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CONCORD MEDICAL GROUP, P. C.

Company Details

Name: CONCORD MEDICAL GROUP, P. C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 06 Jan 1972 (53 years ago)
Date of dissolution: 24 May 2012
Entity Number: 321111
ZIP code: 14141
County: Erie
Place of Formation: New York
Address: 210 EAST MAIN ST, SPRINGVILLE, NY, United States, 14141

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
CONCORD MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2010 160993858 2011-06-02 CONCORD MEDICAL GROUP, P.C. 34
Three-digit plan number (PN) 001
Effective date of plan 1976-04-01
Business code 621491
Sponsor’s telephone number 7165923635
Plan sponsor’s address 210 E MAIN ST, SPRINGVILLE, NY, 141411442

Plan administrator’s name and address

Administrator’s EIN 160993858
Plan administrator’s name CONCORD MEDICAL GROUP, P.C.
Plan administrator’s address 210 E MAIN ST, SPRINGVILLE, NY, 141411442
Administrator’s telephone number 7165923635

Signature of

Role Plan administrator
Date 2011-06-02
Name of individual signing SHIRLEY QUICK
Role Employer/plan sponsor
Date 2011-06-02
Name of individual signing SHIRLEY QUICK
CONCORD MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2010 160993858 2011-07-01 CONCORD MEDICAL GROUP, P.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-04-01
Business code 621491
Sponsor’s telephone number 7165923635
Plan sponsor’s address 210 E MAIN ST, SPRINGVILLE, NY, 141411442

Plan administrator’s name and address

Administrator’s EIN 160993858
Plan administrator’s name CONCORD MEDICAL GROUP, P.C.
Plan administrator’s address 210 E MAIN ST, SPRINGVILLE, NY, 141411442
Administrator’s telephone number 7165923635

Signature of

Role Plan administrator
Date 2011-07-01
Name of individual signing SHIRLEY QUICK
Role Employer/plan sponsor
Date 2011-07-01
Name of individual signing SHIRLEY QUICK
CONCORD MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2010 160993858 2011-09-12 CONCORD MEDICAL GROUP, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-04-01
Business code 621491
Sponsor’s telephone number 7165923635
Plan sponsor’s address 210 E MAIN ST, SPRINGVILLE, NY, 141411442

Plan administrator’s name and address

Administrator’s EIN 160993858
Plan administrator’s name CONCORD MEDICAL GROUP, P.C.
Plan administrator’s address 210 E MAIN ST, SPRINGVILLE, NY, 141411442
Administrator’s telephone number 7165923635

Signature of

Role Plan administrator
Date 2011-09-12
Name of individual signing SHIRLEY QUICK
Role Employer/plan sponsor
Date 2011-09-12
Name of individual signing SHIRLEY QUICK
CONCORD MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2010 160993858 2011-06-14 CONCORD MEDICAL GROUP, P.C. 34
Three-digit plan number (PN) 001
Effective date of plan 1976-04-01
Business code 621491
Sponsor’s telephone number 7165923635
Plan sponsor’s address 210 E MAIN ST, SPRINGVILLE, NY, 141411442

Plan administrator’s name and address

Administrator’s EIN 160993858
Plan administrator’s name CONCORD MEDICAL GROUP, P.C.
Plan administrator’s address 210 E MAIN ST, SPRINGVILLE, NY, 141411442
Administrator’s telephone number 7165923635

Signature of

Role Plan administrator
Date 2011-06-14
Name of individual signing SHIRLEY QUICK
Role Employer/plan sponsor
Date 2011-06-14
Name of individual signing SHIRLEY QUICK
CONCORD MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2009 160993858 2010-07-14 CONCORD MEDICAL GROUP, P.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-04-01
Business code 621111
Sponsor’s telephone number 7165923600
Plan sponsor’s address 210 E MAIN ST, SPRINGVILLE, NY, 141411442

Plan administrator’s name and address

Administrator’s EIN 160993858
Plan administrator’s name CONCORD MEDICAL GROUP, P.C.
Plan administrator’s address 210 E MAIN ST, SPRINGVILLE, NY, 141411442
Administrator’s telephone number 7165923600

Signature of

Role Plan administrator
Date 2010-07-14
Name of individual signing PRISCILLA DALE
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing SHIRLEY QUICK

Chief Executive Officer

Name Role Address
PRISCILLA K DALE MD Chief Executive Officer 210 EAST MAIN ST, SPRINGVILLE, NY, United States, 14141

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 210 EAST MAIN ST, SPRINGVILLE, NY, United States, 14141

History

Start date End date Type Value
1972-01-06 2009-10-07 Address 220 WALBRIDGE BLDG., BUFFALO, NY, 14202, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
120524000940 2012-05-24 CERTIFICATE OF DISSOLUTION 2012-05-24
100216002253 2010-02-16 BIENNIAL STATEMENT 2010-01-01
091007002534 2009-10-07 BIENNIAL STATEMENT 2008-01-01
C333876-2 2003-07-16 ASSUMED NAME LLC INITIAL FILING 2003-07-16
957727-5 1972-01-06 CERTIFICATE OF INCORPORATION 1972-01-06

Date of last update: 17 Nov 2024

Sources: New York Secretary of State