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  5. SHELDON LIDOFSKY, M.D. INC.

SHELDON LIDOFSKY, M.D. INC.

Company Details

Name: SHELDON LIDOFSKY, M.D. INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 19 Dec 1984 (40 years ago)
Date of Dissolution: 28 Feb 2012 (13 years ago)
Date of Status Change: 28 Feb 2012 (13 years ago)
Identification Number: 000032756
ZIP code: 02905
County: Providence County
Principal Address: 33 STANIFORD STREET, PROVIDENCE, RI, 02905, USA
Purpose: THE PRACTICE OF INTERNAL MEDICINE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHELDON LIDOFSKY, M.D., INC. 401(K) PROFIT SHARING PLAN 2013 050410872 2014-06-18 SHELDON LIDOFSKY, M.D., INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-11-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050410872
Plan administrator’s name SHELDON LIDOFSKY, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2014-06-18
Name of individual signing JAMES W. STAUFFER
Valid signature Filed with authorized/valid electronic signature
SHELDON LIDOFSKY, M.D., INC. 401(K) PROFIT SHARING PLAN 2012 050410872 2013-06-20 SHELDON LIDOFSKY, M.D., INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-11-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050410872
Plan administrator’s name SHELDON LIDOFSKY, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2013-06-20
Name of individual signing JAMES W. STAUFFER
Valid signature Filed with authorized/valid electronic signature
SHELDON LIDOFSKY, M.D., INC. 401(K) PROFIT SHARING PLAN 2011 050410872 2012-07-18 SHELDON LIDOFSKY, M.D., INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-11-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050410872
Plan administrator’s name SHELDON LIDOFSKY, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing SHELDON LIDOFSKY, M.D.
Valid signature Filed with authorized/valid electronic signature
SHELDON LIDOFSKY, M.D., INC. 401(K) PROFIT SHARING PLAN 2010 050410872 2011-06-29 SHELDON LIDOFSKY, M.D., INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-11-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050410872
Plan administrator’s name SHELDON LIDOFSKY, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2011-06-29
Name of individual signing SHELDON LIDOFSKY, M.D.
Valid signature Filed with authorized/valid electronic signature
SHELDON LIDOFSKY, M.D., INC. 401(K) PROFIT SHARING PLAN 2009 050410872 2010-10-08 SHELDON LIDOFSKY, M.D., INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-11-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050410872
Plan administrator’s name SHELDON LIDOFSKY, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing CAROL LIPMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN M RONEY Agent 344 WICKENDEN STREET, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
SHELDON LIDOFSKY MD PRESIDENT 33 STANIFORD STREET PROVIDENCE, RI 02905 USA

Filings

Number Name File Date
201290302610 Articles of Dissolution 2012-02-28
201174253050 Annual Report 2011-01-31
201058479480 Annual Report 2010-02-17
200942403820 Annual Report 2009-02-17
200809269170 Annual Report 2008-02-28

Related by officers

JOHN M RONEY

Fox Point Citizens Association

Related by address

33 STANIFORD STREET, PROVIDENCE, RI, 02905, USA

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Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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