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  5. Perry Blackburne, Inc.

Perry Blackburne, Inc.

Company Details

Name: Perry Blackburne, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 24 May 1991 (34 years ago)
Identification Number: 000065419
ZIP code: 02911
County: Providence County
Principal Address: 330 WOONASQUATUCKET AVENUE, NORTH PROVIDENCE, RI, 02911, USA
Purpose: IMPORTER
Fictitious names: Ultimate Promotional Products (trading name, 2005-07-28 - )

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERRY BLACKBURNE ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST 2023 111814937 2024-04-04 PERRY BLACKBURNE INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4017251400
Plan sponsor’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720

Signature of
Role Plan administrator
Date 2024-04-04
Name of individual signing DON PEASE
Valid signature Filed with authorized/valid electronic signature
PERRY BLACKBURNE ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST 2022 111814937 2023-06-06 PERRY BLACKBURNE INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4017251400
Plan sponsor’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720

Signature of
Role Plan administrator
Date 2023-06-06
Name of individual signing DON PEASE
Valid signature Filed with authorized/valid electronic signature
PERRY BLACKBURNE ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST 2021 111814937 2022-04-15 PERRY BLACKBURNE INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4017251400
Plan sponsor’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720

Signature of
Role Plan administrator
Date 2022-04-15
Name of individual signing DON PEASE
Valid signature Filed with authorized/valid electronic signature
PERRY BLACKBURNE ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST 2020 111814937 2021-07-15 PERRY BLACKBURNE INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4017251400
Plan sponsor’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing DON PEASE
Valid signature Filed with authorized/valid electronic signature
PERRY BLACKBURNE ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST 2019 111814937 2020-05-07 PERRY BLACKBURNE INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4012317200
Plan sponsor’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720

Signature of
Role Plan administrator
Date 2020-05-07
Name of individual signing DON PEASE
Valid signature Filed with authorized/valid electronic signature
PERRY BLACKBURNE ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2018 111814937 2019-06-21 PERRY BLACKBURNE INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4017251400
Plan sponsor’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720

Signature of
Role Plan administrator
Date 2019-06-21
Name of individual signing DON PEASE
Valid signature Filed with authorized/valid electronic signature
PERRY BLACKBURNE ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2017 111814937 2018-06-19 PERRY BLACKBURNE INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4012317200
Plan sponsor’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing ALISA PEASE
Valid signature Filed with authorized/valid electronic signature
PERRY BLACKBURNE ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2016 111814937 2017-07-14 PERRY BLACKBURNE INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4012317200
Plan sponsor’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing ALISA PEASE
Valid signature Filed with authorized/valid electronic signature
PERRY BLACKBURNE ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2015 111814937 2016-07-18 PERRY BLACKBURNE INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4012317200
Plan sponsor’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing ALISA PADGETT
Valid signature Filed with authorized/valid electronic signature
PERRY BLACKBURNE ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2014 111814937 2015-06-01 PERRY BLACKBURNE INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4012317200
Plan sponsor’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720

Signature of
Role Plan administrator
Date 2015-06-01
Name of individual signing ALISA PADGETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/13/20140613092436P040392114739001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4012317200
Plan sponsor’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720

Signature of
Role Plan administrator
Date 2014-06-13
Name of individual signing ALISA PADGETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/11/20130611120933P030089326789001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4012317200
Plan sponsor’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720

Signature of
Role Plan administrator
Date 2013-06-11
Name of individual signing PERRY BLACKBURNE INC
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/15/20120515094337P030000864854001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4012317200
Plan sponsor’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720

Plan administrator’s name and address
Administrator’s EIN 111814937
Plan administrator’s name PERRY BLACKBURNE INC
Plan administrator’s address 330 WOONASQUATUCKET AVE, NORTH PROVIDENCE, RI, 029112720
Administrator’s telephone number 4012317200

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing PERRY BLACKBURNE INC
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/27/20110427140929P040230352848001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4012317200
Plan sponsor’s address 330 WOONASQUATUCKET AVE., NORTH PROVIDENCE, RI, 02911

Plan administrator’s name and address
Administrator’s EIN 111814937
Plan administrator’s name PERRY BLACKBURNE INC
Plan administrator’s address 330 WOONASQUATUCKET AVE., NORTH PROVIDENCE, RI, 02911
Administrator’s telephone number 4012317200

Signature of
Role Plan administrator
Date 2011-04-27
Name of individual signing PERRY BLACKBURNE INC
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/05/24/20100524094102P030013483990001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 332900
Sponsor’s telephone number 4012317200
Plan sponsor’s address 330 WOONASQUATUCKET AVE., NORTH PROVIDENCE, RI, 02911

Plan administrator’s name and address
Administrator’s EIN 111814937
Plan administrator’s name PERRY BLACKBURNE INC
Plan administrator’s address 330 WOONASQUATUCKET AVE., NORTH PROVIDENCE, RI, 02911
Administrator’s telephone number 4012317200

Signature of
Role Plan administrator
Date 2010-05-24
Name of individual signing PERRY BLACKBURNE INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ALISA J. PADGETT Agent 330 WOONASQUATUCKET AVENUE, NORTH PROVIDENCE, RI, 02911, USA

PRESIDENT

Name Role Address
ALISA PEASE PRESIDENT 6 CALDERWOOD AVE GREENVILLE, RI 02828 USA

TREASURER

Name Role Address
DON PEASE TREASURER 6 CALDERWOOD AVE GREENVILLE, RI 02828 USA

OTHER OFFICER

Name Role Address
DON PEASE OTHER OFFICER 330, WOONASQUATUCKET AVE N PROVIDENCE, RI 02911 USA

VICE PRESIDENT

Name Role Address
MARK ROSENBERG VICE PRESIDENT 171 GRANITEVILLE RD HARRISVILLE, RI 02830 USA

Filings

Number Name File Date
202447244030 Annual Report 2024-02-26
202328095890 Annual Report 2023-02-10
202211156600 Annual Report 2022-02-18
202185794600 Annual Report 2021-01-11
202037175520 Annual Report 2020-04-03
201988632850 Annual Report 2019-03-14
201856826800 Annual Report 2018-01-26
201746702720 Annual Report 2017-06-29
201692126030 Annual Report 2016-02-09
201554374810 Annual Report 2015-01-30

Related by officers

DON PEASE

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MARK ROSENBERG

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Related by address

330 WOONASQUATUCKET AVENUE, NORTH PROVIDENCE, RI, 02911, USA

VOLARE CREATIONS, INC. V. P. SALES, INC. MVP Industries, Inc.

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State

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