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JOHN A. PELLA, M.D., LTD.

Company Details

Name: JOHN A. PELLA, M.D., LTD.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 12 Oct 1979 (45 years ago)
Date of Dissolution: 16 Apr 2015 (10 years ago)
Date of Status Change: 16 Apr 2015 (10 years ago)
Identification Number: 000016560
ZIP code: 02920
County: Providence County
Principal Address: 1150 RESERVOIR AVENUE, CRANSTON, RI, 02920, USA
Purpose: PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558676551 2010-08-13 2010-08-13 1150 RESERVOIR AVE, SUITE 305, CRANSTON, RI, 029206068, US 1150 RESERVOIR AVE, SUITE 305, CRANSTON, RI, 029206068, US

Contacts

Phone +1 401-946-4999
Fax 4019444680

Authorized person

Name JOHN A PELLA
Role PRESIDENT
Phone 4019464999

Taxonomy

Taxonomy Code 207RP1001X - Pulmonary Disease Physician
License Number 04686
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOHN A. PELLA, M.D., LTD. PROFIT SHARING PLAN 2020 050384123 2021-06-10 JOHN A. PELLA, M.D., LTD. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-10-12
Business code 621111
Sponsor’s telephone number 4017326075
Plan sponsor’s address 35 CRAWFORD AVENUE, WARWICK, RI, 02889
JOHN A. PELLA, M.D., LTD. PROFIT SHARING PLAN 2019 050384123 2020-07-28 JOHN A. PELLA, M.D., LTD. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-10-12
Business code 621111
Sponsor’s telephone number 4017326075
Plan sponsor’s address 35 CRAWFORD AVENUE, WARWICK, RI, 02889
JOHN A. PELLA, M.D., LTD. PROFIT SHARING PLAN 2018 050384123 2019-08-20 JOHN A. PELLA, M.D., LTD. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-10-12
Business code 621111
Sponsor’s telephone number 4017326075
Plan sponsor’s address 35 CRAWFORD AVENUE, WARWICK, RI, 02889
JOHN A. PELLA, M.D., LTD. PROFIT SHARING PLAN 2017 050384123 2018-07-24 JOHN A. PELLA, M.D., LTD. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-10-12
Business code 621111
Sponsor’s telephone number 4017326075
Plan sponsor’s address 35 CRAWFORD AVENUE, WARWICK, RI, 02889
JOHN A. PELLA, M.D., LTD. PROFIT SHARING PLAN 2016 050384123 2017-09-18 JOHN A. PELLA, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-10-12
Business code 621111
Sponsor’s telephone number 4017326075
Plan sponsor’s address 35 CRAWFORD AVENUE, WARWICK, RI, 02889
JOHN A. PELLA, M.D., LTD. PROFIT SHARING PLAN 2015 050384123 2016-09-19 JOHN A. PELLA, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-10-12
Business code 621111
Sponsor’s telephone number 4017326075
Plan sponsor’s address 35 CRAWFORD AVENUE, WARWICK, RI, 02889

Agent

Name Role Address
EVERETT PETRONIO, JR. ESQ. Agent 931 JEFFERSON BOULEVARD SUITE 2004, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
JOHN A PELLA MD PRESIDENT 1150 RESERVOIR AVE CRANSTON, RI 02920 USA

Filings

Number Name File Date
201560993850 Annual Report 2015-04-16
201560995520 Articles of Dissolution 2015-04-16
201440212660 Annual Report 2014-05-30
201439382150 Revocation Notice For Failure to File An Annual Report 2014-05-20
201312520150 Annual Report 2013-02-24
201289857420 Annual Report 2012-02-20
201175079460 Annual Report 2011-02-16
201061053170 Statement of Change of Registered Office by the Registered Agent 2010-04-01
201060987890 Annual Report 2010-03-31
200941077400 Annual Report 2009-01-27

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State