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DAVID T. BARRALL, M.D., INC.

Company Details

Name: DAVID T. BARRALL, M.D., INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 14 Mar 1994 (31 years ago)
Identification Number: 000076058
ZIP code: 02906
County: Providence County
Principal Address: 151 WATERMAN STREET, PROVIDENCE, RI, 02906, USA
Purpose: TO ENGAGE IN THE PRACTICE OF MEDICINE.
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID T. BARRALL, M.D., INC. PROFIT SHARING PLAN AND TRUST 2013 050476096 2014-10-07 DAVID T. BARRALL, M.D., INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-11
Business code 621111
Sponsor’s telephone number 4012740700
Plan sponsor’s address 185 FERRY ROAD, SAUNDERSTOWN, RI, 02874

Plan administrator’s name and address

Administrator’s EIN 050476096
Plan administrator’s name DAVID T. BARRALL, M.D., INC.
Plan administrator’s address 185 FERRY ROAD, SAUNDERSTOWN, RI, 02874
Administrator’s telephone number 4012740700

Signature of

Role Plan administrator
Date 2014-10-07
Name of individual signing DAVID T. BARRALL, M.D.
Valid signature Filed with authorized/valid electronic signature
DAVID T. BARRALL, M.D., INC. PROFIT SHARING PLAN AND TRUST 2012 050476096 2013-09-25 DAVID T. BARRALL, M.D., INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-11
Business code 621111
Sponsor’s telephone number 4012740700
Plan sponsor’s address 185 FERRY ROAD, SAUNDERSTOWN, RI, 02874

Plan administrator’s name and address

Administrator’s EIN 050476096
Plan administrator’s name DAVID T. BARRALL, M.D., INC.
Plan administrator’s address 185 FERRY ROAD, SAUNDERSTOWN, RI, 02874
Administrator’s telephone number 4012740700

Signature of

Role Plan administrator
Date 2013-09-25
Name of individual signing DAVID T. BARRALL, M.D.
Valid signature Filed with authorized/valid electronic signature
DAVID T. BARRALL, M.D., INC. PROFIT SHARING PLAN AND TRUST 2011 050476096 2012-08-29 DAVID T. BARRALL, M.D., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-11
Business code 621111
Sponsor’s telephone number 4012740700
Plan sponsor’s address 118 FERRY ROAD, SAUNDERSTOWN, RI, 02874

Plan administrator’s name and address

Administrator’s EIN 050476096
Plan administrator’s name DAVID T. BARRALL, M.D., INC.
Plan administrator’s address 118 FERRY ROAD, SAUNDERSTOWN, RI, 02874
Administrator’s telephone number 4012740700

Signature of

Role Plan administrator
Date 2012-08-29
Name of individual signing DAVID T. BARRALL, M.D.
Valid signature Filed with authorized/valid electronic signature
DAVID T. BARRALL, M.D., INC. PROFIT SHARING PLAN AND TRUST 2010 050476096 2011-07-05 DAVID T. BARRALL, M.D., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-11
Business code 621111
Sponsor’s telephone number 4012740700
Plan sponsor’s address 151 WATERMAN STREET, PROVIDENCE, RI, 029062118

Plan administrator’s name and address

Administrator’s EIN 050476096
Plan administrator’s name DAVID T. BARRALL, M.D., INC.
Plan administrator’s address 151 WATERMAN STREET, PROVIDENCE, RI, 029062118
Administrator’s telephone number 4012740700

Signature of

Role Plan administrator
Date 2011-07-05
Name of individual signing DAVID T. BARRALL, M.D.
Valid signature Filed with authorized/valid electronic signature
DAVID T. BARRALL, M.D., INC. PROFIT SHARING PLAN AND TRUST 2009 050476096 2010-10-07 DAVID T. BARRALL, M.D., INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-11
Business code 621111
Sponsor’s telephone number 4012740700
Plan sponsor’s address 151 WATERMAN STREET, PROVIDENCE, RI, 029062118

Plan administrator’s name and address

Administrator’s EIN 050476096
Plan administrator’s name DAVID T. BARRALL, M.D., INC.
Plan administrator’s address 151 WATERMAN STREET, PROVIDENCE, RI, 029062118
Administrator’s telephone number 4012740700

Signature of

Role Plan administrator
Date 2010-10-07
Name of individual signing DAVID T. BARRALL, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN M. LITWIN, ESQ. Agent 116 ORANGE STREET, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
DAVID T BARRALL MD PRESIDENT 151 WATERMAN STREET PROVIDENCE, RI 02906 USA

Filings

Number Name File Date
202446741710 Annual Report 2024-02-14
202330189170 Annual Report 2023-03-07
202211034890 Annual Report 2022-02-15
202187493880 Annual Report 2021-01-20
202034098570 Annual Report 2020-02-10
201921371150 Annual Report 2019-09-25
201906993380 Revocation Notice For Failure to File An Annual Report 2019-07-24
201857032660 Annual Report 2018-01-25
201855772180 Statement of Change of Registered/Resident Agent 2018-01-08
201738124370 Annual Report 2017-03-15

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State