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UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC.

Company Details

Name: UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION)
Status: Active
Date of registration: 29 Aug 2003 (21 years ago)
Entity Number: 2948562
County: Erie
Place of Formation: New York
Address: 3 GATES CIRCLE, BUFFALO, NY, United States, 14209
Address ZIP Code: 14209

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. PSP 2023 200194563 2024-01-16 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2022 200194563 2023-06-27 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2023-06-27
Name of individual signing LISA SHERRIS
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2021 200194563 2022-09-19 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2022-09-19
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2020 200194563 2021-10-14 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2019 200194563 2020-10-09 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2018 200194563 2019-10-11 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2017 200194563 2018-09-27 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2018-09-27
Name of individual signing DAVID SHERRIS, MD
Role Employer/plan sponsor
Date 2018-09-27
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2016 200194563 2017-10-09 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2015 200194563 2016-10-10 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing DAVID SHERRIS, MD
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. RETIREMENT PLAN 2014 200194563 2015-10-05 UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 7168845102
Plan sponsor’s address 1237 DELAWARE AVENUE, BUFFALO, NY, 14209

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing DAVID SHERRIS, MD

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3 GATES CIRCLE, BUFFALO, NY, United States, 14209

Filings

Filing Number Date Filed Type Effective Date
030829000320 2003-08-29 CERTIFICATE OF INCORPORATION 2003-08-29

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THE CORPORATION

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Related by address

3 GATES CIRCLE, BUFFALO, NY, United States, 14209

MILLARD FILLMORE HOSPITALS EDWIN J. MANNING, M.D., P.C. WILLIAM R. KINKEL, M. D., P. C. UNIVERSITY AT BUFFALO NEUROSURGERY, INC. ALLEN L. GOLDFARB, M.D., P.C. LAWRENCE H. GOLDEN, M.D., P.C. NEUROSURGERY, P.C. HANDOX ASSOCIATES, INC. DENT NEUROLOGIC GROUP, INC.

Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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