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  5. CompuClaim, Inc.

CompuClaim, Inc.

Headquarter

Company Details

Name: CompuClaim, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Conversion
Date of Organization in Rhode Island: 21 Jan 1993 (32 years ago)
Date of Dissolution: 12 Mar 2021 (4 years ago)
Date of Status Change: 12 Mar 2021 (4 years ago)
Identification Number: 000071101
ZIP code: 02840
County: Newport County
Principal Address: 221 THIRD STREET 3RD FLOOR, NEWPORT, RI, 02840, USA
Purpose: TO PROVIDE ELECTRONIC BILLING SERVICES TO HEALTH CARE PROVIDERS.
NAICS: 541219 - Other Accounting Services

Links between entities

Type Company Name Company Number State
Headquarter of CompuClaim, Inc., CONNECTICUT 0653126 CONNECTICUT

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMPUCLAIM, INC. 401K PROFIT SHARING PLAN 2023 050469543 2024-08-09 COMPUCLAIM, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 518210
Sponsor’s telephone number 4015895636
Plan sponsor’s address 400 METACOM AVE, STE 507, BRISTOL, RI, 02809

Signature of
Role Plan administrator
Date 2024-08-09
Name of individual signing TIMOTHY LARSON
Valid signature Filed with authorized/valid electronic signature
COMPUCLAIM, INC. 401K PROFIT SHARING PLAN 2022 050469543 2023-07-21 COMPUCLAIM, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 518210
Sponsor’s telephone number 4018494702
Plan sponsor’s address 400 METACOM AVE, SUITE 507, BRISTOL, RI, 02809

Signature of
Role Plan administrator
Date 2023-07-21
Name of individual signing NORMA SABINS
Valid signature Filed with authorized/valid electronic signature
COMPUCLAIM, INC. 401K PROFIT SHARING PLAN 2021 050469543 2022-06-01 COMPUCLAIM, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 518210
Sponsor’s telephone number 4018494702
Plan sponsor’s address 221 3RD STREET, 3RD FLOOR, NEWPORT, RI, 02849

Signature of
Role Plan administrator
Date 2022-06-01
Name of individual signing NORMA SABINS
Valid signature Filed with authorized/valid electronic signature
COMPUCLAIM, INC. 401K PROFIT SHARING PLAN 2020 050469543 2021-08-26 COMPUCLAIM, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 518210
Sponsor’s telephone number 4018494702
Plan sponsor’s address 221 3RD STREET, NEWPORT, RI, 02849

Signature of
Role Plan administrator
Date 2021-08-26
Name of individual signing NORMA SABINS
Valid signature Filed with authorized/valid electronic signature
COMPUCLAIM, INC. 401K PROFIT SHARING PLAN 2019 050469543 2020-08-27 COMPUCLAIM, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 518210
Sponsor’s telephone number 4012974009
Plan sponsor’s address 221 THIRD STREET, 3RD FLOOR - GUM FACTORY BUILDING, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2020-08-27
Name of individual signing NORMA SABINS
Valid signature Filed with authorized/valid electronic signature
COMPUCLAIM, INC. 401K PROFIT SHARING PLAN 2018 050469543 2019-06-24 COMPUCLAIM, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 518210
Sponsor’s telephone number 4018494702
Plan sponsor’s address 221 3RD STREET, ADMIRAL GATE TOWER, NEWPORT, RI, 02849

Signature of
Role Plan administrator
Date 2019-06-24
Name of individual signing NORMA SABINS
Valid signature Filed with authorized/valid electronic signature
COMPUCLAIM, INC. 401K PROFIT SHARING PLAN 2017 050469543 2018-06-14 COMPUCLAIM, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 518210
Sponsor’s telephone number 4018494702
Plan sponsor’s address 221 3RD STREET, ADMIRAL GATE TOWER, NEWPORT, RI, 02849

