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THOMAS L. GREEN, D.O., LTD.

Company Details

Name: THOMAS L. GREEN, D.O., LTD.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 03 May 1984 (41 years ago)
Date of Dissolution: 11 Jul 2018 (7 years ago)
Date of Status Change: 11 Jul 2018 (7 years ago)
Identification Number: 000012512
ZIP code: 02818
County: Kent County
Principal Address: 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 02818, USA
Purpose: RENDERING PROFESSIONAL SERVICES AS A PHYSICIAN

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THOMAS L. GREEN, D.O., LTD. 401(K) PLAN 2017 050407461 2018-08-02 THOMAS L. GREEN, D.O., LTD. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-05-01
Business code 621399
Sponsor’s telephone number 4018855193
Plan sponsor’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814
THOMAS L. GREEN, D.O., LTD. 401K PLAN 2017 050407461 2018-01-16 THOMAS L. GREEN, D.O., LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-05-01
Business code 621399
Sponsor’s telephone number 4018855193
Plan sponsor’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814
THOMAS L. GREEN, D.O., LTD. 401K PLAN 2016 050407461 2017-03-03 THOMAS L. GREEN, D.O., LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-05-01
Business code 621399
Sponsor’s telephone number 4018855193
Plan sponsor’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814

Plan administrator’s name and address

Administrator’s EIN 050407461
Plan administrator’s name THOMAS L. GREEN, D.O., LTD.
Plan administrator’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814
Administrator’s telephone number 4018855193
THOMAS L. GREEN, D.O., LTD. 401K PLAN 2015 050407461 2016-05-25 THOMAS L. GREEN, D.O., LTD. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-05-01
Business code 621399
Sponsor’s telephone number 4018855193
Plan sponsor’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814

Plan administrator’s name and address

Administrator’s EIN 050407461
Plan administrator’s name THOMAS L. GREEN, D.O., LTD.
Plan administrator’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814
Administrator’s telephone number 4018855193
THOMAS L. GREEN, D.O., LTD. 401K PLAN 2014 050407461 2015-04-15 THOMAS L. GREEN, D.O., LTD. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-05-01
Business code 621399
Sponsor’s telephone number 4018855193
Plan sponsor’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814

Plan administrator’s name and address

Administrator’s EIN 050407461
Plan administrator’s name THOMAS L. GREEN, D.O., LTD.
Plan administrator’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814
Administrator’s telephone number 4018855193

Signature of

Role Plan administrator
Date 2015-04-15
Name of individual signing THOMAS GREEN
Valid signature Filed with authorized/valid electronic signature
THOMAS L. GREEN, D.O., LTD. 401K PLAN 2013 050407461 2014-04-21 THOMAS L. GREEN, D.O., LTD. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-05-01
Business code 621399
Sponsor’s telephone number 4018855193
Plan sponsor’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814

Plan administrator’s name and address

Administrator’s EIN 050407461
Plan administrator’s name THOMAS L. GREEN, D.O., LTD.
Plan administrator’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814
Administrator’s telephone number 4018855193

Signature of

Role Plan administrator
Date 2014-04-21
Name of individual signing THOMAS GREEN
Valid signature Filed with authorized/valid electronic signature
THOMAS L. GREEN, D.O., LTD. 401K PLAN 2012 050407461 2013-05-30 THOMAS L. GREEN, D.O., LTD. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-05-01
Business code 621399
Sponsor’s telephone number 4018855193
Plan sponsor’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814

Plan administrator’s name and address

Administrator’s EIN 050407461
Plan administrator’s name THOMAS L. GREEN, D.O., LTD.
Plan administrator’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814
Administrator’s telephone number 4018855193

Signature of

Role Plan administrator
Date 2013-05-30
Name of individual signing THOMAS GREEN
Valid signature Filed with authorized/valid electronic signature
THOMAS L. GREEN, D.O., LTD. 401K PLAN 2011 050407461 2012-05-08 THOMAS L. GREEN, D.O., LTD. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-05-01
Business code 621399
Plan sponsor’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814

Plan administrator’s name and address

Administrator’s EIN 050407461
Plan administrator’s name THOMAS L. GREEN, D.O., LTD.
Plan administrator’s address 688 FRENCHTOWN ROAD, EAST GREENWICH, RI, 028181814
Administrator’s telephone number 4018855193

Signature of

Role Plan administrator
Date 2012-05-08
Name of individual signing THOMAS GREEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RICHARD B. APPLEBAUM Agent 1216 ATWOOD AVENUE UNIT 3, JOHNSTON, RI, 02919, USA

PRESIDENT

Name Role Address
THOMAS L. GREEN PRESIDENT 688 FRENCHTOWN ROAD EAST GREENWICH, RI 02818 USA

Filings

Number Name File Date
201872256560 Annual Report 2018-07-11
201872256010 Articles of Dissolution 2018-07-11
201748645610 Annual Report 2017-08-21
201747690170 Revocation Notice For Failure to File An Annual Report 2017-07-27
201695460050 Annual Report 2016-03-31
201695463240 Statement of Change of Registered Office by the Registered Agent 2016-03-31
201558262960 Annual Report 2015-03-31
201442805950 Annual Report 2014-07-18
201439376690 Revocation Notice For Failure to File An Annual Report 2014-05-20
201326385590 Annual Report 2013-08-02

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State