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  5. PAIN MSO OF WNY, LLC

PAIN MSO OF WNY, LLC

Company Details

Name: PAIN MSO OF WNY, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Jul 2016 (8 years ago)
Entity Number: 4981331
ZIP code: 14224
County: Erie
Place of Formation: New York
Address: 721 CENTER ROAD, WEST SENECA, NY, United States, 14224

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2022 813324230 2023-08-07 PAIN MSO OF WNY, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 1360 NORTH FOREST ROAD, SUITE #115, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2023-08-07
Name of individual signing JEFFREY O DANN
Role Employer/plan sponsor
Date 2023-08-07
Name of individual signing PAIN MSO OF WNY LLC
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2022 813324230 2023-08-21 PAIN MSO OF WNY, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 1360 NORTH FOREST ROAD, SUITE #115, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2023-08-21
Name of individual signing JEFFREY O DANN
Role Employer/plan sponsor
Date 2023-08-21
Name of individual signing JEFFREY O DANN
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2021 813324230 2022-09-15 PAIN MSO OF WNY, LLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 1360 NORTH FOREST ROAD, SUITE #115, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2022-08-10
Name of individual signing JEFFREY O DANN
Role Employer/plan sponsor
Date 2022-09-15
Name of individual signing JEFFREY O DANN
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2020 813324230 2021-09-29 PAIN MSO OF WNY, LLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 1360 NORTH FOREST ROAD, SUITE #115, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2021-09-29
Name of individual signing JEFFREY O DANN
Role Employer/plan sponsor
Date 2021-09-29
Name of individual signing JEFFREY O DANN
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2019 813324230 2020-07-15 PAIN MSO OF WNY, LLC 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 1360 NORTH FOREST ROAD, SUITE #115, WILLIAMSVILLE, NY, 14221

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing JILL WEBER
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2018 813324230 2019-07-02 PAIN MSO OF WNY, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 100 COLLEGE PARKWAY, SUITE 220, WILLIAMSVILLE, NY, 142216800

Signature of
Role Plan administrator
Date 2019-07-02
Name of individual signing JILL WEBER
PAIN MSO OF WNY, LLC PROFIT SHARING 401(K) PLAN 2017 813324230 2018-10-01 PAIN MSO OF WNY, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 7166397754
Plan sponsor’s address 100 COLLEGE PARKWAY, SUITE 220, WILLIAMSVILLE, NY, 142216800

Signature of
Role Plan administrator
Date 2018-10-01
Name of individual signing JILL WEBER
Role Employer/plan sponsor
Date 2018-10-01
Name of individual signing JILL WEBER

DOS Process Agent

Name Role Address
C/O LEWANDOWSKI & ASSOCIATES DOS Process Agent 721 CENTER ROAD, WEST SENECA, NY, United States, 14224

History

Start date End date Type Value
2016-07-21 2020-07-08 Address 721 CENTER ROAD, WEST SENECA, NY, 14224, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200708060579 2020-07-08 BIENNIAL STATEMENT 2020-07-01
180705007429 2018-07-05 BIENNIAL STATEMENT 2018-07-01
170201000100 2017-02-01 CERTIFICATE OF PUBLICATION 2017-02-01
160721010417 2016-07-21 ARTICLES OF ORGANIZATION 2016-07-21

Related by officers

C/O LEWANDOWSKI & ASSOCIATES

NUPRO CORPORATION INDY, LLC PAIN INSIGHTS MANAGEMENT SERVICES LLC

Related by address

721 CENTER ROAD, WEST SENECA, NY, United States, 14224

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Date of last update: 23 Nov 2024

Sources: New York Secretary of State

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