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  5. PROVIDENCE CARDIOLOGY, INC.

PROVIDENCE CARDIOLOGY, INC.

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Company Details

Name: PROVIDENCE CARDIOLOGY, INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 31 Jul 1978 (47 years ago)
Identification Number: 000031881
ZIP code: 02916
City: Rumford
County: Providence County
Purpose: CARDIOLOGY AND INTERNAL MEDICINE
Principal Address: Google Maps Logo 400 PLEASANT ST APT 16, RUMFORD, RI, 02916, USA

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Companies doing Offices of physicians (except mental health specialists)

Agent

Name Role Address
JOHN A ORLANDO Agent 400 PLEASANT ST APT 16, RUMFORD, RI, 02916, USA

PRESIDENT

Name Role Address
JACK H KLIE PRESIDENT 41 TALLWOOD DR SEEKONK, MA 02771 USA

National Provider Identifier

NPI Number:
1790856888
Link:
View on NPI website

Authorized Person:

Name:
MR. JACK HUG KLIE
Role:
PRESIDENT
Phone:
4015210700

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Phone:
+1 401-521-0700
Fax:
4015210906

Form 5500 Series

Employer Identification Number (EIN):
050378227
Plan Year:
2013
Number Of Participants:
3
Sponsor's telephone number:
4015210700
File:
View File
Plan Administrator / Signatory:
JACK H. KLIE, M.D.(Plan administrator)
Plan Year:
2012
Number Of Participants:
4
Sponsor's telephone number:
4015210700
File:
View File
Plan Administrator / Signatory:
JACK H. KLIE, M.D.(Plan administrator)
Plan Year:
2011
Number Of Participants:
4
Sponsor's telephone number:
4015210700
File:
View File
Plan Administrator / Signatory:
JACK H. KLIE, M.D.(Plan administrator)
Plan Year:
2010
Number Of Participants:
4
Sponsor's telephone number:
4015210700
File:
View File
Plan Administrator / Signatory:
JACK H. KLIE, M.D.(Plan administrator)
Plan Year:
2009
Number Of Participants:
4
Sponsor's telephone number:
4015210700
File:
View File
Plan Administrator / Signatory:
JACK H. KLIE(Plan administrator)

Filings

Number Name File Date
202451252380 Annual Report 2024-04-16
202451107130 Statement of Change of Registered/Resident Agent 2024-04-15
202449672390 Revocation Notice For Failure to Maintain a Registered Office 2024-03-28
202448694050 Registered Office Not Maintained 2024-01-03
202326110090 Annual Report 2023-01-18

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-3 TERMINATION
UCC Filing Number:
202329678010
Filing Date:
2023-09-27
Action:
TerminationSecuredParty

Parties

Party Name:
PROVIDENCE CARDIOLOGY, INC.
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
202023154630
Filing Date:
2020-07-07
Action:
InitialFiling

Parties

Party Name:
PROVIDENCE CARDIOLOGY, INC.
Party Role:
Debtor(s)
Party Name:
U.S. SMALL BUSINESS ADMINISTRATION
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
202022412560
Filing Date:
2020-02-26
Action:
Continuation

Parties

Party Name:
SOVEREIGN BANK
Party Role:
Secured Parties
Party Name:
PROVIDENCE CARDIOLOGY, INC.
Party Role:
Debtor(s)

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2020-06-20
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
$0
Face Value Of Loan:
$35,300
Total Face Value Of Loan:
$35,300
Business Type:
SMALL BUSINESS
Date:
2020-04-29
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$19,300
Total Face Value Of Loan:
$19,300

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$19,300
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$19,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$19,491.93
Servicing Lender:
Bristol County Savings Bank
Use of Proceeds:
Payroll: $19,300

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TAX SERVICES OF RHODE ISLAND LLC, which currently Activ, has registered address 400 PLEASANT ST APT 16, RUMFORD, RI, 02916, USA.

Date of last update: 07 Jul 2025

Sources: Rhode Island Department of State

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