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  5. Lori G. Polacek, M.D., Inc.

Lori G. Polacek, M.D., Inc.

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Company Details

Name: Lori G. Polacek, M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 01 Oct 1992 (33 years ago)
Identification Number: 000069804
ZIP code: 02920
City: Cranston
County: Providence County
Purpose: TO ENGAGE IN A MEDICAL PRACTICE SPECIALIZING IN THE FIELD OF PLASTIC SURGERY AS WELL AS MEDICAL SERVICES.
Fictitious names: Polacek Center for Plastic Surgery (trading name, 2008-04-03 - )
Principal Address: Google Maps Logo 2000 CHAPEL VIEW BOULEVARD SUITE 110, CRANSTON, RI, 02920, USA

Industry & Business Activity

NAICS

621999 All Other Miscellaneous Ambulatory Health Care Services

This U.S. industry comprises establishments primarily engaged in providing ambulatory health care services (except offices of physicians, dentists, and other health practitioners; outpatient care centers; medical and diagnostic laboratories; home health care providers; ambulances; and blood and organ banks). Learn more at the U.S. Census Bureau

Companies doing All other miscellaneous ambulatory health care services

Agent

Name Role Address
REAVIS & HASKELL, LLC Agent 245 WATERMAN STREET SUITE 109, PROVIDENCE, RI, 02906, USA

PRESIDENT / TREASURER / SECRETARY / DIRECTOR

Name Role Address
LORI G. POLACEK, M.D. PRESIDENT / TREASURER / SECRETARY / DIRECTOR 2000 CHAPEL VIEW BLVD #110 CRANSTON, RI 02920 USA

Form 5500 Series

Employer Identification Number (EIN):
050467606
Plan Year:
2023
Number Of Participants:
7
Sponsor's telephone number:
4013310202
File:
View File
Plan Administrator / Signatory:
LORI POLACEK(Plan administrator)
Plan Year:
2022
Number Of Participants:
5
Sponsor's telephone number:
4013310202
File:
View File
Plan Administrator / Signatory:
LORI POLACEK(Plan administrator)
Plan Year:
2021
Number Of Participants:
5
Sponsor's telephone number:
4013310202
File:
View File
Plan Administrator / Signatory:
ANDREA DESIMONE(Plan administrator)
Plan Year:
2020
Number Of Participants:
5
Sponsor's telephone number:
4013310202
File:
View File
Plan Administrator / Signatory:
LORI POLACEK(Plan administrator)
Plan Year:
2019
Number Of Participants:
4
Sponsor's telephone number:
4013310202
File:
View File
Plan Administrator / Signatory:
LORI POLACEK(Plan administrator)

Filings

Number Name File Date
202454106130 Annual Report 2024-05-09
202332780320 Annual Report 2023-04-12
202215864420 Annual Report 2022-04-27
202188349320 Annual Report 2021-01-30
202035047180 Annual Report 2020-02-24

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-3 TERMINATION
UCC Filing Number:
202531544570
Filing Date:
2025-01-15
Action:
TerminationSecuredParty

Parties

Party Name:
Lori G. Polacek, M.D., Inc.
Party Role:
Debtor(s)
Party Name:
THE POLACEK CENTER FOR PLASTIC SURGERY
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
202023592540
Filing Date:
2020-09-08
Action:
InitialFiling

Parties

Party Name:
Lori G. Polacek, M.D., Inc.
Party Role:
Debtor(s)
Party Name:
THE POLACEK CENTER FOR PLASTIC SURGERY
Party Role:
Debtor(s)
Party Name:
Allergan USA, Inc.
Party Role:
Secured Parties

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2020-04-11
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$105,500
Total Face Value Of Loan:
$105,500

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$105,500
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$105,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$106,502.97
Servicing Lender:
BankNewport
Use of Proceeds:
Payroll: $105,500
Jobs Reported:
8
Initial Approval Amount:
$105,000
Date Approved:
2021-02-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$105,000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$105,443.01
Servicing Lender:
BankNewport
Use of Proceeds:
Payroll: $104,998
Utilities: $1

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Date of last update: 08 Jul 2025

Sources: Rhode Island Department of State

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