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  5. ATWOOD MEDICAL ASSOCIATES, LTD.

ATWOOD MEDICAL ASSOCIATES, LTD.

Company Details

Name: ATWOOD MEDICAL ASSOCIATES, LTD.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 28 Sep 1973 (51 years ago)
Identification Number: 000001571
ZIP code: 02919
County: Providence County
Principal Address: 1524 ATWOOD AVENUE SUITE 220, JOHNSTON, RI, 02919, USA
Purpose: MULTI-SPECIALTY MEDICAL PRACTICE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558386227 2006-07-13 2015-09-15 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 02919, US 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 02919, US

Contacts
Phone +1 401-272-1900
Fax 4014533049

Authorized person
Name WILLIAM J BELIVEAU
Role OWNER
Phone 4012721900

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 207RC0200X - Critical Care Medicine (Internal Medicine) Physician
Is Primary No
Taxonomy Code 207RP1001X - Pulmonary Disease Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ATWOOD MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2023 050352642 2024-11-19 ATWOOD MEDICAL ASSOCIATES, LTD. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288
ATWOOD MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2022 050352642 2023-11-06 ATWOOD MEDICAL ASSOCIATES, LTD. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288
ATWOOD MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2021 050352642 2022-12-05 ATWOOD MEDICAL ASSOCIATES, LTD. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288
ATWOOD MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2020 050352642 2021-11-24 ATWOOD MEDICAL ASSOCIATES, LTD. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288
ATWOOD MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2019 050352642 2020-11-11 ATWOOD MEDICAL ASSOCIATES, LTD. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288
ATWOOD MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2018 050352642 2019-11-13 ATWOOD MEDICAL ASSOCIATES, LTD. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288
ATWOOD MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2017 050352642 2018-12-31 ATWOOD MEDICAL ASSOCIATES, LTD. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288
ATWOOD MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2016 050352642 2017-11-30 ATWOOD MEDICAL ASSOCIATES, LTD. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288
ATWOOD MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2015 050352642 2016-12-27 ATWOOD MEDICAL ASSOCIATES, LTD. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288
ATWOOD MEDICAL ASSOCIATES, LTD. PROFIT SHARING PLAN 2014 050352642 2016-01-19 ATWOOD MEDICAL ASSOCIATES, LTD. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/01/07/20150107112334P040035172343001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288

Signature of
Role Plan administrator
Date 2015-01-07
Name of individual signing WILLIAM J. BELIVEAU, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/02/10/20140210110909P040002723172001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288

Signature of
Role Plan administrator
Date 2014-02-10
Name of individual signing WILLIAM J. BELIVEAU, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/02/01/20130201150244P030007928391001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288

Plan administrator’s name and address
Administrator’s EIN 050352642
Plan administrator’s name ATWOOD MEDICAL ASSOCIATES, LTD.
Plan administrator’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288
Administrator’s telephone number 4012721900

Signature of
Role Plan administrator
Date 2013-02-01
Name of individual signing WILLIAM J. BELIVEAU, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/02/20120702151453P030002465031001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288

Plan administrator’s name and address
Administrator’s EIN 050352642
Plan administrator’s name ATWOOD MEDICAL ASSOCIATES, LTD.
Plan administrator’s address 1524 ATWOOD AVENUE, SUITE 220, JOHNSTON, RI, 029193288
Administrator’s telephone number 4012721900

Signature of
Role Plan administrator
Date 2012-07-02
Name of individual signing WILLIAM J. BELIVEAU, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/19/20110419104648P040209371152001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-09-01
Business code 621111
Sponsor’s telephone number 4012721900
Plan sponsor’s address 1824 ATWOOD AVENUE, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 050352642
Plan administrator’s name ATWOOD MEDICAL ASSOCIATES, LTD
Plan administrator’s address 1824 ATWOOD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4012721900

Signature of
Role Plan administrator
Date 2011-04-19
Name of individual signing WILLIAM BELIVEAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-19
Name of individual signing WILLIAM BELIVEAU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TINA MATOS Agent 1524 ATWOOD AVENUE SUITE 200, JOHNSTON, RI, 02919, USA

PRESIDENT

Name Role Address
WILLIAM J BELIVEAU MD PRESIDENT 1524 ATWOOD AVENUE JOHNSTON, RI 02919 USA

DIRECTOR

Name Role Address
WILLIAM J BELIVEAU MD DIRECTOR 1524 ATWOOD AVENUE JOHNSTON, RI 02919 USA

Filings

Number Name File Date
202446868480 Annual Report 2024-02-20
202335379530 Annual Report 2023-05-08
202209397260 Annual Report 2022-02-04
202190523590 Annual Report 2021-02-09
202032277760 Annual Report 2020-01-14
201882893690 Annual Report 2018-12-19
201855552890 Annual Report 2018-01-02
201729423510 Annual Report 2017-01-03
201628288760 Statement of Change of Registered/Resident Agent 2016-11-30
201628288300 Annual Report 2016-11-30

Related by officers

TINA MATOS

ELENBEN PROPERTIES, LLC

Related by address

1524 ATWOOD AVENUE SUITE 220, JOHNSTON, RI, 02919, USA

ATWOOD MEDICAL HEALTH SERVICES, LLC ELENBEN PROPERTIES, LLC

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State

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