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  5. EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC.

EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC.

Company Details

Name: EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 29 Dec 1988 (36 years ago)
Identification Number: 000053168
ZIP code: 02806
County: Bristol County
Principal Address: 234 MAPLE AVENUE, BARRINGTON, RI, 02806, USA
Purpose: OPERATION OF MEDICAL PRACTICE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760600266 2007-04-23 2021-11-05 234 MAPLE AVENUE, BARRINGTON, RI, 02806, US 234 MAPLE AVENUE, BARRINGTON, RI, 02806, US

Contacts
Phone +1 401-247-1644
Fax 4012474961

Authorized person
Name ANGELA GRENANDER
Role OWNER
Phone 4012471644

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. PROFIT SHARING PLAN 2023 050443132 2024-05-09 EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407
EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. PROFIT SHARING PLAN 2022 050443132 2023-05-31 EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407
EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. PROFIT SHARING PLAN 2021 050443132 2022-04-27 EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407
EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. PROFIT SHARING PLAN 2020 050443132 2021-04-12 EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407
EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. PROFIT SHARING PLAN 2019 050443132 2020-05-27 EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407
EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. PROFIT SHARING PLAN 2018 050443132 2019-06-19 EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-19
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. PROFIT SHARING PLAN 2017 050443132 2018-09-16 EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407

Signature of
Role Plan administrator
Date 2018-09-16
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-16
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. PROFIT SHARING PLAN 2016 050443132 2017-07-13 EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-13
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. PROFIT SHARING PLAN 2015 050443132 2016-07-25 EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-25
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. PROFIT SHARING PLAN 2014 050443132 2015-08-18 EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407

Signature of
Role Plan administrator
Date 2015-08-18
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-18
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/14/20140514110612P030396085553001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407

Signature of
Role Plan administrator
Date 2014-05-14
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-14
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/03/27/20130327110410P040190399409001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407

Signature of
Role Plan administrator
Date 2013-03-27
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-27
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/03/13/20120313124208P030051813697001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407

Plan administrator’s name and address
Administrator’s EIN 050443132
Plan administrator’s name EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC.
Plan administrator’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407
Administrator’s telephone number 4012471644

Signature of
Role Plan administrator
Date 2012-03-13
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-13
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/12/20110412072918P030192450176001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407

Plan administrator’s name and address
Administrator’s EIN 050443132
Plan administrator’s name EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC.
Plan administrator’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407
Administrator’s telephone number 4012471644

Signature of
Role Plan administrator
Date 2011-04-12
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-12
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/08/20100908100404P030485922081001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 4012471644
Plan sponsor’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407

Plan administrator’s name and address
Administrator’s EIN 050443132
Plan administrator’s name EAST BAY PEDIATRIC & ADOLESCENT MEDICINE ASSOCIATES, INC.
Plan administrator’s address 234 MAPLE AVENUE, BARRINGTON, RI, 028063407
Administrator’s telephone number 4012471644

Signature of
Role Plan administrator
Date 2010-09-08
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-08
Name of individual signing MARCOLINO FERRETTI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARTIN P. SLEPKOW, ESQ. Agent 1481 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915, USA

PRESIDENT

Name Role Address
MARCOLINO FERRETTI PRESIDENT 234 MAPLE AVENUE BARRINGTON, RI 02806 USA

Filings

Number Name File Date
202444967770 Annual Report 2024-01-25
202327910220 Annual Report 2023-02-06
202210862250 Annual Report 2022-02-11
202187731720 Annual Report 2021-01-25
202032979600 Annual Report 2020-01-21
201986890810 Annual Report 2019-02-15
201857907120 Annual Report 2018-02-08
201731125040 Annual Report 2017-01-30
201691642900 Annual Report 2016-02-02
201554316810 Annual Report 2015-01-29

Related by officers

MARTIN P. SLEPKOW, ESQ.

ACCESS DEVELOPMENT CORPORATION BARLOW DESIGNS, INC. BAY BICYCLE COMPANY BULLOCKS POINT REALTY, INC. CRONIN ASPHALT CORP. JOSEPH P. CUDDIGAN PLUMBING CO. ALAN CORPORATION The Galen Corp. METRIC MASTERS, INC. EAST PROVIDENCE CYCLE CO.

Related by address

234 MAPLE AVENUE, BARRINGTON, RI, 02806, USA

M.A.J. REALTY, LLC

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State

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