARD OF THE ERIE COUNTY MEDICAL CENTER CORPORATION

Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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