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Rhode Island Dental Surgery, Inc.

Company Details

Name: Rhode Island Dental Surgery, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 12 Feb 1982 (43 years ago)
Date of Dissolution: 22 Sep 1999 (25 years ago)
Date of Status Change: 22 Sep 1999 (25 years ago)
Identification Number: 000019587
ZIP code: 02888
County: Kent County
Principal Address: 917 WARWICK AVENUE, WARWICK, RI, 02888, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RHODE ISLAND DENTAL SURGERY PROFIT SHARING PLAN 2013 300137245 2014-08-26 RHODE ISLAND DENTAL SURGERY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 4013531515
Plan sponsor’s address 468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238

Signature of

Role Plan administrator
Date 2014-08-26
Name of individual signing PAUL GEUNES, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-26
Name of individual signing PAUL GEUNES, DMD
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND DENTAL SURGERY PROFIT SHARING PLAN 2013 300137245 2014-08-27 RHODE ISLAND DENTAL SURGERY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 4013531515
Plan sponsor’s address 468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238

Signature of

Role Plan administrator
Date 2014-08-27
Name of individual signing PAUL GEUNES,DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-27
Name of individual signing PAUL GEUNES,DMD
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND DENTAL SURGERY PROFIT SHARING PLAN 2012 300137245 2013-09-24 RHODE ISLAND DENTAL SURGERY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 4013531515
Plan sponsor’s address 468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238

Signature of

Role Plan administrator
Date 2013-09-24
Name of individual signing PAUL GEUNES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-24
Name of individual signing PAUL GEUNES
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND DENTAL SURGERY PROFIT SHARING PLAN 2010 300137245 2011-06-27 RHODE ISLAND DENTAL SURGERY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 4013531515
Plan sponsor’s address 468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238

Plan administrator’s name and address

Administrator’s EIN 300137245
Plan administrator’s name SAME
Plan administrator’s address 468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238
Administrator’s telephone number 4013531515

Signature of

Role Plan administrator
Date 2011-06-27
Name of individual signing PAUL GEUNES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-27
Name of individual signing PAUL GEUNES
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND DENTAL SURGERY PROFIT SHARING PLAN 2009 300137245 2010-07-14 RHODE ISLAND DENTAL SURGERY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 4013531515
Plan sponsor’s address 468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238

Plan administrator’s name and address

Administrator’s EIN 300137245
Plan administrator’s name SAME
Plan administrator’s address 468 SMITHFIELD ROAD, NORTH PROVIDENCE, RI, 029044238
Administrator’s telephone number 4013531515

Signature of

Role Plan administrator
Date 2010-07-14
Name of individual signing PAUL GEUNES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing PAUL GEUNES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BENSON E. GOLD Agent 917 WARWICK AVENUE, WARWICK, RI, 02888, USA

PRESIDENT

Name Role Address
SHEILA D GOLD PRESIDENT 377 NARRAGANSETT PARKWAY WARWICK, RI 02888 USA

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State