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  5. Mellion & Cappuccino, Inc.

Mellion & Cappuccino, Inc.

Company Details

Name: Mellion & Cappuccino, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 07 Jan 1982 (43 years ago)
Date of Dissolution: 19 Jan 2016 (9 years ago)
Date of Status Change: 19 Jan 2016 (9 years ago)
Identification Number: 000010048
ZIP code: 02888
County: Kent County
Principal Address: 265 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA
Purpose: TO RENDER PROFESSIONAL DENTAL SERVICES TO THE PUBLIC
Fictitious names: Endodontic Associates (trading name, 1992-07-30 - )
Historical names: THOMAS, MELLION & CAPPUCCINO, INC.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932244076 2007-02-20 2020-08-22 265 JEFFERSON BLVD, WARWICK, RI, 028883823, US 265 JEFFERSON BLVD, WARWICK, RI, 028883823, US

Contacts
Phone +1 401-732-5454
Fax 4017385173

Authorized person
Name MS. CONSTANCE M LALIBERTE
Role BUSINESS MANAGER
Phone 4017325454

Taxonomy
Taxonomy Code 1223E0200X - Endodontist
License Number 1677
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MELLION & CAPPUCCINO, INC. PROFIT SHARING PLAN 2014 050347116 2015-02-25 MELLION & CAPPUCCINO, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-27
Business code 621210
Sponsor’s telephone number 4017325454
Plan sponsor’s address 265 JEFFERSON BOULEVARD, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 050347116
Plan administrator’s name MELLION & CAPPUCCINO, INC.
Plan administrator’s address 265 JEFFERSON BOULEVARD, WARWICK, RI, 02888
Administrator’s telephone number 4017325454

Signature of
Role Plan administrator
Date 2015-02-25
Name of individual signing CARLETON CAPPUCCINO
Valid signature Filed with authorized/valid electronic signature
MELLION & CAPPUCCINO, INC. PROFIT SHARING PLAN 2014 050347116 2015-12-08 MELLION & CAPPUCCINO, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-27
Business code 621210
Sponsor’s telephone number 4017325454
Plan sponsor’s address 265 JEFFERSON BOULEVARD, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 050347116
Plan administrator’s name MELLION & CAPPUCCINO, INC.
Plan administrator’s address 265 JEFFERSON BOULEVARD, WARWICK, RI, 02888
Administrator’s telephone number 4017325454

Signature of
Role Plan administrator
Date 2015-12-08
Name of individual signing CONSTANCE LALIBERTE
Valid signature Filed with authorized/valid electronic signature
MELLION & CAPPUCCINO, INC. PROFIT SHARING PLAN 2013 050347116 2014-02-25 MELLION & CAPPUCCINO, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-27
Business code 621210
Sponsor’s telephone number 4017325454
Plan sponsor’s address 265 JEFFERSON BOULEVARD, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 050347116
Plan administrator’s name MELLION & CAPPUCCINO, INC.
Plan administrator’s address 265 JEFFERSON BOULEVARD, WARWICK, RI, 02888
Administrator’s telephone number 4017325454

Signature of
Role Plan administrator
Date 2014-02-25
Name of individual signing CARLETON CAPPUCCINO
Valid signature Filed with authorized/valid electronic signature
MELLION & CAPPUCCINO, INC. PROFIT SHARING PLAN 2012 050347116 2013-01-23 MELLION & CAPPUCCINO, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-27
Business code 621210
Sponsor’s telephone number 4017325454
Plan sponsor’s address 265 JEFFERSON BOULEVARD, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 050347116
Plan administrator’s name MELLION & CAPPUCCINO, INC.
Plan administrator’s address 265 JEFFERSON BOULEVARD, WARWICK, RI, 02888
Administrator’s telephone number 4017325454

