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LAKESHORE PRIMARY CARE ASSOCIATES, LLP

Company Details

Name: LAKESHORE PRIMARY CARE ASSOCIATES, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 02 Mar 2001 (24 years ago)
Entity Number: 2611928
County: Blank
Place of Formation: New York
Address: 4855 CAMP ROAD, SUITE 100, HAMBURG, NY, United States, 14075
Address ZIP Code: 14075

Contact Details

Phone +1 716-646-1084

Phone +1 716-683-4196

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKESHORE PRIMARY CARE 401(K)/PS PLAN 2023 161602427 2024-07-31 LAKESHORE PRIMARY CARE ASSOCIATES 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 111100
Sponsor’s telephone number 7166461084
Plan sponsor’s address 4855 CAMP ROAD, SUITE 100, HAMBURG, NY, 14075

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing JUDY SCHEUNEMAN
Role Employer/plan sponsor
Date 2024-07-31
Name of individual signing JUDY SCHEUNEMAN
LAKESHORE PRIMARY CARE 401(K)/PS PLAN 2022 161602427 2023-05-19 LAKESHORE PRIMARY CARE ASSOCIATES 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 111100
Sponsor’s telephone number 7166461084
Plan sponsor’s address 4855 CAMP ROAD, SUITE 100, HAMBURG, NY, 14075

Signature of
Role Plan administrator
Date 2023-05-19
Name of individual signing JUDY SCHEUNEMAN
Role Employer/plan sponsor
Date 2023-05-19
Name of individual signing JUDY SCHEUNEMAN
LAKESHORE PRIMARY CARE 401(K)/PS PLAN 2021 161602427 2022-09-28 LAKESHORE PRIMARY CARE ASSOCIATES 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 111100
Sponsor’s telephone number 7166461084
Plan sponsor’s address 4855 CAMP ROAD, SUITE 100, HAMBURG, NY, 14075

Signature of
Role Plan administrator
Date 2022-09-28
Name of individual signing JUDY SCHEUNEMAN
Role Employer/plan sponsor
Date 2022-09-28
Name of individual signing JUDY SCHEUNEMAN
LAKESHORE PRIMARY CARE 401(K)/PS PLAN 2020 161602427 2021-10-26 LAKESHORE PRIMARY CARE ASSOCIATES 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 111100
Sponsor’s telephone number 7166461084
Plan sponsor’s address 4855 CAMP ROAD, SUITE 100, HAMBURG, NY, 14075

Signature of
Role Plan administrator
Date 2021-10-26
Name of individual signing JUDITH SCHEUNEMAN
Role Employer/plan sponsor
Date 2021-10-26
Name of individual signing JUDITH SCHEUNEMAN
LAKESHORE PRIMARY CARE 401(K)/PS PLAN 2020 161602427 2021-09-29 LAKESHORE PRIMARY CARE ASSOCIATES 60
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 111100
Sponsor’s telephone number 7166461084
Plan sponsor’s address 4855 CAMP ROAD, SUITE 100, HAMBURG, NY, 14075

Signature of
Role Plan administrator
Date 2021-09-29
Name of individual signing JUDITH SCHEUNEMAN
Role Employer/plan sponsor
Date 2021-09-29
Name of individual signing JUDITH SCHEUNEMAN
LAKESHORE PRIMARY CARE 401(K)/PS PLAN 2019 161602427 2020-07-24 LAKESHORE PRIMARY CARE ASSOCIATES 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 111100
Sponsor’s telephone number 7166461084
Plan sponsor’s address 4855 CAMP ROAD, SUITE 100, HAMBURG, NY, 14075

Signature of
Role Plan administrator
Date 2020-07-24
Name of individual signing KRISTEN ROBILLARD
Role Employer/plan sponsor
Date 2020-07-24
Name of individual signing KRISTEN ROBILLARD
LAKESHORE PRIMARY CARE 401(K)/PS PLAN 2018 161602427 2019-02-22 LAKESHORE PRIMARY CARE ASSOCIATES 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 111100
Sponsor’s telephone number 7166461084
Plan sponsor’s address 4855 CAMP ROAD, SUITE 100, HAMBURG, NY, 14075

Signature of
Role Plan administrator
Date 2019-02-22
Name of individual signing JUDY SCHEUNEMAN
Role Employer/plan sponsor
Date 2019-02-22
Name of individual signing JUDY SCHEUNEMAN
LAKESHORE PRIMARY CARE 401(K)/PS PLAN 2017 161602427 2018-08-20 LAKESHORE PRIMARY CARE ASSOCIATES 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 111100
Sponsor’s telephone number 7166461084
Plan sponsor’s address 4855 CAMP ROAD, SUITE 100, HAMBURG, NY, 14075

Signature of
Role Plan administrator
Date 2018-08-20
Name of individual signing KRISTEN ROBILLARD
Role Employer/plan sponsor
Date 2018-08-20
Name of individual signing KRISTEN ROBILLARD
LAKESHORE PRIMARY CARE 401(K) / PS PLAN 2016 161602427 2017-07-11 LAKESHORE PRIMARY CARE ASSOCIATES 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 111100
Sponsor’s telephone number 7166461084
Plan sponsor’s address 4855 CAMP ROAD, SUITE 100, HAMBURG, NY, 14075

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing KRISTEN ROBILLARD
LAKESHORE PRIMARY CARE 401(K) / PS PLAN 2015 161602427 2016-06-16 LAKESHORE PRIMARY CARE ASSOCIATES 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 111100
Sponsor’s telephone number 7166461084
Plan sponsor’s address 4855 CAMP ROAD, SUITE 100, HAMBURG, NY, 14075

Signature of
Role Plan administrator
Date 2016-06-16
Name of individual signing KRISTEN ROBILLARD

DOS Process Agent

Name Role Address
KRISTEN M ROBILLARD MD DOS Process Agent 4855 CAMP ROAD, SUITE 100, HAMBURG, NY, United States, 14075

Agent

Name Role Address
RICHARD J BIRYLA ESQ Agent 800 RAND BLDG., 14 LAFAYETTE SQUARE, BUFFALO, NY, 14203

History

Start date End date Type Value
2006-05-11 2013-01-24 Address 3040 AMSDELL ROAD, HAMBURG, NY, 14075, USA (Type of address: Service of Process)
2001-03-02 2006-05-11 Address 3040 AMSDELL ROAD, HAMBURG, NY, 14075, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210716000673 2021-07-16 FIVE YEAR STATEMENT 2021-07-16
160212002007 2016-02-12 FIVE YEAR STATEMENT 2016-03-01
130128000815 2013-01-28 CERTIFICATE OF CONSENT 2013-01-28
130124002351 2013-01-24 FIVE YEAR STATEMENT 2011-03-01
RV-2139925 2011-07-27 REVOCATION OF REGISTRATION 2011-07-27
060511002490 2006-05-11 FIVE YEAR STATEMENT 2006-03-01
010918000054 2001-09-18 AFFIDAVIT OF PUBLICATION 2001-09-18
010918000052 2001-09-18 AFFIDAVIT OF PUBLICATION 2001-09-18
010302000060 2001-03-02 NOTICE OF REGISTRATION 2001-03-02

Related by officers

RICHARD J BIRYLA ESQ

EDEN MANAGEMENT OF OLEAN, INC. SOUTHTOWNS SOCCER CLUB, INC.

Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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