| Name: | Blackstone Valley OBGYN, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 27 Jan 1994 (31 years ago) |
| Date of Dissolution: | 01 Mar 2021 (4 years ago) |
| Date of Status Change: | 01 Mar 2021 (4 years ago) |
| Identification Number: | 000075548 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 6 BLACKSTONE PLACE SUITE 501, LINCOLN, RI, 02865, USA |
| Purpose: | TO ENGAGE IN THE PRACTICE OF MEDICINE. |
| Fictitious names: |
Lincoln OBGYN (trading name, 1994-03-18 - ) |
| Historical names: |
Jan J. Penkala M.D., Inc. |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| Name | Role | Address |
|---|---|---|
| JAN J PENKALA MD | TREASURER | 6 MERRILL LANE CUMBERLAND, RI 02864 USA |
| Name | Role | Address |
|---|---|---|
| JAN J PENKALA MD | SECRETARY | 6 MERRILL LANE CUMBERLAND , RI 02864 USA |
| Name | Role | Address |
|---|---|---|
| JAN J PENKALA MD | PRESIDENT | 6 MERRILL LANE CUMBERLAND, RI 02864- USA |
| Name | Role | Address |
|---|---|---|
| JAN J PENKALA MD | DIRECTOR | 6 MERRILL LANE CUMBERLAND, RI 02864 USA |
| Name | Role | Address |
|---|---|---|
| HASLAW, INC. | Agent | 100 WESTMINSTER STREET SUITE 1500 C/O HINCKLEY ALLEN & SNYDER LLP, PROVIDENCE, RI, 02903, USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1994-03-18 | Jan J. Penkala M.D., Inc. | Blackstone Valley OBGYN, Inc. |
| Number | Name | File Date |
|---|---|---|
| 202193334850 | Articles of Dissolution | 2021-03-01 |
| 202036842360 | Annual Report | 2020-03-26 |
| 201985299650 | Annual Report | 2019-01-28 |
| 201861133720 | Annual Report | 2018-03-28 |
| 201737996590 | Annual Report | 2017-03-14 |
| 201690265920 | Statement of Change of Registered/Resident Agent Office | 2016-01-08 |
| 201690265650 | Annual Report | 2016-01-08 |
| 201558163780 | Annual Report | 2015-03-29 |
| 201437190090 | Annual Report | 2014-03-17 |
| 201314222070 | Annual Report | 2013-03-20 |
Date of last update: 08 Apr 2025
Sources: Rhode Island Department of State
