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UB ORAL & MAXILLOFACIAL SURGERY, INC.

Company Details

Name: UB ORAL & MAXILLOFACIAL SURGERY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION)
Status: Active
Date of registration: 07 Apr 2010 (15 years ago) (Companies founded in April 2010)
Entity Number: 3933710
ZIP code: 14214 (Companies in Erie, 14214)
County: Erie
Place of Formation: New York
Address: DEPT. OF ORAL & MAXILLOFACIAL, SURGERY, 112 SQUIRE HALL, BUFFALO, NY, United States, 14214

Contact Details

Phone +1 716-829-6637

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UB ORAL & MAXILLOFACIAL SURGERY INC 401K PLAN 2023 300634052 2024-08-23 UB ORAL & MAXILLOFACIAL SURGERY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7168296004
Plan sponsor’s address 3435 MAIN STREET, 112-C SQUIRE HALL, BUFFALO, NY, 14214

Signature of
Role Plan administrator
Date 2024-08-23
Name of individual signing JOANNA KESSEL
UB ORAL & MAXILLOFACIAL SURGERY INC 401K PLAN 2022 300634052 2023-06-28 UB ORAL & MAXILLOFACIAL SURGERY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7168496004
Plan sponsor’s address 3435 MAIN STREET, 112-C SQUIRE HALL, BUFFALO, NY, 14214

Signature of
Role Plan administrator
Date 2023-06-28
Name of individual signing DIANE ELSTON
UB ORAL & MAXILLOFACIAL SURGERY INC 401K PLAN 2021 300634052 2022-07-12 UB ORAL & MAXILLOFACIAL SURGERY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7168496004
Plan sponsor’s address 3435 MAIN STREET, 112-C SQUIRE HALL, BUFFALO, NY, 14214

Signature of
Role Plan administrator
Date 2022-07-12
Name of individual signing DIANE ELSTON
UB ORAL & MAXILLOFACIAL SURGERY INC 401K PLAN 2020 300634052 2021-05-05 UB ORAL & MAXILLOFACIAL SURGERY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7168496004
Plan sponsor’s address 3435 MAIN STREET, 112-C SQUIRE HALL, BUFFALO, NY, 14214

Signature of
Role Plan administrator
Date 2021-05-05
Name of individual signing DIANE ELSTON
UB ORAL & MAXILLOFACIAL SURGERY, INC. 401(K) PLAN 2019 300634052 2020-06-22 UB ORAL & MAXILLOFACIAL SURGERY 15
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7168296004
Plan sponsor’s address 3435 MAIN ST 112G SQUIRE HALL, BUFFALO, NY, 14214

Signature of
Role Plan administrator
Date 2020-06-22
Name of individual signing TSHANAHAN3177
UB ORAL & MAXILLOFACIAL SURGERY, INC. 401(K) PLAN 2019 300634052 2020-06-30 UB ORAL & MAXILLOFACIAL SURGERY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7168296004
Plan sponsor’s address 3435 MAIN ST 112G SQUIRE HALL, BUFFALO, NY, 14214

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing TRICIA SHANAHAN
UB ORAL & MAXILLOFACIAL SURGERY, INC. 401(K) PLAN 2018 300634052 2019-06-03 UB ORAL & MAXILLOFACIAL SURGERY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7168296004
Plan sponsor’s address 3435 MAIN ST 112G SQUIRE HALL, BUFFALO, NY, 14214

Signature of
Role Plan administrator
Date 2019-06-03
Name of individual signing TRICIA SHANAHAN
UB ORAL & MAXILLOFACIAL SURGERY, INC. 401(K) PLAN 2017 300634052 2018-07-11 UB ORAL & MAXILLOFACIAL SURGERY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7168296004
Plan sponsor’s address 3435 MAIN ST 112G SQUIRE HALL, BUFFALO, NY, 14214

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing TRICIA SHANAHAN
UB ORAL & MAXILLOFACIAL SURGERY, INC. 401(K) PLAN 2016 300634052 2017-07-14 UB ORAL & MAXILLOFACIAL SURGERY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7168296004
Plan sponsor’s address 3435 MAIN ST 112G SQUIRE HALL, BUFFALO, NY, 14214

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing TRICIA SHANAHAN
UB ORAL & MAXILLOFACIAL SURGERY, INC. 401(K) PLAN 2015 300634052 2016-07-14 UB ORAL & MAXILLOFACIAL SURGERY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 7168296004
Plan sponsor’s address 3435 MAIN ST 112G SQUIRE HALL, BUFFALO, NY, 14214

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing TRICIA SHANAHAN

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent DEPT. OF ORAL & MAXILLOFACIAL, SURGERY, 112 SQUIRE HALL, BUFFALO, NY, United States, 14214

Filings

Filing Number Date Filed Type Effective Date
100407000074 2010-04-07 CERTIFICATE OF INCORPORATION 2010-04-07

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Related by address

No related companies by address

Date of last update: 08 Nov 2024

Sources: New York Secretary of State

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