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  5. RICHARD P. IACOBUCCI, M.D., INC.

RICHARD P. IACOBUCCI, M.D., INC.

Company Details

Name: RICHARD P. IACOBUCCI, M.D., INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 08 Dec 1976 (48 years ago)
Date of Dissolution: 30 Dec 2020 (4 years ago)
Date of Status Change: 30 Dec 2020 (4 years ago)
Identification Number: 000018739
ZIP code: 02910
County: Providence County
Principal Address: 725 RESERVOIR AVENUE UNIT 103, CRANSTON, RI, 02910, USA
Purpose: PRACTICE OF MEDICINE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Fictitious names: Cardiovascular Study Center (trading name, 2002-01-09 - )
North Providence Center for Health Management (trading name, 1997-08-15 - )

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD P. IACOBUCCI, M.D., INC. PROFIT SHARING PLAN 2017 050370460 2018-05-17 RICHARD P. IACOBUCCI, M.D., INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 4013534936
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 203, CRANSTON, RI, 02920
RICHARD P. IACOBUCCI, M.D., INC. PROFIT SHARING PLAN 2016 050370460 2017-10-05 RICHARD P. IACOBUCCI, M.D., INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 4013534936
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 203, CRANSTON, RI, 02920
RICHARD P. IACOBUCCI, M.D., INC. PROFIT SHARING PLAN 2015 050370460 2016-10-13 RICHARD P. IACOBUCCI, M.D., INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 4013534936
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 203, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing RICHARD IACOBUCCI
Valid signature Filed with authorized/valid electronic signature
RICHARD P. IACOBUCCI, M.D., INC. PROFIT SHARING PLAN 2014 050370460 2015-08-27 RICHARD P. IACOBUCCI, M.D., INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 4013534936
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 203, CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 050370460
Plan administrator’s name RICHARD P. IACOBUCCI, M.D., INC.
Plan administrator’s address 1150 RESERVOIR AVENUE, SUITE 203, CRANSTON, RI, 02920
Administrator’s telephone number 4013534936

Signature of
Role Plan administrator
Date 2015-08-27
Name of individual signing RICHARD IACOBUCCI
Valid signature Filed with authorized/valid electronic signature
RICHARD P. IACOBUCCI, M.D., INC. PROFIT SHARING PLAN 2013 050370460 2014-08-12 RICHARD P. IACOBUCCI, M.D., INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 4013534936
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 203, CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 050370460
Plan administrator’s name RICHARD P. IACOBUCCI, M.D., INC.
Plan administrator’s address 1150 RESERVOIR AVENUE, SUITE 203, CRANSTON, RI, 02920
Administrator’s telephone number 4013534936

Signature of
Role Plan administrator
Date 2014-08-12
Name of individual signing RICHARD IACOBUCCI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LAW OFFICES OF RICHARD PALUMBO, LLC Agent 535 ATWOOD AVENUE SUITE 4, CRANSTON, RI, 02920, USA

PRESIDENT

Name Role Address
RICHARD P. IACOBUCCI PRESIDENT 1150 RESERVOIR AVENUE, UNIT 203 CRANSTON, RI 02910 USA

TREASURER

Name Role Address
RICHARD P IACOBUCCI TREASURER 1150 RESERVOIR AVENUE, UNIT 203 CRANSTON, RI 02910 USA

SECRETARY

Name Role Address
RICHARD P IACOBUCCI SECRETARY 1150 RESERVOIR AVENUE, UNIT 203 CRANSTON, RI 02910 USA

VICE PRESIDENT

Name Role Address
RICHARD P IACOBUCCI VICE PRESIDENT 1150 RESERVOIR AVENUE, UNIT 203 CRANSTON, RI 02910 USA

Filings

Number Name File Date
202082819000 Revocation Certificate For Failure to File the Annual Report for the Year 2020-12-30
202054956180 Revocation Notice For Failure to File An Annual Report 2020-09-16
201988871420 Annual Report 2019-03-19
201755107370 Annual Report 2017-12-15
201734522350 Annual Report 2017-02-22
201695465640 Annual Report 2016-03-31
201561323070 Annual Report 2015-04-30
201441832830 Annual Report 2014-06-23
201439385070 Revocation Notice For Failure to File An Annual Report 2014-05-20
201315313560 Annual Report 2013-04-18

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Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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