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  5. SHIRLEY A. ANAIN, M.D., P.C.

SHIRLEY A. ANAIN, M.D., P.C.

Company Details

Name: SHIRLEY A. ANAIN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Jan 2010 (15 years ago)
Entity Number: 3903327
ZIP code: 14226
County: Erie
Place of Formation: New York
Address: 4949 HARLEM RD, SUITE 302, AMHERST, NY, United States, 14226

Contact Details

Phone +1 716-838-1333

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
SHIRLEY A. ANAIN, M.D. 401 (K) PLAN 2023 271738739 2024-09-13 SHIRLEY A. ANAIN, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7168381333
Plan sponsor’s address 4949 HARLEM ROAD, SUITE 302, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2024-09-13
Name of individual signing SHIRLEY ANAIN
Valid signature Filed with authorized/valid electronic signature
SHIRLEY A. ANAIN, M.D. 401 (K) PLAN 2022 271738739 2023-10-03 SHIRLEY A. ANAIN, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7168381333
Plan sponsor’s address 4949 HARLEM ROAD, SUITE 302, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing SHIRLEY ANAIN
SHIRLEY A. ANAIN, M.D. 401 (K) PLAN 2021 271738739 2022-07-13 SHIRLEY A. ANAIN, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7168381333
Plan sponsor’s address 4949 HARLEM ROAD, SUITE 302, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing SHIRLEY ANAIN
SHIRLEY A. ANAIN, M. D. 401(K) PLAN 2020 271738739 2021-07-05 SHIRLEY A. ANAIN, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7168381333
Plan sponsor’s address 4949 HARLEM ROAD, SUITE 302, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2021-07-05
Name of individual signing SHIRLEY ANAIN
Role Employer/plan sponsor
Date 2021-07-05
Name of individual signing SHIRLEY ANAIN
SHIRLEY A. ANAIN, M. D. 401(K) PLAN 2019 271738739 2020-04-28 SHIRLEY A. ANAIN, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7168381333
Plan sponsor’s address 4949 HARLEM ROAD, SUITE 302, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2020-04-28
Name of individual signing SHIRLEY ANAIN
Role Employer/plan sponsor
Date 2020-04-28
Name of individual signing SHIRLEY ANAIN
SHIRLEY A. ANAIN, M. D. 401(K) PLAN 2018 271738739 2019-04-26 SHIRLEY A. ANAIN, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7168381333
Plan sponsor’s address 4949 HARLEM ROAD, SUITE 302, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2019-04-26
Name of individual signing SHIRLEY ANAIN
SHIRLEY A. ANAIN, M. D. 401(K) PLAN 2017 271738739 2018-05-03 SHIRLEY A. ANAIN, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7168381333
Plan sponsor’s address 4949 HARLEM ROAD, SUITE 302, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2018-05-03
Name of individual signing SHIRLEY ANAIN
SHIRLEY A. ANAIN, M. D. 401(K) PLAN 2016 271738739 2017-05-15 SHIRLEY A. ANAIN, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7168381333
Plan sponsor’s address 4949 HARLEM ROAD, SUITE 302, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing SHIRLEY ANAIN
Role Employer/plan sponsor
Date 2017-05-15
Name of individual signing SHIRLEY ANAIN
SHIRLEY A. ANAIN, M. D. 401(K) PLAN 2015 271738739 2016-06-04 SHIRLEY A. ANAIN, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7168381333
Plan sponsor’s address 4949 HARLEM ROAD, SUITE 302, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2016-06-04
Name of individual signing SHIRLEY ANAIN
Role Employer/plan sponsor
Date 2016-06-04
Name of individual signing SHIRLEY ANAIN
SHIRLEY A. ANAIN, M.D. 401(K) PLAN 2014 271738739 2015-06-17 SHIRLEY A. ANAIN, M.D., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7168381333
Plan sponsor’s address 4949 HARLEM ROAD, SUITE 302, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2015-06-16
Name of individual signing SHIRLEY ANAIN
Role Employer/plan sponsor
Date 2015-06-16
Name of individual signing SHIRLEY ANAIN

Chief Executive Officer

Name Role Address
SHIRLEY A ANAIN Chief Executive Officer 4949 HARLEM RD, SUITE 302, AMHERST, NY, United States, 14226

DOS Process Agent

Name Role Address
THE CORPORATION PC DOS Process Agent 4949 HARLEM RD, SUITE 302, AMHERST, NY, United States, 14226

History

Start date End date Type Value
2010-01-22 2012-02-29 Address 150 ESSJAY ROAD, SUITE 200, WILLIAMSVILLE, NY, 14221, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140227002371 2014-02-27 BIENNIAL STATEMENT 2014-01-01
120229002435 2012-02-29 BIENNIAL STATEMENT 2012-01-01
100122000731 2010-01-22 CERTIFICATE OF INCORPORATION 2010-01-22

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 26 Nov 2024

Sources: New York Secretary of State

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