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Charles P. Columpar, Jr., D.M.D., Inc.

Company Details

Name: Charles P. Columpar, Jr., D.M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 29 Oct 1981 (43 years ago)
Date of Dissolution: 15 Nov 2018 (6 years ago)
Date of Status Change: 15 Nov 2018 (6 years ago)
Identification Number: 000004532
ZIP code: 02842
County: Newport County
Principal Address: 477 EAST MAIN ROAD, MIDDLETOWN, RI, 02842, USA
Purpose: DENTAL SERVICES
NAICS: 22 - Utilities

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN 2023 050393795 2024-10-15 CHARLES P. COLUMPAR, JR., D.M.D., INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 440 BROADWAY, NEWPORT, RI, 02840
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN 2022 050393795 2023-10-13 CHARLES P. COLUMPAR, JR., D.M.D., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 440 BROADWAY, NEWPORT, RI, 02840
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN 2021 050393795 2022-09-30 CHARLES P. COLUMPAR, JR., D.M.D., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 02842

Signature of

Role Plan administrator
Date 2022-09-30
Name of individual signing WAYNE A. LABORE, D.D.S.
Valid signature Filed with authorized/valid electronic signature
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN 2020 050393795 2021-09-24 CHARLES P. COLUMPAR, JR., D.M.D., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 02842

Signature of

Role Plan administrator
Date 2021-09-24
Name of individual signing WAYNE A. LABORE, D.D.S.
Valid signature Filed with authorized/valid electronic signature
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN 2019 050393795 2020-10-07 CHARLES P. COLUMPAR, JR., D.M.D., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000

Signature of

Role Plan administrator
Date 2020-10-07
Name of individual signing WAYNE A. LABORE, D.D.S.
Valid signature Filed with authorized/valid electronic signature
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN 2018 050393795 2019-10-15 CHARLES P. COLUMPAR, JR., D.M.D., INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing WAYNE A. LABORE, D.D.S.
Valid signature Filed with authorized/valid electronic signature
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN 2017 050393795 2018-10-15 CHARLES P. COLUMPAR, JR., D.M.D., INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing WAYNE LABORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing WAYNE LABORE
Valid signature Filed with authorized/valid electronic signature
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN 2016 050393795 2017-10-06 CHARLES P. COLUMPAR, JR., D.M.D., INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000

Signature of

Role Plan administrator
Date 2017-10-06
Name of individual signing WAYNE LABORE
Valid signature Filed with authorized/valid electronic signature
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN 2015 050393795 2016-10-17 CHARLES P. COLUMPAR, JR., D.M.D., INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing WAYNE LABORE
Valid signature Filed with authorized/valid electronic signature
CHARLES P. COLUMPAR, JR., D.M.D., INC. 401(K) PROFIT SHARING PLAN 2014 050393795 2015-10-13 CHARLES P. COLUMPAR, JR., D.M.D., INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000

Signature of

Role Plan administrator
Date 2015-10-13
Name of individual signing WAYNE LABORE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/09/20141009084721P040015945405001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000

Signature of

Role Plan administrator
Date 2014-10-09
Name of individual signing WAYNE LABORE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/14/20131014132837P040013930773001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing WAYNE LABORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing WAYNE LABORE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/12/20121012152738P040001499782001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000

Plan administrator’s name and address

Administrator’s EIN 050393795
Plan administrator’s name CHARLES P. COLUMPAR, JR., D.M.D., INC.
Plan administrator’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000
Administrator’s telephone number 4018466265

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing WAYNE LABORE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017091941P040695135216001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000

Plan administrator’s name and address

Administrator’s EIN 050393795
Plan administrator’s name CHARLES P. COLUMPAR, JR., D.M.D., INC.
Plan administrator’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000
Administrator’s telephone number 4018466265

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing WAYNE LABORE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/07/20101007094420P070003576456001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 4018466265
Plan sponsor’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000

Plan administrator’s name and address

Administrator’s EIN 050393795
Plan administrator’s name CHARLES P. COLUMPAR, JR., D.M.D., INC.
Plan administrator’s address 477 EAST MAIN STREET, MIDDLETOWN, RI, 028400000
Administrator’s telephone number 4018466265

Signature of

Role Plan administrator
Date 2010-10-07
Name of individual signing WAYNE LABORE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WAYNE A. LABORE Agent 477 EAST MAIN ROAD, MIDDLETOWN, RI, 02842, USA

PRESIDENT

Name Role Address
WAYNE A LABORE DDS PRESIDENT 477 EAST MAIN STREET MIDDLETOWN, RI 02842 USA

Filings

Number Name File Date
201881193980 Revocation Certificate For Failure to File the Annual Report for the Year 2018-11-15
201875410220 Revocation Notice For Failure to File An Annual Report 2018-08-24
201737221700 Annual Report 2017-03-02
201692633330 Annual Report 2016-02-18
201692633150 Statement of Change of Registered/Resident Agent 2016-02-18
201582766500 Annual Report 2015-10-19
201578236910 Revocation Notice For Failure to File An Annual Report 2015-09-08
201440752210 Annual Report 2014-06-09
201439365900 Revocation Notice For Failure to File An Annual Report 2014-05-20
201326194480 Annual Report 2013-07-23

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State