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ANTONIO J. MATTERO, D.D. S.,INC.

Company Details

Name: ANTONIO J. MATTERO, D.D. S.,INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 28 Jun 1974 (51 years ago)
Date of Dissolution: 26 Sep 2012 (12 years ago)
Date of Status Change: 26 Sep 2012 (12 years ago)
Identification Number: 000008444
ZIP code: 02891
County: Washington County
Principal Address: 31 CRESTVIEW DRIVE, WESTERLY, RI, 02891, USA
Purpose: DENTIST

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841387149 2006-10-06 2020-08-22 31 CRESTVIEW DR, WESTERLY, RI, 028912901, US 31 CRESTVIEW DR, WESTERLY, RI, 028912901, US

Contacts

Phone +1 401-596-7734
Fax 4015967780

Authorized person

Name ANTONIO J MATTERO
Role PRESIDENT
Phone 4015967734

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DEN01481
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANTONIO J. MATTERO, D.D.S., INC. PROFIT SHARING PLAN 2011 050355702 2012-08-18 ANTONIO J. MATTERO, D.D.S., INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-07-01
Business code 621210
Sponsor’s telephone number 4015967734
Plan sponsor’s address 31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901

Plan administrator’s name and address

Administrator’s EIN 050355702
Plan administrator’s name ANTONIO J. MATTERO, D.D.S., INC.
Plan administrator’s address 31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901
Administrator’s telephone number 4015967734

Signature of

Role Plan administrator
Date 2012-08-18
Name of individual signing ANTONIO J. MATTERO, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-18
Name of individual signing ANTONIO J. MATTERO, DDS
Valid signature Filed with authorized/valid electronic signature
ANTONIO J. MATTERO, D.D.S., INC. PROFIT SHARING PLAN 2011 050355702 2012-07-31 ANTONIO J. MATTERO, D.D.S., INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-07-01
Business code 621210
Sponsor’s telephone number 4015967734
Plan sponsor’s address 31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901

Plan administrator’s name and address

Administrator’s EIN 050355702
Plan administrator’s name ANTONIO J. MATTERO, D.D.S., INC.
Plan administrator’s address 31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901
Administrator’s telephone number 4015967734

Signature of

Role Plan administrator
Date 2012-07-31
Name of individual signing ANTONIO J. MATTERO, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-31
Name of individual signing ANTONIO J. MATTERO, DDS
Valid signature Filed with authorized/valid electronic signature
ANTONIO J. MATTERO, D.D.S., INC. PROFIT SHARING PLAN 2010 050355702 2011-08-30 ANTONIO J. MATTERO, D.D.S., INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-07-01
Business code 621210
Sponsor’s telephone number 4015967734
Plan sponsor’s address 31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901

Plan administrator’s name and address

Administrator’s EIN 050355702
Plan administrator’s name ANTONIO J. MATTERO, D.D.S., INC.
Plan administrator’s address 31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901
Administrator’s telephone number 4015967734

Signature of

Role Plan administrator
Date 2011-08-30
Name of individual signing ANTONIO J MATTERO DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-30
Name of individual signing ANTONIO J MATTERO DDS
Valid signature Filed with authorized/valid electronic signature
ANTONIO J. MATTERO, D.D.S., INC. PROFIT SHARING PLAN 2009 050355702 2010-09-08 ANTONIO J. MATTERO, D.D.S., INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-07-01
Business code 621210
Sponsor’s telephone number 4015967734
Plan sponsor’s mailing address 31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901
Plan sponsor’s address ANTONIO J. MATTERO, 31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901

Plan administrator’s name and address

Administrator’s EIN 050355702
Plan administrator’s name ANTONIO J. MATTERO, D.D.S., INC.
Plan administrator’s address 31 CRESTVIEW DRIVE, WESTERLY, RI, 028912901
Administrator’s telephone number 4015967734

Number of participants as of the end of the plan year

Active participants 7
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of

Role Plan administrator
Date 2010-09-08
Name of individual signing ANTONIO J MATTERO DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-08
Name of individual signing ANTONIO J MATTERO DDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MATTHEW L. LEWISS Agent 79 FRANKLIN STREET, WESTERLY, RI, 02891, USA

PRESIDENT

Name Role Address
ANTONIO J MATTERO PRESIDENT 31 CRESTVIEW DRIVE WESTERLY, RI 02891 USA

Filings

Number Name File Date
201298683630 Articles of Dissolution 2012-09-26
201292639840 Annual Report 2012-05-07
201174705900 Annual Report 2011-02-09
201057362170 Annual Report 2010-01-26
200941428680 Annual Report 2009-01-28
200808484880 Annual Report 2008-02-12

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State