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  5. Vincent Pellegrino Insurance Adjusters, Inc.

Vincent Pellegrino Insurance Adjusters, Inc.

Company Details

Name: Vincent Pellegrino Insurance Adjusters, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 15 Dec 1980 (44 years ago)
Date of Dissolution: 30 Oct 2023 (a year ago)
Date of Status Change: 30 Oct 2023 (a year ago)
Identification Number: 000016572
ZIP code: 02852
County: Washington County
Principal Address: 119 ROGER WILLIAMS DRIVE, NORTH KINGSTOWN, RI, 02852-4420, US
Purpose: INSURANCE ADJUSTING FOR INSURANCE COMPANIES AND SELF INSURED ENTITIES
Historical names: VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. PROFIT SHARING PLAN 2020 050389810 2022-01-14 VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Sponsor’s telephone number 4014672860
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. PROFIT SHARING PLAN 2019 050389810 2020-12-22 VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Sponsor’s telephone number 4014672860
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. PROFIT SHARING PLAN 2018 050389810 2019-12-16 VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Sponsor’s telephone number 4014672860
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. PROFIT SHARING PLAN 2017 050389810 2019-01-07 VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. PROFIT SHARING PLAN 2016 050389810 2018-01-04 VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. PROFIT SHARING PLAN 2015 050389810 2017-03-23 VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. PROFIT SHARING PLAN 2014 050389810 2016-04-14 VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 050389810
Plan administrator’s name VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC.
Plan administrator’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4014672860
VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. PROFIT SHARING PLAN 2013 050389810 2015-01-07 VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 050389810
Plan administrator’s name VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC.
Plan administrator’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4014672860

Signature of
Role Plan administrator
Date 2015-01-07
Name of individual signing MICHAEL PELLEGRINO
Valid signature Filed with authorized/valid electronic signature
VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. PROFIT SHARING PLAN 2012 050389810 2014-01-09 VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 050389810
Plan administrator’s name VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC.
Plan administrator’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4014672860

Signature of
Role Plan administrator
Date 2014-01-09
Name of individual signing MICHAEL PELLEGRINO
Valid signature Filed with authorized/valid electronic signature
VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. PROFIT SHARING PLAN 2011 050389810 2013-02-06 VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 050389810
Plan administrator’s name VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC.
Plan administrator’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4014672860

Signature of
Role Plan administrator
Date 2013-02-06
Name of individual signing MICHAEL PELLEGRINO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/17/20121017143942P040002356900001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 050389810
Plan administrator’s name VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC.
Plan administrator’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4014672860

Signature of
Role Plan administrator
Date 2012-10-17
Name of individual signing MICHAEL PELLEGRINO
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 050389810
Plan administrator’s name VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC.
Plan administrator’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4014672860

Signature of
Role Plan administrator
Date 2012-01-25
Name of individual signing CAROL LIPMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/10/20110610103513P030073642177001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Sponsor’s telephone number 4014672860
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 050389810
Plan administrator’s name VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC.
Plan administrator’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4014672860

Signature of
Role Plan administrator
Date 2011-06-10
Name of individual signing MICHAEL PELLEGRINO
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Sponsor’s telephone number 4014672860
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 050389810
Plan administrator’s name VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC.
Plan administrator’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4014672860

Signature of
Role Employer/plan sponsor
Date 2011-02-25
Name of individual signing MICHAEL PELLEGRINO
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1980-12-15
Business code 524290
Sponsor’s telephone number 4014672860
Plan sponsor’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 050389810
Plan administrator’s name VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC.
Plan administrator’s address 275 RESERVOIR AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4014672860

Signature of
Role Employer/plan sponsor
Date 2011-02-25
Name of individual signing MICHAEL PELLEGRINO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
VINCENT PELLEGRINO, Agent 119 ROGER WILLIAMS DRIVE, NORTH KINGSTOWN, RI, 02852, USA

PRESIDENT

Name Role Address
MICHAEL PELLEGRINO PRESIDENT 61 NEWPORT AVE NORTH KINGSTOWN, RI 02852 US

Events

Type Date Old Value New Value
Name Change 2012-01-11 VINCENT PELLEGRINO INSURANCE ADJUSTERS, INC. Vincent Pellegrino Insurance Adjusters, Inc.

Filings

Number Name File Date
202342520860 Articles of Dissolution 2023-10-30
202342520220 Annual Report 2023-10-30
202342519800 Statement of Change of Registered/Resident Agent Office 2023-10-30
202342519990 Reinstatement 2023-10-30
202342318340 Registered Office Not Maintained 2023-09-28
202341444130 Revocation Certificate For Failure to File the Annual Report for the Year 2023-09-12
202337987850 Revocation Notice For Failure to File An Annual Report 2023-06-19
202209693100 Annual Report 2022-02-08
202186052240 Annual Report 2021-01-11
202031452690 Annual Report 2020-01-06

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1665578410 2021-02-02 0165 PPS 275 Reservoir Ave, Providence, RI, 02907-3570
Loan Status Date 2021-07-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 105309
Loan Approval Amount (current) 105309
Undisbursed Amount 0
Franchise Name -
Lender Location ID 15940
Servicing Lender Name Webster Bank National Association
Servicing Lender Address 137 Bank St, WATERBURY, CT, 06702-2205
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Providence, PROVIDENCE, RI, 02907-3570
Project Congressional District RI-01
Number of Employees 7
NAICS code 524291
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 15940
Originating Lender Name Webster Bank National Association
Originating Lender Address WATERBURY, CT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 105669.65
Forgiveness Paid Date 2021-06-23
9224757203 2020-04-28 0165 PPP 275 RESERVOIR AVE, PROVIDENCE, RI, 02907
Loan Status Date 2021-02-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 87400
Loan Approval Amount (current) 87400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 15940
Servicing Lender Name Webster Bank National Association
Servicing Lender Address 137 Bank St, WATERBURY, CT, 06702-2205
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PROVIDENCE, PROVIDENCE, RI, 02907-0546
Project Congressional District RI-02
Number of Employees 7
NAICS code 524291
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 15940
Originating Lender Name Webster Bank National Association
Originating Lender Address WATERBURY, CT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 88015.39
Forgiveness Paid Date 2021-01-20

Related by officers

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Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State

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