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Urology Associates, Inc.

Company Details

Name: Urology Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 01 Jul 1971 (54 years ago)
Date of Dissolution: 09 Sep 2019 (5 years ago)
Date of Status Change: 09 Sep 2019 (5 years ago)
Identification Number: 000013641
ZIP code: 02840
County: Newport County
Principal Address: 38 POWEL AVENUE, NEWPORT, RI, 02840, USA
Purpose: PROFESSIONAL SERVICES; MEDICINE, UROLOGY
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083635064 2006-07-22 2020-08-22 140 KENYON AVE, WAKEFIELD, RI, 028794216, US 140 KENYON AVE, WAKEFIELD, RI, 028794216, US

Contacts

Phone +1 401-783-1896
Fax 4017830823

Authorized person

Name DR. ARNOLD SARAZEN
Role VICE PRESIDENT
Phone 4018472418

Taxonomy

Taxonomy Code 208800000X - Urology Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 9002119
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UROLOGY ASSOCIATES, INC. ROTH SAFE HARBOR 401(K) PROFIT SHARING PLAN 2018 050344680 2019-02-15 UROLOGY ASSOCIATES, INC. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 4017831896
Plan sponsor’s address 70 KENYON AVENUE, SUITE 322, WAKEFIELD, RI, 02879
UROLOGY ASSOCIATES, INC. ROTH SAFE HARBOR 401(K) PROFIT SHARING PLAN 2018 050344680 2019-05-20 UROLOGY ASSOCIATES, INC. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 4017831896
Plan sponsor’s address 70 KENYON AVENUE, SUITE 322, WAKEFIELD, RI, 02879
UROLOGY ASSOCIATES, INC. ROTH SAFE HARBOR 401(K) PROFIT SHARING PLAN 2017 050344680 2018-04-11 UROLOGY ASSOCIATES, INC. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 4017831896
Plan sponsor’s address 70 KENYON AVENUE, SUITE 322, WAKEFIELD, RI, 02879
UROLOGY ASSOCIATES, INC. ROTH SAFE HARBOR 401(K) PROFIT SHARING PLAN 2016 050344680 2017-04-12 UROLOGY ASSOCIATES, INC. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 4017831896
Plan sponsor’s address 70 KENYON AVENUE, SUITE 322, WAKEFIELD, RI, 02879

Signature of

Role Plan administrator
Date 2017-04-12
Name of individual signing ARNOLD SARAZEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-12
Name of individual signing ARNOLD SARAZEN
Valid signature Filed with authorized/valid electronic signature
UROLOGY ASSOCIATES INC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2015 050344680 2016-04-19 UROLOGY ASSOCIATES INC 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 4017831896
Plan sponsor’s address 70 KENYON AVE UNIT 322, WAKEFIELD, RI, 028794253
UROLOGY ASSOCIATES INC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2014 050344680 2015-07-02 UROLOGY ASSOCIATES INC 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 4017831896
Plan sponsor’s address 70 KENYON AVENUE, SUITE 322, WAKEFIELD, RI, 02879
UROLOGY ASSOCIATES INC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2013 050344680 2014-06-02 UROLOGY ASSOCIATES INC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 4017831896
Plan sponsor’s address 70 KENYON AVENUE, SUITE 322, WAKEFIELD, RI, 02879
UROLOGY ASSOCIATES INC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2012 050344680 2013-07-03 UROLOGY ASSOCIATES INC 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 4017831896
Plan sponsor’s address 70 KENYON AVENUE, SUITE 322, WAKEFIELD, RI, 02879

Signature of

Role Plan administrator
Date 2013-07-03
Name of individual signing PATRICIA MCGOWAN
Valid signature Filed with authorized/valid electronic signature
UROLOGY ASSOCIATES INC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2011 050344680 2012-06-27 UROLOGY ASSOCIATES INC 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 4017831896
Plan sponsor’s address 70 KENYON AVENUE, SUITE 322, WAKEFIELD, RI, 02879

Plan administrator’s name and address

Administrator’s EIN 050344680
Plan administrator’s name UROLOGY ASSOCIATES INC
Plan administrator’s address 70 KENYON AVENUE, SUITE 322, WAKEFIELD, RI, 02879
Administrator’s telephone number 4017831896

Signature of

Role Plan administrator
Date 2012-06-27
Name of individual signing PATRICIA MCGOWAN
Valid signature Filed with authorized/valid electronic signature
UROLOGY ASSOCIATES INC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2010 050344680 2011-06-24 UROLOGY ASSOCIATES INC 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 4017831896
Plan sponsor’s address 70 KENYON AVENUE, SUITE 322, WAKEFIELD, RI, 02879

Plan administrator’s name and address

Administrator’s EIN 050344680
Plan administrator’s name UROLOGY ASSOCIATES INC
Plan administrator’s address 70 KENYON AVENUE, SUITE 322, WAKEFIELD, RI, 02879
Administrator’s telephone number 4017831896

Signature of

Role Plan administrator
Date 2011-06-24
Name of individual signing PATRICIA MCGOWAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/23/20100823071248P070009324002001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1985-07-01
Business code 621111
Sponsor’s telephone number 4017831896
Plan sponsor’s address 70 KENYON AVENUE, SUITE 322, WAKEFIELD, RI, 02879

Plan administrator’s name and address

Administrator’s EIN 050344680
Plan administrator’s name UROLOGY ASSOCIATES INC
Plan administrator’s address 70 KENYON AVENUE, SUITE 322, WAKEFIELD, RI, 02879
Administrator’s telephone number 4017831896

Signature of

Role Plan administrator
Date 2010-08-23
Name of individual signing PATRICIA MCGOWAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BRIAN G. BARDORF, ESQ. Agent 36 WASHINGTON SQUARE, NEWPORT, RI, 02840, USA

PRESIDENT

Name Role Address
AMOLD A. SARAZAN, MD PRESIDENT 38 POWEL AVE NEPORT, RI 02840 USA

Filings

Number Name File Date
201918664230 Articles of Dissolution 2019-09-09
201985017650 Annual Report 2019-01-22
201859780730 Annual Report 2018-03-05
201734176030 Annual Report 2017-02-15
201692923170 Annual Report 2016-02-22
201555259620 Annual Report 2015-02-17
201433791110 Annual Report 2014-01-21
201310752760 Annual Report 2013-02-01
201288779930 Annual Report 2012-01-30
201173486530 Annual Report 2011-01-13

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State