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  5. David A. Johnson, D.O., Inc.

David A. Johnson, D.O., Inc.

Company Details

Name: David A. Johnson, D.O., Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 28 Feb 1992 (33 years ago)
Date of Dissolution: 13 Oct 2015 (9 years ago)
Date of Status Change: 13 Oct 2015 (9 years ago)
Identification Number: 000067114
ZIP code: 02871
County: Newport County
Principal Address: 161 CHASE ROAD, PORTSMOUTH, RI, 02871, USA
Purpose: TO ENGAGE IN THE PRACTICE OF GENERAL MEDICINE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID A. JOHNSON, D.O., INC. PROFIT SHARING PLAN 2013 050463874 2014-10-29 DAVID A. JOHNSON, D.O., INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 4016833300
Plan sponsor’s address 161 CHASE ROAD, PORTSMOUTH, RI, 028713243

Signature of
Role Plan administrator
Date 2014-10-29
Name of individual signing LINDA JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-29
Name of individual signing LINDA JOHNSON
Valid signature Filed with authorized/valid electronic signature
DAVID A. JOHNSON, D.O., INC. PROFIT SHARING PLAN 2013 050463874 2014-04-18 DAVID A. JOHNSON, D.O., INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 4016833300
Plan sponsor’s address 161 CHASE ROAD, PORTSMOUTH, RI, 028713243

Signature of
Role Plan administrator
Date 2014-04-18
Name of individual signing DAVID JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-18
Name of individual signing DAVID JOHNSON
Valid signature Filed with authorized/valid electronic signature
DAVID A. JOHNSON, D.O., INC. PROFIT SHARING PLAN 2012 050463874 2013-05-02 DAVID A. JOHNSON, D.O., INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 4016833300
Plan sponsor’s address 161 CHASE ROAD, PORTSMOUTH, RI, 028713243

Signature of
Role Plan administrator
Date 2013-05-02
Name of individual signing DAVID JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-02
Name of individual signing DAVID JOHNSON
Valid signature Filed with authorized/valid electronic signature
DAVID A. JOHNSON, D.O., INC. PROFIT SHARING PLAN 2011 050463874 2012-07-08 DAVID A. JOHNSON, D.O., INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 4016833300
Plan sponsor’s address 161 CHASE ROAD, PORTSMOUTH, RI, 028713243

Plan administrator’s name and address
Administrator’s EIN 050463874
Plan administrator’s name DAVID A. JOHNSON, D.O., INC.
Plan administrator’s address 161 CHASE ROAD, PORTSMOUTH, RI, 028713243
Administrator’s telephone number 4016833300

Signature of
Role Plan administrator
Date 2012-07-08
Name of individual signing DAVID JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-08
Name of individual signing DAVID JOHNSON
Valid signature Filed with authorized/valid electronic signature
DAVID A. JOHNSON, D.O., INC. PROFIT SHARING PLAN 2010 050463874 2011-06-24 DAVID A. JOHNSON, D.O., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 4016833300
Plan sponsor’s address 161 CHASE ROAD, PORTSMOUTH, RI, 028713243

Plan administrator’s name and address
Administrator’s EIN 050463874
Plan administrator’s name DAVID A. JOHNSON, D.O., INC.
Plan administrator’s address 161 CHASE ROAD, PORTSMOUTH, RI, 028713243
Administrator’s telephone number 4016833300

Signature of
Role Plan administrator
Date 2011-06-24
Name of individual signing DAVID JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-24
Name of individual signing DAVID JOHNSON
Valid signature Filed with authorized/valid electronic signature
DAVID A. JOHNSON, D.O., INC. PROFIT SHARING PLAN 2009 050463874 2010-09-22 DAVID A. JOHNSON, D.O., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 4016833300
Plan sponsor’s address 161 CHASE ROAD, PORTSMOUTH, RI, 028713243

Plan administrator’s name and address
Administrator’s EIN 050463874
Plan administrator’s name DAVID A. JOHNSON, D.O., INC.
Plan administrator’s address 161 CHASE ROAD, PORTSMOUTH, RI, 028713243
Administrator’s telephone number 4016833300

Signature of
Role Plan administrator
Date 2010-09-22
Name of individual signing DAVID JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-22
Name of individual signing DAVID JOHNSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LINDA JOHNSON Agent 24 EVERGREEN STREET, BARRINGTON, RI, 02806, USA

TREASURER

Name Role Address
DAVID A JOHNSON TREASURER 161 CHASE ROAD PORTSMOUTH, RI 02871 USA

SECRETARY

Name Role Address
DAVID A JOHNSON SECRETARY 161 CHASE ROAD PORTSMOUTH, RI 02871 USA

PRESIDENT

Name Role Address
DAVID A JOHNSON PRESIDENT 161 CHASE ROAD PORTSMOUTH, RI 02871- USA

Filings

Number Name File Date
201582348030 Articles of Dissolution 2015-10-13
201555998510 Annual Report 2015-03-01
201437151370 Annual Report 2014-03-15
201312495980 Annual Report 2013-02-23
201288280210 Annual Report 2012-01-21
201173098850 Annual Report 2011-01-04
201066467170 Statement of Change of Registered/Resident Agent 2010-08-04
201061010920 Annual Report 2010-03-31
201060209640 Miscellaneous Filing (No Fee) 2010-02-25
200944570520 Annual Report 2009-03-25

Related by officers

LINDA JOHNSON

RHODE ISLAND DISTRICT #3 SCHOLARSHIP FUND, INC. Portsmouth Medical Properties, LLC Linda Johnson, LLC DINSDALE WILLIAMS

DAVID A JOHNSON

Advanced Fire Protection Corp.

Related by address

161 CHASE ROAD, PORTSMOUTH, RI, 02871, USA

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Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State

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