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  5. Nicholas A. Califano, M.D., Inc.

Nicholas A. Califano, M.D., Inc.

Company Details

Name: Nicholas A. Califano, M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 31 Oct 1978 (46 years ago)
Date of Dissolution: 28 Feb 2012 (13 years ago)
Date of Status Change: 28 Feb 2012 (13 years ago)
Identification Number: 000003407
ZIP code: 02905
County: Providence County
Principal Address: 33 STANIFORD STREET, PROVIDENCE, RI, 02905, USA
Purpose: RENDERING OF PROFESSIONAL SERVICES AS PHYSICIANS AND SURGEONS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NICHOLAS A. CALIFANO, M.D., INC. 401(K) PROFIT SHARING PLAN 2013 050379530 2014-06-18 NICHOLAS A. CALIFANO, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050379530
Plan administrator’s name NICHOLAS A. CALIFANO, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2014-06-18
Name of individual signing JAMES W. STAUFFER
Valid signature Filed with authorized/valid electronic signature
NICHOLAS A. CALIFANO, M.D., INC. 401(K) PROFIT SHARING PLAN 2012 050379530 2013-06-20 NICHOLAS A. CALIFANO, M.D., INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050379530
Plan administrator’s name NICHOLAS A. CALIFANO, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2013-06-20
Name of individual signing JAMES W. STAUFFER
Valid signature Filed with authorized/valid electronic signature
NICHOLAS A. CALIFANO, M.D., INC. 401(K) PROFIT SHARING PLAN 2011 050379530 2012-07-09 NICHOLAS A. CALIFANO, M.D., INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050379530
Plan administrator’s name NICHOLAS A. CALIFANO, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2012-07-09
Name of individual signing NICHOLAS A. CALIFANO, M.D.
Valid signature Filed with authorized/valid electronic signature
NICHOLAS A. CALIFANO, M.D., INC. 401(K) PROFIT SHARING PLAN 2010 050379530 2011-07-01 NICHOLAS A. CALIFANO, M.D., INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050379530
Plan administrator’s name NICHOLAS A. CALIFANO, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2011-07-01
Name of individual signing NICHOLAS A. CALIFANO, M.D.
Valid signature Filed with authorized/valid electronic signature
NICHOLAS A. CALIFANO, M.D., INC. 401(K) PROFIT SHARING PLAN 2009 050379530 2010-10-08 NICHOLAS A. CALIFANO, M.D., INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050379530
Plan administrator’s name NICHOLAS A. CALIFANO, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing CAROL LIPMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN D. ZUBIAGO, ESQ. Agent NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
NICHOLAS A CALIFANO MD PRESIDENT 33 STANIFORD STREET PROVIDENCE, RI 02905 USA

Filings

Number Name File Date
201290303400 Articles of Dissolution 2012-02-28
201174252710 Annual Report 2011-01-31
201058468330 Annual Report 2010-02-16
200942403370 Annual Report 2009-02-17
200809568200 Annual Report 2008-03-03

Related by officers

STEPHEN D. ZUBIAGO, ESQ.

CARDIOLOGY ASSOCIATES, INC. MIRIAM IPA, INC. ORTHOPEDIC GROUP, INC. Bayside Endoscopy Group, Inc. Mobile Storage Inc. H & H TRUCKING INC. MIRIAM PHO, INC. Bayside OB-GYN, Inc. West Bay Orthopaedics and Neurosurgery, Inc. Cornerstone Financial Group, Inc.

Related by address

33 STANIFORD STREET, PROVIDENCE, RI, 02905, USA

SHELDON LIDOFSKY, M.D. INC. Bayside Endoscopy Group, Inc. Thomas D. DeNucci, M.D., Inc. Paul E.A. VanZuiden, M,D., F.A.C.P., Inc. University Gastroenterology Practice, Inc. Paul A. Akerman, M.D., Inc. Thomas E. Sepe, M.D., Inc. Peter S. Margolis, M.D., Inc. STANIFORD REALTY, LLC

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State

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