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AMHERST EAR, NOSE & THROAT, LLC

Company Details

Name: AMHERST EAR, NOSE & THROAT, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Jan 2002 (23 years ago)
Entity Number: 2724966
County: Erie
Place of Formation: New York
Address: 6041 TRANSIT RD, SUITE 101, E. AMHERST, NY, 14051
Address ZIP Code: 14051

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMHERST EAR NOSE & THROAT LLC SH 401K 2023 743029017 2024-10-10 AMHERST EAR, NOSE & THROAT, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-12-15
Business code 621111
Sponsor’s telephone number 7166913500
Plan sponsor’s address 6041 TRANSIT RD STE 101, EAST AMHERST, NY, 14051

Signature of
Role Plan administrator
Date 2024-10-10
Name of individual signing CAMYLLE BREEZE
Valid signature Filed with authorized/valid electronic signature
AMHERST EAR, NOSE & THROAT, LLC SAFE HARBOR 401(K) 2022 743029017 2023-09-07 AMHERST EAR, NOSE & THROAT, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-12-15
Business code 621111
Sponsor’s telephone number 7166913500
Plan sponsor’s address 6041 TRANSIT RD STE 101, EAST AMHERST, NY, 14051

Plan administrator’s name and address
Administrator’s EIN 743029017
Plan administrator’s name AMHERST EAR, NOSE & THROAT, LLC
Plan administrator’s address 6041 TRANSIT RD STE 101, EAST AMHERST, NY, 14051
Administrator’s telephone number 7166913500

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing CAMYLLE BREEZE
AMHERST EAR, NOSE & THROAT, LLC SAFE HARBOR 401(K) 2021 743029017 2022-09-27 AMHERST EAR, NOSE & THROAT, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-12-15
Business code 621111
Sponsor’s telephone number 7166913500
Plan sponsor’s address 6041 TRANSIT RD STE 101, EAST AMHERST, NY, 14051

Plan administrator’s name and address
Administrator’s EIN 743029017
Plan administrator’s name AMHERST EAR, NOSE & THROAT, LLC
Plan administrator’s address 6041 TRANSIT RD STE 101, EAST AMHERST, NY, 14051
Administrator’s telephone number 7166913500

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing CAMYLLE BREEZE
AMHERST EAR, NOSE & THROAT, LLC SAFE HARBOR 401(K) 2020 743029017 2021-09-15 AMHERST EAR, NOSE & THROAT, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-12-15
Business code 621111
Sponsor’s telephone number 7166913500
Plan sponsor’s address 6041 TRANSIT RD STE 101, EAST AMHERST, NY, 14051

Plan administrator’s name and address
Administrator’s EIN 743029017
Plan administrator’s name AMHERST EAR, NOSE & THROAT, LLC
Plan administrator’s address 6041 TRANSIT RD STE 101, EAST AMHERST, NY, 14051
Administrator’s telephone number 7166913500

Signature of
Role Plan administrator
Date 2021-09-15
Name of individual signing CAMYLLE BREEZE
AMHERST EAR, NOSE & THROAT, LLC SAFE HARBOR 401(K) 2019 743029017 2020-08-14 AMHERST EAR, NOSE & THROAT, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-12-15
Business code 621111
Sponsor’s telephone number 7166913500
Plan sponsor’s address 6041 TRANSIT RD STE 101, EAST AMHERST, NY, 14051

Plan administrator’s name and address
Administrator’s EIN 743029017
Plan administrator’s name AMHERST EAR, NOSE & THROAT, LLC
Plan administrator’s address 6041 TRANSIT RD STE 101, EAST AMHERST, NY, 14051
Administrator’s telephone number 7166913500

Signature of
Role Plan administrator
Date 2020-08-14
Name of individual signing CAMYLLE BREEZE
AMHERST EAR, NOSE & THROAT, LLC SAFE HARBOR 401(K) 2018 743029017 2019-07-30 AMHERST EAR, NOSE & THROAT, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-12-15
Business code 621111
Sponsor’s telephone number 7166913500
Plan sponsor’s address 3950 E. ROBINSON ROAD., SUITE 106, AMHERST, NY, 14228

Plan administrator’s name and address
Administrator’s EIN 743029017
Plan administrator’s name AMHERST EAR, NOSE & THROAT, LLC
Plan administrator’s address 3950 E. ROBINSON ROAD., SUITE 106, AMHERST, NY, 14228
Administrator’s telephone number 7166913500

