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  5. PHILLIP C. BARNER, D.D.S., LTD.

PHILLIP C. BARNER, D.D.S., LTD.

Company Details

Name: PHILLIP C. BARNER, D.D.S., LTD.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 23 Oct 1985 (39 years ago)
Date of Dissolution: 15 Nov 2018 (6 years ago)
Date of Status Change: 15 Nov 2018 (6 years ago)
Identification Number: 000036255
ZIP code: 02917
County: Providence County
Principal Address: 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917, USA
Purpose: DENTAL PRACTICE
NAICS: 62 - Health Care and Social Assistance

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHILLIP C. BARNER, D.D.S, LTD. RETIREMENT PLAN 2017 050417758 2018-07-23 PHILLIP C. BARNER, D.D.S., LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-28
Business code 621210
Sponsor’s telephone number 4012333350
Plan sponsor’s address 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917
PHILLIP C. BARNER, D.D.S, LTD. RETIREMENT PLAN 2017 050417758 2018-02-06 PHILLIP C. BARNER, D.D.S., LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-28
Business code 621210
Sponsor’s telephone number 4012333350
Plan sponsor’s address 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917
PHILLIP C. BARNER, D.D.S, LTD. RETIREMENT PLAN 2016 050417758 2017-10-13 PHILLIP C. BARNER, D.D.S., LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-28
Business code 621210
Sponsor’s telephone number 4012333350
Plan sponsor’s address 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917
PHILLIP C. BARNER, D.D.S, LTD. RETIREMENT PLAN 2015 050417758 2016-09-27 PHILLIP C. BARNER, D.D.S., LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-28
Business code 621210
Sponsor’s telephone number 4012333350
Plan sponsor’s address 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917
PHILLIP C. BARNER, D.D.S, LTD. RETIREMENT PLAN 2014 050417758 2015-10-09 PHILLIP C. BARNER, D.D.S., LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-28
Business code 621210
Sponsor’s telephone number 4012333350
Plan sponsor’s address 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917
PHILLIP C. BARNER, D.D.S, LTD. RETIREMENT PLAN 2013 050417758 2014-10-03 PHILLIP C. BARNER, D.D.S., LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-28
Business code 621210
Sponsor’s telephone number 4012333350
Plan sponsor’s address 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917
PHILLIP C. BARNER, D.D.S, LTD. RETIREMENT PLAN 2012 050417758 2013-02-07 PHILLIP C. BARNER, D.D.S., LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-28
Business code 621210
Sponsor’s telephone number 4012333350
Plan sponsor’s address 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2013-02-07
Name of individual signing PHILLIP C. BARNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-07
Name of individual signing PHILLIP C. BARNER
Valid signature Filed with authorized/valid electronic signature
PHILLIP C. BARNER, D.D.S, LTD. RETIREMENT PLAN 2011 050417758 2012-10-11 PHILLIP C. BARNER, D.D.S., LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-28
Business code 621210
Sponsor’s telephone number 4012333350
Plan sponsor’s address 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917

Plan administrator’s name and address
Administrator’s EIN 050417758
Plan administrator’s name PHILLIP C. BARNER, D.D.S., LTD.
Plan administrator’s address 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917
Administrator’s telephone number 4012333350

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing PHILLIP C. BARNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-11
Name of individual signing PHILLIP C. BARNER
Valid signature Filed with authorized/valid electronic signature
PHILLIP C. BARNER, D.D.S, LTD. RETIREMENT PLAN 2010 050417758 2011-09-28 PHILLIP C. BARNER, D.D.S., LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-28
Business code 621210
Sponsor’s telephone number 4012333350
Plan sponsor’s address 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917

Plan administrator’s name and address
Administrator’s EIN 050417758
Plan administrator’s name PHILLIP C. BARNER, D.D.S., LTD.
Plan administrator’s address 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917
Administrator’s telephone number 4012333350

Signature of
Role Plan administrator
Date 2011-09-28
Name of individual signing PHILLIP BARNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-28
Name of individual signing PHILLIP BARNER
Valid signature Filed with authorized/valid electronic signature
PHILLIP C. BARNER, D.D.S, LTD. RETIREMENT PLAN 2009 050417758 2010-09-29 PHILLIP C. BARNER, D.D.S., LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-10-28
Business code 621210
Sponsor’s telephone number 4012333350
Plan sponsor’s address 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917

Plan administrator’s name and address
Administrator’s EIN 050417758
Plan administrator’s name PHILLIP C. BARNER, D.D.S., LTD.
Plan administrator’s address 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917
Administrator’s telephone number 4012333350

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing PHILLIP C. BARNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-29
Name of individual signing PHILLIP C. BARNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PHILLIP C. BARNER, D.D.S. Agent 550 DOUGLAS PIKE, SMITHFIELD, RI, 02917, USA

PRESIDENT

Name Role Address
PHILLIP CHRISTIAN BARNER DDS PRESIDENT 325 BOSTON NECK RD. NARRAGANSETT, RI 02882 UNI
PHILLIP C BARNER PRESIDENT 325 BOSTON NECK ROAD NARRAGANSETT, RI 02882- USA

Filings

Number Name File Date
201881202420 Revocation Certificate For Failure to File the Annual Report for the Year 2018-11-15
201875430840 Revocation Notice For Failure to File An Annual Report 2018-08-24
201729345100 Annual Report 2017-01-02
201589667530 Annual Report 2015-12-23
201552801390 Annual Report 2015-01-06
201436123440 Annual Report 2014-02-25
201306775090 Annual Report 2013-01-02
201290338330 Annual Report 2012-02-29
201175605650 Annual Report 2011-02-25
201060171280 Annual Report 2010-03-12

Related by officers

No related officers

Related by address

550 DOUGLAS PIKE, SMITHFIELD, RI, 02917, USA

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Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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