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  5. Rhode Island Periodontics, Inc.

Rhode Island Periodontics, Inc.

Company Details

Name: Rhode Island Periodontics, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 22 Sep 1987 (37 years ago)
Identification Number: 000044417
ZIP code: 02919
County: Providence County
Principal Address: 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919, USA
Purpose: PERIODONTOLOGY
Fictitious names: Rhode Island Periodontics (trading name, 2014-06-13 - )
Edward S. Katz, D.D.S. & Gregory S. Theberge, D.M.D., Inc. (trading name, 2007-10-30 - )
Historical names: Edward S. Katz, DDS., Inc.
Dr. Katz and Dr. Theberge Periodontics, Inc.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RHODE ISLAND PERIODONTICS, INC. 401(K) PLAN 2023 050433195 2024-04-30 RHODE ISLAND PERIODONTICS, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 4012339800
Plan sponsor’s address 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2024-04-30
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-30
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND PERIODONTICS, INC. 401(K) PLAN 2022 050433195 2023-03-31 RHODE ISLAND PERIODONTICS, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 4012339800
Plan sponsor’s address 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2023-03-31
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-31
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND PERIODONTICS, INC. 401(K) PLAN 2021 050433195 2022-10-12 RHODE ISLAND PERIODONTICS, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 4012339800
Plan sponsor’s address 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND PERIODONTICS, INC. CASH BALANCE PLAN 2021 050433195 2022-07-15 RHODE ISLAND PERIODONTICS, INC. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 4012339800
Plan sponsor’s address 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-15
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND PERIODONTICS, INC. CASH BALANCE PLAN 2021 050433195 2022-06-15 RHODE ISLAND PERIODONTICS, INC. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 4012339800
Plan sponsor’s address 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2022-06-15
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-15
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND PERIODONTICS, INC. 401(K) PLAN 2020 050433195 2021-07-22 RHODE ISLAND PERIODONTICS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 4012339800
Plan sponsor’s address 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-22
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND PERIODONTICS, INC. CASH BALANCE PLAN 2020 050433195 2021-07-23 RHODE ISLAND PERIODONTICS, INC. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 4012339800
Plan sponsor’s address 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2021-07-23
Name of individual signing EDWARD KATZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-23
Name of individual signing EDWARD KATZ
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND PERIODONTICS, INC. CASH BALANCE PLAN 2019 050433195 2020-09-09 RHODE ISLAND PERIODONTICS, INC. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 4012339800
Plan sponsor’s address 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing EDWARD KATZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-09
Name of individual signing EDWARD KATZ
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND PERIODONTICS, INC. 401(K) PLAN 2019 050433195 2020-09-09 RHODE ISLAND PERIODONTICS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 4012339800
Plan sponsor’s address 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing EDWARD KATZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-09
Name of individual signing EDWARD KATZ
Valid signature Filed with authorized/valid electronic signature
EDWARD S. KATZ, D.D.S. AND GREGORY S. THEBERGE, D.M.D., INC. RETIREMENT PLAN 2018 050433195 2019-07-28 RHODE ISLAND PERIODONTICS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 4012339800
Plan sponsor’s address 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2019-07-28
Name of individual signing EDWARD KATZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-28
Name of individual signing EDWARD KATZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/06/26/20190626200936P030313744727001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 4012339800
Plan sponsor’s address 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2019-06-26
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-26
Name of individual signing EDWARD S KATZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/09/27/20180927130554P040232397745001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 4012339800
Plan sponsor’s address 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2018-09-27
Name of individual signing EDWARD KATZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-27
Name of individual signing EDWARD KATZ
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/09/27/20180927131108P030206299223001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 4012339800
Plan sponsor’s address 1740 ATWOOD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2018-09-27
Name of individual signing EDWARD KATZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-27
Name of individual signing EDWARD KATZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAMES H. HAHN, ESQ. Agent 40 WESTMINSTER STREET SUITE 1100, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
GREGORY S. THEBERGE PRESIDENT 1740 ATWOOD AVENUE JOHNSTON, RI 02919 USA

TREASURER

Name Role Address
CHARLES M PHAM TREASURER 1740 ATWOOD AVENUE JOHNSTON, RI 02919 USA

SECRETARY

Name Role Address
GREGORY S THEBERGE SECRETARY 1740 ATWOOD AVENUE JOHNSTON, RI 02919 USA

VICE PRESIDENT

Name Role Address
CHARLES M PHAM VICE PRESIDENT 1740 ATWOOD AVENUE JOHNSTON, RI 02919 USA

Events

Type Date Old Value New Value
Name Change 2017-05-30 Dr. Katz and Dr. Theberge Periodontics, Inc. Rhode Island Periodontics, Inc.
Name Change 1994-11-04 Edward S. Katz, DDS., Inc. Dr. Katz and Dr. Theberge Periodontics, Inc.

Filings

Number Name File Date
202458743070 Annual Report - Amended 2024-08-12
202454927960 Annual Report 2024-05-28
202341979290 Annual Report - Amended 2023-09-29
202335450220 Annual Report 2023-05-09
202216764170 Annual Report 2022-04-22
202192059790 Annual Report 2021-02-18
202034097690 Annual Report 2020-02-10
201986373700 Annual Report 2019-02-11
201859762330 Annual Report 2018-03-06
201743833300 Articles of Amendment 2017-05-30

Related by officers

JAMES H. HAHN, ESQ.

International Ventures, Inc. Technical Resources, Inc. Caldo/Freddo, Inc. R.I. Metpro, Inc. Thomsen Holdings, Inc. Arrowhead Dental Associates Incorporated J. F. MORAN CO., INC. J. F. MORAN TRUCKING COMPANY, INC. BRISTOL DENTAL ASSOCIATES, INC. Wright's Dairy Farm, Inc.

GREGORY S THEBERGE

1740 ATWOOD ASSOCIATES, LLC

Related by address

1740 ATWOOD AVENUE, JOHNSTON, RI, 02919, USA

1740 ATWOOD ASSOCIATES, LLC

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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