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ORCHARD PARK FAMILY PRACTICE, P.C.

Company Details

Name: ORCHARD PARK FAMILY PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Oct 1970 (54 years ago)
Entity Number: 296843
County: Erie
Place of Formation: New York
Address: 3670 S BENZING ROAD, ORCHARD PARK, NY, United States, 14127
Address ZIP Code: 14127

Contact Details

Phone +1 716-662-5357

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
ORCHARD PARK FAMILY PRACTICE 401(K) PLAN 2023 160976287 2024-09-25 ORCHARD PARK FAMILY PRACTICE, P.C. 71
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2013-07-15
Business code 621111
Sponsor’s telephone number 7162096002
Plan sponsor’s address 3670 S. BENZING RD. SUITE A, ORCHARD PARK, NY, 14127

Signature of

Role Plan administrator
Date 2024-09-25
Name of individual signing JULIE SOTO
Valid signature Filed with authorized/valid electronic signature
EMPLOYER SERVICES CORPORATION 401(K) RETIREMENT PLAN 2010 160976287 2011-09-13 ORCHARD PARK FAMILY PRACTICE, P.C. 43
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7166627226
Plan sponsor’s address 3680 EGGERT ROAD, ORCHARD PARK, NY, 14127

Plan administrator’s name and address

Administrator’s EIN 161479373
Plan administrator’s name EMPLOYER SERVICES CORPORATION
Plan administrator’s address 20 PINEVIEW DRIVE, AMHERST, NY, 14228
Administrator’s telephone number 7166914455

Signature of

Role Plan administrator
Date 2011-09-13
Name of individual signing GREGORY BAUER
EMPLOYER SERVICES CORPORATION 401(K) RETIREMENT PLAN 2009 160976287 2010-10-05 ORCHARD PARK FAMILY PRACTICE, P.C. 38
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 7166627226
Plan sponsor’s address 3680 EGGERT ROAD, ORCHARD PARK, NY, 14127

Plan administrator’s name and address

Administrator’s EIN 161479373
Plan administrator’s name EMPLOYER SERVICES CORPORATION
Plan administrator’s address 20 PINEVIEW DRIVE, AMHERST, NY, 142282122
Administrator’s telephone number 7166914455

Signature of

Role Plan administrator
Date 2010-09-28
Name of individual signing GREGORY BAUER
Role Employer/plan sponsor
Date 2010-10-04
Name of individual signing ORCHARD PARK FAMILY PRACTICE, P.C.

Chief Executive Officer

Name Role Address
THOMAS E DEGRAVE Chief Executive Officer 3670 S BENZING ROAD, ORCHARD PARK, NY, United States, 14127

DOS Process Agent

Name Role Address
ORCHARD PARK FAMILY PRACTICE, P.C. DOS Process Agent 3670 S BENZING ROAD, ORCHARD PARK, NY, United States, 14127

History

Start date End date Type Value
2014-10-15 2016-10-25 Address 3680 EGGERT RD, ORCHARD PARK, NY, 14127, USA (Type of address: Chief Executive Officer)
1996-10-31 2016-10-25 Address 3680 EGGERT RD, ORCHARD PARK, NY, 14127, USA (Type of address: Service of Process)
1996-10-31 2016-10-25 Address 3680 EGGERT RD, ORCHARD PARK, NY, 14127, USA (Type of address: Principal Executive Office)
1996-10-31 2014-10-15 Address 3680 EGGERT RD, ORCHARD PARK, NY, 14127, USA (Type of address: Chief Executive Officer)
1994-10-19 1995-11-14 Name RICHARD J. RUH, M.D., P.C.
1992-12-16 1996-10-31 Address 6750 EAST QUAKER STREET, ORCHARD PARK, NY, 14127, USA (Type of address: Principal Executive Office)
1992-12-16 1996-10-31 Address 6750 EAST QUAKER STREET, ORCHARD PARK, NY, 14127, USA (Type of address: Chief Executive Officer)
1992-12-16 1996-10-31 Address 6750 EAST QUAKER STREET, ORCHARD PARK, NY, 14127, USA (Type of address: Service of Process)
1970-10-14 1994-10-19 Name JOSEPH F. RUH, M. D., P. C.
1970-10-14 1992-12-16 Address 6750 E. QUAKER ST., ORCHARD PK, NY, 14127, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
161025006063 2016-10-25 BIENNIAL STATEMENT 2016-10-01
141015006311 2014-10-15 BIENNIAL STATEMENT 2014-10-01
121120002382 2012-11-20 BIENNIAL STATEMENT 2012-10-01
101109002268 2010-11-09 BIENNIAL STATEMENT 2010-10-01
080930003507 2008-09-30 BIENNIAL STATEMENT 2008-10-01
061010002927 2006-10-10 BIENNIAL STATEMENT 2006-10-01
041116002486 2004-11-16 BIENNIAL STATEMENT 2004-10-01
021016002055 2002-10-16 BIENNIAL STATEMENT 2002-10-01
C304270-2 2001-07-02 ASSUMED NAME LLC INITIAL FILING 2001-07-02
001011002115 2000-10-11 BIENNIAL STATEMENT 2000-10-01

Date of last update: 30 Oct 2024

Sources: New York Secretary of State