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing CAMYLLE BREEZE
AMHERST EAR, NOSE & THROAT, LLC SAFE HARBOR 401(K) 2017 743029017 2018-08-31 AMHERST EAR, NOSE & THROAT, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-12-15
Business code 621111
Sponsor’s telephone number 7166913500
Plan sponsor’s address 3950 E. ROBINSON ROAD., SUITE 106, AMHERST, NY, 14228

Plan administrator’s name and address
Administrator’s EIN 743029017
Plan administrator’s name AMHERST EAR, NOSE & THROAT, LLC
Plan administrator’s address 3950 E. ROBINSON ROAD., SUITE 106, AMHERST, NY, 14228
Administrator’s telephone number 7166913500

Signature of
Role Plan administrator
Date 2018-08-31
Name of individual signing CAMYLLE BREEZE
AMHERST EAR, NOSE & THROAT, LLC SAFE HARBOR 401(K) 2016 743029017 2017-09-11 AMHERST EAR, NOSE & THROAT, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-12-15
Business code 621111
Sponsor’s telephone number 7166913500
Plan sponsor’s address 3950 E. ROBINSON ROAD., SUITE 106, AMHERST, NY, 14228

Plan administrator’s name and address
Administrator’s EIN 743029017
Plan administrator’s name AMHERST EAR, NOSE & THROAT, LLC
Plan administrator’s address 3950 E. ROBINSON ROAD., SUITE 106, AMHERST, NY, 14228
Administrator’s telephone number 7166913500

Signature of
Role Plan administrator
Date 2017-09-11
Name of individual signing CAMYLLE BREEZE
AMHERST EAR, NOSE & THROAT, LLC SAFE HARBOR 401(K) 2015 743029017 2016-09-20 AMHERST EAR, NOSE & THROAT, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-12-15
Business code 621111
Sponsor’s telephone number 7166913500
Plan sponsor’s address 3950 E. ROBINSON ROAD., SUITE 106, AMHERST, NY, 14228

Plan administrator’s name and address
Administrator’s EIN 743029017
Plan administrator’s name AMHERST EAR, NOSE & THROAT, LLC
Plan administrator’s address 3950 E. ROBINSON ROAD., SUITE 106, AMHERST, NY, 14228
Administrator’s telephone number 7166913500

Signature of
Role Plan administrator
Date 2016-09-20
Name of individual signing JAMES F CHMIEL
AMHERST EAR, NOSE & THROAT, LLC SAFE HARBOR 401(K) 2014 743029017 2015-07-16 AMHERST EAR, NOSE & THROAT, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-12-15
Business code 621111
Sponsor’s telephone number 7166913500
Plan sponsor’s address 3950 E. ROBINSON ROAD., SUITE 106, AMHERST, NY, 14228

Plan administrator’s name and address
Administrator’s EIN 743029017
Plan administrator’s name AMHERST EAR, NOSE & THROAT, LLC
Plan administrator’s address 3950 E. ROBINSON ROAD., SUITE 106, AMHERST, NY, 14228
Administrator’s telephone number 7166913500

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing JAMES CHMIEL

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 6041 TRANSIT RD, SUITE 101, E. AMHERST, NY, 14051

History

Start date End date Type Value
2006-01-19 2020-03-11 Address 3950 EAST ROBINSON ROAD, AMHERST, NY, 14228, USA (Type of address: Service of Process)
2002-01-29 2006-01-19 Address 1000 CATHEDRAL PLACE, 298 MAIN STREET, BUFFALO, NY, 14202, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210630002445 2021-06-30 BIENNIAL STATEMENT 2021-06-30
200311000838 2020-03-11 CERTIFICATE OF CHANGE 2020-03-11
140404002435 2014-04-04 BIENNIAL STATEMENT 2014-01-01
120224002145 2012-02-24 BIENNIAL STATEMENT 2012-01-01
100305002792 2010-03-05 BIENNIAL STATEMENT 2010-01-01
060119002207 2006-01-19 BIENNIAL STATEMENT 2006-01-01
040113002074 2004-01-13 BIENNIAL STATEMENT 2004-01-01
020422000625 2002-04-22 AFFIDAVIT OF PUBLICATION 2002-04-22
020422000452 2002-04-22 AFFIDAVIT OF PUBLICATION 2002-04-22
020129000797 2002-01-29 ARTICLES OF ORGANIZATION 2002-01-29

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Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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