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  5. 716 ORTHOPAEDICS AND SPINE SURGERY, PLLC

716 ORTHOPAEDICS AND SPINE SURGERY, PLLC

Company Details

Name: 716 ORTHOPAEDICS AND SPINE SURGERY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Oct 2020 (4 years ago)
Entity Number: 5865641
ZIP code: 14217
County: Erie
Place of Formation: New York
Address: 2914 ELMWOOD AVE., KENMORE, NY, United States, 14217

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
716 ORTHOPAEDICS AND SPINE SURGERY CASH BALANCE PLAN 2023 853683447 2024-09-05 716 ORTHOPAEDICS AND SPINE SURGERY, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 7164476310
Plan sponsor’s address 2914 ELMWOOD AVE., KENMORE, NY, 14217

Signature of
Role Plan administrator
Date 2024-09-05
Name of individual signing ROGER ROGERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-05
Name of individual signing ROGER ROGERS
Valid signature Filed with authorized/valid electronic signature
716 ORTHOPAEDICS AND SPINE SURGERY 401(K) PLAN 2023 853683447 2024-09-09 716 ORTHOPAEDICS AND SPINE SURGERY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 7164476310
Plan sponsor’s address 2914 ELMWOOD AVE., KENMORE, NY, 14217

Signature of
Role Plan administrator
Date 2024-09-07
Name of individual signing ROGER ROGERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-07
Name of individual signing ROGER ROGERS
Valid signature Filed with authorized/valid electronic signature
716 ORTHOPAEDICS AND SPINE SURGERY CASH BALANCE PLAN 2022 853683447 2023-07-31 716 ORTHOPAEDICS AND SPINE SURGERY, PLLC 8
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 7164476310
Plan sponsor’s address 2914 ELMWOOD AVE., KENMORE, NY, 14217

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing ROGER ROGERS
Role Employer/plan sponsor
Date 2023-07-31
Name of individual signing ROGER ROGERS
716 ORTHOPAEDICS AND SPINE SURGERY 401(K) PLAN 2022 853683447 2023-07-24 716 ORTHOPAEDICS AND SPINE SURGERY, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 7164476310
Plan sponsor’s address 2914 ELMWOOD AVE., KENMORE, NY, 14217

Signature of
Role Plan administrator
Date 2023-07-24
Name of individual signing ROGER ROGERS
Role Employer/plan sponsor
Date 2023-07-24
Name of individual signing ROGER ROGERS
716 ORTHOPAEDICS AND SPINE SURGERY CASH BALANCE PLAN 2022 853683447 2023-07-31 716 ORTHOPAEDICS AND SPINE SURGERY, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 7164476310
Plan sponsor’s address 2914 ELMWOOD AVE., KENMORE, NY, 14217

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing ROGER ROGERS
Role Employer/plan sponsor
Date 2023-07-31
Name of individual signing ROGER ROGERS
716 ORTHOPAEDICS AND SPINE SURGERY CASH BALANCE PLAN 2021 853683447 2022-07-20 716 ORTHOPAEDICS AND SPINE SURGERY, PLLC 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 7164476310
Plan sponsor’s address 2914 ELMWOOD AVE., KENMORE, NY, 14217

Signature of
Role Plan administrator
Date 2022-07-19
Name of individual signing ROGER ROGERS
Role Employer/plan sponsor
Date 2022-07-19
Name of individual signing ROGER ROGERS
716 ORTHOPAEDICS AND SPINE SURGERY 401(K) PLAN 2021 853683447 2022-07-28 716 ORTHOPAEDICS AND SPINE SURGERY, PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 7164476310
Plan sponsor’s address 2914 ELMWOOD AVE., KENMORE, NY, 14217

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing ROGER ROGERS
Role Employer/plan sponsor
Date 2022-07-27
Name of individual signing ROGER ROGERS

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2914 ELMWOOD AVE., KENMORE, NY, United States, 14217

Filings

Filing Number Date Filed Type Effective Date
210428000799 2021-04-28 CERTIFICATE OF PUBLICATION 2021-04-28
201027000275 2020-10-27 ARTICLES OF ORGANIZATION 2020-10-27

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Related by address

No related companies by address

Date of last update: 21 Nov 2024

Sources: New York Secretary of State

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