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LUIS MELGAR, PHYSICIAN, P.C.

Company Details

Name: LUIS MELGAR, PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Jun 2004 (20 years ago)
Entity Number: 3072940
ZIP code: 14075
County: Erie
Place of Formation: New York
Address: SUITE 3, 5893 CAMP ROAD, HAMBURG, NY, United States, 14075
Principal Address: 5893 CAMP RD STE 3, HAMBURG, NY, United States, 14075

Contact Details

Phone +1 716-648-7401

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
LUIS MELGAR PHYSICIAN, P.C. 401(K) PLAN 2023 201430724 2024-05-27 LUIS MELGAR PHYSICIAN, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7165104964
Plan sponsor’s address 5893 CAMP ROAD SUITE 3, HAMBURG, NY, 14075

Signature of

Role Plan administrator
Date 2024-05-27
Name of individual signing MELISSA MELGAR
LUIS MELGAR PHYSICIAN, P.C. 401(K) PLAN 2022 201430724 2023-05-28 LUIS MELGAR PHYSICIAN, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7165104964
Plan sponsor’s address 5893 CAMP ROAD SUITE 3, HAMBURG, NY, 14075

Signature of

Role Plan administrator
Date 2023-05-28
Name of individual signing MELISSA MELGAR
LUIS MELGAR PHYSICIAN, P.C. 401(K) PLAN 2021 201430724 2022-07-12 LUIS MELGAR PHYSICIAN, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7165104964
Plan sponsor’s address 5893 CAMP ROAD SUITE 3, HAMBURG, NY, 14075

Signature of

Role Plan administrator
Date 2022-07-12
Name of individual signing MELISSA MELGAR
LUIS MELGAR PHYSICIAN, P.C. 401(K) PLAN 2020 201430724 2021-06-10 LUIS MELGAR PHYSICIAN, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7165104964
Plan sponsor’s address 5893 CAMP ROAD SUITE 3, HAMBURG, NY, 14075

Signature of

Role Plan administrator
Date 2021-06-10
Name of individual signing MELISSA MELGAR
LUIS MELGAR PHYSICIAN, P.C. 401(K) PLAN 2019 201430724 2020-06-30 LUIS MELGAR PHYSICIAN, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7165104964
Plan sponsor’s address 5893 CAMP ROAD SUITE 3, HAMBURG, NY, 14075

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing MELISSA MELGAR
LUIS MELGAR PHYSICIAN, P.C. 401(K) PLAN 2019 201430724 2020-06-16 LUIS MELGAR PHYSICIAN, P.C. 6
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7165104964
Plan sponsor’s address 5893 CAMP ROAD SUITE 3, HAMBURG, NY, 14075

Signature of

Role Plan administrator
Date 2020-06-16
Name of individual signing MMELGAR1913
LUIS MELGAR PHYSICIAN, P.C. 401(K) PLAN 2018 201430724 2019-06-03 LUIS MELGAR PHYSICIAN, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7165104964
Plan sponsor’s address 5893 CAMP ROAD SUITE 3, HAMBURG, NY, 14075

Signature of

Role Plan administrator
Date 2019-06-03
Name of individual signing MELISSA MELGAR
LUIS MELGAR PHYSICIAN, P.C. 401(K) PLAN 2017 201430724 2018-02-27 LUIS MELGAR PHYSICIAN, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7166487401
Plan sponsor’s address 5893 CAMP ROAD SUITE 3, HAMBURG, NY, 14075

Signature of

Role Plan administrator
Date 2018-02-27
Name of individual signing LUIS MELGAR MD
LUIS MELGAR PHYSICIAN, P.C. 401(K) PLAN 2016 201430724 2017-09-20 LUIS MELGAR PHYSICIAN, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7166487401
Plan sponsor’s address 5893 CAMP ROAD SUITE 3, HAMBURG, NY, 14075

Signature of

Role Plan administrator
Date 2017-09-13
Name of individual signing LUIS MELGAR MD
LUIS MELGAR PHYSICIAN, P.C. 401(K) PLAN 2015 201430724 2016-04-15 LUIS MELGAR PHYSICIAN, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7166487401
Plan sponsor’s address 5893 CAMP ROAD SUITE 3, HAMBURG, NY, 14075

Signature of

Role Plan administrator
Date 2016-04-15
Name of individual signing LUIS MELGAR MD

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent SUITE 3, 5893 CAMP ROAD, HAMBURG, NY, United States, 14075

Chief Executive Officer

Name Role Address
LUIS MELGAR Chief Executive Officer 5893 CAMP RD STE 3, HAMBURG, NY, United States, 14075

Filings

Filing Number Date Filed Type Effective Date
140717006536 2014-07-17 BIENNIAL STATEMENT 2014-06-01
120813002652 2012-08-13 BIENNIAL STATEMENT 2012-06-01
100709002429 2010-07-09 BIENNIAL STATEMENT 2010-06-01
080724002194 2008-07-24 BIENNIAL STATEMENT 2008-06-01
060616002663 2006-06-16 BIENNIAL STATEMENT 2006-06-01
040630000674 2004-06-30 CERTIFICATE OF INCORPORATION 2004-06-30

Date of last update: 10 Nov 2024

Sources: New York Secretary of State