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GREAT LAKES OTOLARYNGOLOGY, P.C.

Company Details

Name: GREAT LAKES OTOLARYNGOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Aug 2005 (19 years ago)
Entity Number: 3250108
County: Cattaraugus
Place of Formation: New York
Address: 2223 WEST STATE ST, STE 102, OLEAN, NY, United States, 14760
Address ZIP Code: 14760

Contact Details

Phone +1 814-723-6550

Phone +1 716-372-7205

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
GREAT LAKES OTOLARYNGOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2023 203168478 2024-03-25 GREAT LAKES OTOLARYNGOLOGY, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 7163727205
Plan sponsor’s address 2223 WEST STATE STREET, MEDICAL ARTS BUILDING, SUITE 102, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2024-03-25
Name of individual signing MELISSA BURKETT
Role Employer/plan sponsor
Date 2024-03-25
Name of individual signing MELISSA BURKETT
GREAT LAKES OTOLARYNGOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2022 203168478 2023-03-22 GREAT LAKES OTOLARYNGOLOGY, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 7163727205
Plan sponsor’s address 2223 WEST STATE STREET, MEDICAL ARTS BUILDING, SUITE 102, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2023-03-22
Name of individual signing MELISSA BURKETT
Role Employer/plan sponsor
Date 2023-03-22
Name of individual signing MELISSA BURKETT
GREAT LAKES OTOLARYNGOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2021 203168478 2022-03-22 GREAT LAKES OTOLARYNGOLOGY, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 7163727205
Plan sponsor’s address 2223 WEST STATE STREET, MEDICAL ARTS BUILDING, SUITE 102, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2022-03-22
Name of individual signing MELISSA BURKETT
Role Employer/plan sponsor
Date 2022-03-22
Name of individual signing MELISSA BURKETT
GREAT LAKES OTOLARYNGOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2020 203168478 2021-03-31 GREAT LAKES OTOLARYNGOLOGY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 7163727205
Plan sponsor’s address 2223 WEST STATE STREET, MEDICAL ARTS BUILDING, SUITE 102, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing MELISSA BURKETT
Role Employer/plan sponsor
Date 2021-03-31
Name of individual signing MELISSA BURKETT
GREAT LAKES OTOLARYNGOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2019 203168478 2020-03-12 GREAT LAKES OTOLARYNGOLOGY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 7163727205
Plan sponsor’s address 2223 WEST STATE STREET, MEDICAL ARTS BUILDING, SUITE 102, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2020-03-12
Name of individual signing MELISSA BURKETT
Role Employer/plan sponsor
Date 2020-03-12
Name of individual signing MELISSA BURKETT
GREAT LAKES OTOLARYNGOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2018 203168478 2019-03-04 GREAT LAKES OTOLARYNGOLOGY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 7163727205
Plan sponsor’s address 2223 WEST STATE STREET, MEDICAL ARTS BUILDING, SUITE 102, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2019-03-04
Name of individual signing MELISSA BURKETT
Role Employer/plan sponsor
Date 2019-03-04
Name of individual signing MELISSA BURKETT
GREAT LAKES OTOLARYNGOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2017 203168478 2018-02-23 GREAT LAKES OTOLARYNGOLOGY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 7163727205
Plan sponsor’s address 2223 WEST STATE STREET, MEDICAL ARTS BUILDING, SUITE 102, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2018-02-23
Name of individual signing MELISSA BURKETT
Role Employer/plan sponsor
Date 2018-02-23
Name of individual signing MELISSA BURKETT
GREAT LAKES OTOLARYNGOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2016 203168478 2017-03-06 GREAT LAKES OTOLARYNGOLOGY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 7163727205
Plan sponsor’s address 2223 WEST STATE STREET, MEDICAL ARTS BUILDING, SUITE 102, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2017-03-06
Name of individual signing MELISSA BURKETT
Role Employer/plan sponsor
Date 2017-03-06
Name of individual signing MELISSA BURKETT
GREAT LAKES OTOLARYNGOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2016 203168478 2017-01-10 GREAT LAKES OTOLARYNGOLOGY, P.C. 14
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 7163727205
Plan sponsor’s address 2223 WEST STATE STREET, MEDICAL ARTS BUILDING, SUITE 102, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2017-01-10
Name of individual signing MELISSA BURKETT
Role Employer/plan sponsor
Date 2017-01-10
Name of individual signing MELISSA BURKETT
GREAT LAKES OTOLARYNGOLOGY, P.C. 401(K) PROFIT SHARING PLAN 2015 203168478 2016-03-24 GREAT LAKES OTOLARYNGOLOGY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621111
Sponsor’s telephone number 7163727205
Plan sponsor’s address 2223 WEST STATE STREET, MEDICAL ARTS BUILDING, SUITE 102, OLEAN, NY, 14760

Signature of
Role Plan administrator
Date 2016-03-24
Name of individual signing MELISSA BURKETT
Role Employer/plan sponsor
Date 2016-03-24
Name of individual signing MELISSA BURKETT

Chief Executive Officer

Name Role Address
DANIEL C LAI Chief Executive Officer 2223 WEST STATE ST, STE 102, OLEAN, NY, United States, 14760

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2223 WEST STATE ST, STE 102, OLEAN, NY, United States, 14760

History

Start date End date Type Value
2005-08-30 2007-08-28 Address 212 HAWTHORN LANE, ALLEGANY, NY, 14706, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170801006594 2017-08-01 BIENNIAL STATEMENT 2017-08-01
170606006194 2017-06-06 BIENNIAL STATEMENT 2015-08-01
110817002432 2011-08-17 BIENNIAL STATEMENT 2011-08-01
090730002739 2009-07-30 BIENNIAL STATEMENT 2009-08-01
070828002782 2007-08-28 BIENNIAL STATEMENT 2007-08-01
050830000541 2005-08-30 CERTIFICATE OF INCORPORATION 2005-08-30

Related by officers

DANIEL C LAI

WEALTHY AGENCY INC.

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 10 Nov 2024

Sources: New York Secretary of State

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