Signature of
Role Plan administrator
Date 2013-01-23
Name of individual signing CARLETON CAPPUCCINO
Valid signature Filed with authorized/valid electronic signature
MELLION & CAPPUCCINO, INC. PROFIT SHARING PLAN 2011 050347116 2012-06-28 MELLION & CAPPUCCINO, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-27
Business code 621210
Sponsor’s telephone number 4017325454
Plan sponsor’s address 265 JEFFERSON BOULEVARD, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 050347116
Plan administrator’s name MELLION & CAPPUCCINO, INC.
Plan administrator’s address 265 JEFFERSON BOULEVARD, WARWICK, RI, 02888
Administrator’s telephone number 4017325454

Signature of
Role Plan administrator
Date 2012-06-28
Name of individual signing CARLETON CAPPUCCINO
Valid signature Filed with authorized/valid electronic signature
MELLION & CAPPUCCINO, INC. PROFIT SHARING PLAN 2010 050347116 2011-04-12 MELLION & CAPPUCCINO, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-27
Business code 621210
Sponsor’s telephone number 4017325454
Plan sponsor’s address 265 JEFFERSON BOULEVARD, WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 050347116
Plan administrator’s name MELLION & CAPPUCCINO, INC.
Plan administrator’s address 265 JEFFERSON BOULEVARD, WARWICK, RI, 02888
Administrator’s telephone number 4017325454

Signature of
Role Plan administrator
Date 2011-04-12
Name of individual signing CARLETON CAPPUCCINO
Valid signature Filed with authorized/valid electronic signature
MELLION & CAPPUCCINO, INC. PROFIT SHARING PLAN 2009 050347116 2010-06-22 MELLION & CAPPUCCINO, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-02-27
Business code 621210
Sponsor’s telephone number 4017325454
Plan sponsor’s address 265 JEFFERSON BLVD., WARWICK, RI, 02888

Plan administrator’s name and address
Administrator’s EIN 050347116
Plan administrator’s name MELLION & CAPPUCCINO, INC.
Plan administrator’s address 265 JEFFERSON BLVD., WARWICK, RI, 02888
Administrator’s telephone number 4017325454

Signature of
Role Plan administrator
Date 2010-06-22
Name of individual signing CARLETON CAPPUCCINO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DREW P. KAPLAN, ESQ. Agent ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA

TREASURER

Name Role Address
CARLETON C. CAPPUCCINO TREASURER 265 JEFFERSON BLVD. WARWICK, RI 02888 USA

SECRETARY

Name Role Address
CARLETON C. CAPPUCCINO SECRETARY 265 JEFFERSON BLVD. WARWICK, RI 02888 USA

PRESIDENT

Name Role Address
CARLETON C CAPPUCCINO PRESIDENT 265 JEFFERSON BOULEVARD WARWICK, RI 02888 USA

DIRECTOR

Name Role Address
CARLETON C. CAPPUCCINO DIRECTOR 265 JEFFERSON BLVD. WARWICK, RI 02888 USA

Events

Type Date Old Value New Value
Name Change 1991-12-31 THOMAS, MELLION & CAPPUCCINO, INC. Mellion & Cappuccino, Inc.

Filings

Number Name File Date
201690860620 Articles of Dissolution 2016-01-19
201554855760 Annual Report 2015-02-10
201436732480 Annual Report 2014-03-04
201311648530 Annual Report 2013-02-15
201290246400 Annual Report 2012-02-28
201287773100 Statement of Change of Registered/Resident Agent 2012-01-10
201174638370 Annual Report 2011-02-09
201060279030 Annual Report 2010-03-16
200944644780 Annual Report 2009-03-27
200809587300 Annual Report 2008-03-03

Related by officers

DREW P. KAPLAN, ESQ.

JOHN ANDRADE INSURANCE AGENCY, INC. Pawtucket Financial Corporation APEX WARWICK INC. CENTRAL ACCEPTANCE CO. TEKNOR COLOR COMPANY GERALD C. FINKELMAN, INC. CHARLES J. DE ANGELIS M.D., LTD. TRUEX INCORPORATED JBS Enterprises, Ltd. APEX TIRE & RUBBER CO.

Related by address

No related companies by address

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State

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