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DANIEL E. WROBLESKI M.D., LTD.

Company Details

Name: DANIEL E. WROBLESKI M.D., LTD.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 10 Jan 1994 (31 years ago)
Date of Dissolution: 13 Jan 2017 (8 years ago)
Date of Status Change: 13 Jan 2017 (8 years ago)
Identification Number: 000075324
ZIP code: 02904
County: Providence County
Principal Address: 827 NORTH MAIN STREET, PROVIDENCE, RI, 02904, USA
Purpose: TO ENGAGE IN EVERY PHASE AND ASPECT OF RENDERING THE SAME PERSONAL SERVICES THAT A PHYSICIAN DULY LICENSED UNDER THE LAWS OF THE STATE OF RI IS AUTHORIZED TO RENDER.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN 2015 050475191 2016-01-21 DANIEL E. WROBLESKI, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4014210070
Plan sponsor’s address 827 NORTH MAIN STREET, PROVIDENCE, RI, 02904
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN 2014 050475191 2015-10-07 DANIEL E. WROBLESKI, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4014210070
Plan sponsor’s address 827 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Signature of

Role Plan administrator
Date 2015-10-07
Name of individual signing CAROLINE WILKEL
Valid signature Filed with authorized/valid electronic signature
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN 2014 050475191 2015-12-08 DANIEL E. WROBLESKI, M.D., LTD. 4
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4014210070
Plan sponsor’s address 827 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Signature of

Role Plan administrator
Date 2015-12-08
Name of individual signing CAROLINE WILKEL
Valid signature Filed with authorized/valid electronic signature
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN 2013 050475191 2014-04-15 DANIEL E. WROBLESKI, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4014210070
Plan sponsor’s address 827 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Signature of

Role Plan administrator
Date 2014-04-15
Name of individual signing DANIEL E. WROBLESKI, M.D.
Valid signature Filed with authorized/valid electronic signature
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN 2012 050475191 2013-04-10 DANIEL E. WROBLESKI, M.D., LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4014210070
Plan sponsor’s address 827 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Signature of

Role Plan administrator
Date 2013-04-10
Name of individual signing DANIEL E. WROBLESKI, M.D.
Valid signature Filed with authorized/valid electronic signature
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN 2011 050475191 2012-05-18 DANIEL E. WROBLESKI, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Plan sponsor’s address 827 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address

Administrator’s EIN 050475191
Plan administrator’s name DANIEL E. WROBLESKI, M.D., LTD.
Plan administrator’s address 827 NORTH MAIN STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4014210070

Signature of

Role Plan administrator
Date 2012-05-18
Name of individual signing DANIEL E. WROBLESKI, M.D.
Valid signature Filed with authorized/valid electronic signature
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN 2010 050475191 2011-06-22 DANIEL E. WROBLESKI, M.D., LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4014210070
Plan sponsor’s address 827 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address

Administrator’s EIN 050475191
Plan administrator’s name DANIEL E. WROBLESKI, M.D., LTD.
Plan administrator’s address 827 NORTH MAIN STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4014210070

Signature of

Role Plan administrator
Date 2011-06-22
Name of individual signing DANIEL E. WROBLESKI, M.D.
Valid signature Filed with authorized/valid electronic signature
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN 2009 050475191 2010-07-13 DANIEL E. WROBLESKI, M.D., LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4014210070
Plan sponsor’s address 827 NORTH MAIN STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address

Administrator’s EIN 050475191
Plan administrator’s name DANIEL E. WROBLESKI, M.D., LTD.
Plan administrator’s address 827 NORTH MAIN STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4014210070

Signature of

Role Plan administrator
Date 2010-07-13
Name of individual signing DANIEL E. WROBLESKI, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DANIEL E. WROBLESKI, MD Agent 827 NORTH MAIN STREET, PROVIDENCE, RI, 02904, USA

PRESIDENT

Name Role Address
DANIEL E WROBLESKI PRESIDENT 827 NORTH MAIN STREET PROVIDENCE, RI 02904 USA

Filings

Number Name File Date
201730077430 Articles of Dissolution 2017-01-13
201602688490 Annual Report 2016-07-28
201601396530 Revocation Notice For Failure to File An Annual Report 2016-07-07
201553848600 Annual Report 2015-01-17
201435142910 Annual Report 2014-02-05
201310211050 Annual Report 2013-01-23
201290869780 Annual Report 2012-03-12
201175419220 Annual Report 2011-02-22
201057455070 Annual Report 2010-01-27
200944146860 Annual Report 2009-03-24

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State