Signature of
Role Plan administrator
Date 2018-06-14
Name of individual signing NORMA SABINS
Valid signature Filed with authorized/valid electronic signature
COMPUCLAIM, INC. 401K PROFIT SHARING PLAN 2016 050469543 2017-08-18 COMPUCLAIM, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 518210
Sponsor’s telephone number 4018494702
Plan sponsor’s address 221 3RD, ADMIRAL GATE TOWER, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2017-08-18
Name of individual signing NORMA SABINS
Valid signature Filed with authorized/valid electronic signature
COMPUCLAIM, INC. 401(K) PROFIT SHARING PLAN 2015 050469543 2016-10-13 COMPUCLAIM, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541519
Sponsor’s telephone number 4018494702
Plan sponsor’s address 221 THIRD STREET 4TH FLOOR, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing PETER CARSON
Valid signature Filed with authorized/valid electronic signature
COMPUCLAIM, INC. 401(K) PROFIT SHARING PLAN 2014 050469543 2015-07-01 COMPUCLAIM, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541519
Sponsor’s telephone number 4018494702
Plan sponsor’s address 221 THIRD STREET, ADMIRALS GATE TOWER, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2015-07-01
Name of individual signing NORMA SABINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/02/20140602140857P030021323458001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 541519
Sponsor’s telephone number 4018494702
Plan sponsor’s address 221 THIRD STREET, ADMIRALS GATE TOWER, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2014-06-02
Name of individual signing MAUREEN ODONNELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/05/20130805083129P040044023335001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 561110
Sponsor’s telephone number 4018494702
Plan sponsor’s address 221 THIRD STREET ADMIRALS GATE TOWE, NEWPORT, RI, 02840

Signature of
Role Plan administrator
Date 2013-08-05
Name of individual signing MAUREEN ODONNELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/23/20120723121705P040030689360001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 561110
Sponsor’s telephone number 4018494702
Plan sponsor’s address 221 THIRD ST ADMIRALS GATE TOWER, NEWPORT, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 050469543
Plan administrator’s name COMPUCLAIM, INC.
Plan administrator’s address 221 THIRD ST ADMIRALS GATE TOWER, NEWPORT, RI, 02840
Administrator’s telephone number 4018494702

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing MAUREEN ODONNELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/23/20110823140809P040038043287001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 561110
Sponsor’s telephone number 4018494702
Plan sponsor’s address 221 THIRD ST ADMIRALS GATE TOWER, NEWPORT, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 050469543
Plan administrator’s name COMPUCLAIM, INC.
Plan administrator’s address 221 THIRD ST ADMIRALS GATE TOWER, NEWPORT, RI, 02840
Administrator’s telephone number 4018494702

Signature of
Role Plan administrator
Date 2011-08-23
Name of individual signing PETER CARSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/29/20100729030505P040405153697001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 561110
Sponsor’s telephone number 4018494702
Plan sponsor’s address 221 THIRD STREET, NEWPORT, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 050469543
Plan administrator’s name COMPUCLAIM, INC.
Plan administrator’s address 221 THIRD STREET, NEWPORT, RI, 02840
Administrator’s telephone number 4018494702

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing PETER CARSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PETER R. CARSON Agent 221 THIRD STREET, NEWPORT, RI, 02840, USA

PRESIDENT

Name Role Address
PETER CARSON PRESIDENT 24 WASHINGTON STREET JAMESTOWN, RI 02835 USA

VICE PRESIDENT

Name Role Address
FREDRICK ORWILER VICE PRESIDENT 11 POLI STREET BRISTOL, RI 02840 USA
JEFFERY R BERG VICE PRESIDENT 617 ASPEN AVENUE OOSTBERG, WI 53070 USA

Filings

Number Name File Date
202193875830 Certificate of Conversion 2021-03-12
202185936190 Annual Report 2021-01-12
202033563240 Annual Report 2020-02-03
201983936520 Annual Report 2019-01-08
201856318620 Annual Report 2018-01-18
201729409280 Annual Report 2017-01-03
201690685610 Annual Report 2016-01-14
201554799910 Annual Report 2015-02-09
201433727650 Annual Report 2014-01-21
201310608030 Annual Report 2013-01-31

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Related by address

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Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State

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