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LISA S. BALL FAMILY HEALTH NP, PLLC

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Entity Number 5212139

Status Active

NameLISA S. BALL FAMILY HEALTH NP, PLLC

CountyErie

Date of registration 03 Oct 2017 (7 years ago)

Legal typeDOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

Place of FormationNew York

Address C/O ZABLOTSKI & SMYTH LLP, 2010 RAND BLDG 14 LAFAYETTE SQ, BUFFALO, NY, United States, 14203

Address ZIP code 14203

Contact Details

Phone +1 716-688-0020

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

LISA S. BALL FAMILY HEALTH RETIREMENT PLAN

2022

822993849

2023-06-30

LISA S. BALL FAMILY HEALTH NP PLLC

13

View Page

Three-digit plan number (PN)001
Effective date of plan2019-07-01
Business code621111
Sponsor’s telephone number7166882328
Plan sponsor’s address1140 YOUNGS ROAD, WILLIAMSVILLE, NY, 14221

Signature of

RolePlan administrator
Date2023-06-30
Name of individual signingSHANE BALL
RoleEmployer/plan sponsor
Date2023-06-30
Name of individual signingSHANE BALL

LISA S. BALL FAMILY HEALTH RETIREMENT PLAN

2021

822993849

2022-10-17

LISA S. BALL FAMILY HEALTH NP PLLC

12

View Page

Three-digit plan number (PN)001
Effective date of plan2019-07-01
Business code621111
Sponsor’s telephone number7166882328
Plan sponsor’s address1140 YOUNGS ROAD, WILLIAMSVILLE, NY, 14221

Signature of

RolePlan administrator
Date2022-10-17
Name of individual signingSHANE BALL
RoleEmployer/plan sponsor
Date2022-10-17
Name of individual signingSHANE BALL

LISA S. BALL FAMILY HEALTH RETIREMENT PLAN

2020

822993849

2021-06-15

LISA S. BALL FAMILY HEALTH NP PLLC

21

View Page

Three-digit plan number (PN)001
Effective date of plan2019-07-01
Business code621111
Sponsor’s telephone number7166882328
Plan sponsor’s address1140 YOUNGS ROAD, WILLIAMSVILLE, NY, 14221

Signature of

RolePlan administrator
Date2021-06-15
Name of individual signingSHANE BALL
RoleEmployer/plan sponsor
Date2021-06-15
Name of individual signingSHANE BALL

LISA B. BALL FAMILY HEALTH RETIREMENT PLAN

2019

822993849

2020-10-12

LISA S. BALL FAMILY HEALTH NP PLLC

21

View Page

Three-digit plan number (PN)001
Effective date of plan2019-07-01
Business code621111
Sponsor’s telephone number7166882328
Plan sponsor’s address1140 YOUNGS ROAD, WILLIAMSVILLE, NY, 14221

Signature of

RolePlan administrator
Date2020-10-12
Name of individual signingSHANE BALL
RoleEmployer/plan sponsor
Date2020-10-12
Name of individual signingSHANE BALL

DOS Process Agent

Name Role Address

THE LLC

DOS Process Agent

C/O ZABLOTSKI & SMYTH LLP, 2010 RAND BLDG 14 LAFAYETTE SQ, BUFFALO, NY, United States, 14203

Filings

Filing Number Date Filed Type Effective Date

180213000714

2018-02-13

CERTIFICATE OF PUBLICATION

2018-02-13

171003000403

2017-10-03

ARTICLES OF ORGANIZATION

2017-10-03

Date of last update: 31 Jul 2024

Sources: Companies info , Historical Data , Complaints , Contacts