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  5. University OB-GYN, Inc.

University OB-GYN, Inc.

Company Details

Name: University OB-GYN, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 06 Jul 1994 (31 years ago)
Date of Dissolution: 15 Nov 2018 (6 years ago)
Date of Status Change: 15 Nov 2018 (6 years ago)
Identification Number: 000080337
ZIP code: 02914
County: Providence County
Principal Address: UNIVERSITY OB-GYN INC. 450 VETERANS MEMORIAL PARKWAY #401, EAST PROVIDENCE, RI, 02914, USA
Purpose: TO PROVIDE HEALTH CARE SERVICES OF EVERY KIND.
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235233875 2006-09-12 2020-08-22 450 VETERANS MEMORIAL PKWY, SUITE 401, EAST PROVIDENCE, RI, 029145300, US 450 VETERANS MEMORIAL PKWY, SUITE 401, EAST PROVIDENCE, RI, 029145300, US

Contacts
Phone +1 401-434-7747
Fax 4044347891

Authorized person
Name HARRIS M. GALKIN
Role PRESIDENT
Phone 4014347747

Taxonomy
Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY OB-GYN, INC. PROFIT SHARING RETIREMENT PLAN 2018 050478944 2019-08-12 UNIVERSITY OB-GYN, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4014347747
Plan sponsor’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300

Signature of
Role Plan administrator
Date 2019-08-12
Name of individual signing HARRIS GALKIN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY OB-GYN, INC. PROFIT SHARING 2018 050478944 2019-08-12 UNIVERSITY OB-GYN, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4014347747
Plan sponsor’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300

Signature of
Role Plan administrator
Date 2019-08-12
Name of individual signing HARRIS GALKIN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY OB-GYN, INC. PROFIT SHARING RETIREMENT PLAN 2017 050478944 2018-10-15 UNIVERSITY OB-GYN, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4014347747
Plan sponsor’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing HARRIS GALKIN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY OB-GYN, INC. PROFIT SHARING RETIREMENT PLAN 2016 050478944 2017-09-28 UNIVERSITY OB-GYN, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4014347747
Plan sponsor’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300

Signature of
Role Plan administrator
Date 2017-09-28
Name of individual signing HARRIS GALKIN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY OB-GYN, INC. PROFIT SHARING RETIREMENT PLAN 2015 050478944 2016-09-15 UNIVERSITY OB-GYN, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4014347747
Plan sponsor’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300

Signature of
Role Plan administrator
Date 2016-09-15
Name of individual signing HARRIS GALKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-15
Name of individual signing HARRIS GALKIN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY OB-GYN, INC. PROFIT SHARING RETIREMENT PLAN 2014 050478944 2015-10-06 UNIVERSITY OB-GYN, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4014347747
Plan sponsor’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing HARRIS GALKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-06
Name of individual signing HARRIS GALKIN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY OB-GYN, INC. PROFIT SHARING RETIREMENT PLAN 2013 050478944 2014-10-08 UNIVERSITY OB-GYN, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4014347747
Plan sponsor’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing HARRIS GALKIN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY OB-GYN, INC. PROFIT SHARING RETIREMENT PLAN 2012 050478944 2013-06-20 UNIVERSITY OB-GYN, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4014347747
Plan sponsor’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300

Signature of
Role Plan administrator
Date 2013-06-20
Name of individual signing HARRIS M. GALKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-20
Name of individual signing HARRIS M. GALKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY OB-GYN, INC. PROFIT SHARING RETIREMENT PLAN 2011 050478944 2012-08-28 UNIVERSITY OB-GYN, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4014347747
Plan sponsor’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050478944
Plan administrator’s name UNIVERSITY OB-GYN, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014347747

Signature of
Role Plan administrator
Date 2012-08-28
Name of individual signing HARRIS M. GALKIN, M.D.
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY OB-GYN, INC. PROFIT SHARING RETIREMENT PLAN 2010 050478944 2011-09-21 UNIVERSITY OB-GYN, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4014347747
Plan sponsor’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050478944
Plan administrator’s name UNIVERSITY OB-GYN, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014347747

Signature of
Role Plan administrator
Date 2011-09-21
Name of individual signing HARRIS GALKIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/23/20100923122323P030008861729001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4014347747
Plan sponsor’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300

Plan administrator’s name and address
Administrator’s EIN 050478944
Plan administrator’s name UNIVERSITY OB-GYN, INC.
Plan administrator’s address 450 VETERANS MEMORIAL PKWY, STE 401, EAST PROVIDENCE, RI, 029145300
Administrator’s telephone number 4014347747

Signature of
Role Plan administrator
Date 2010-09-23
Name of individual signing HARRIS GALKIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAMES P. REDDING, ESQ. Agent 27 SAKONNET POINT ROAD, LITTLE COMPTON, RI, 02837, USA

PRESIDENT

Name Role Address
HARRIS M GALKIN PRESIDENT 450 VETERANS MEMORIAL PARKWAY, #401 EAST PROVIDENCE, RI 02914 USA

Filings

Number Name File Date
201881212780 Revocation Certificate For Failure to File the Annual Report for the Year 2018-11-15
201875454440 Revocation Notice For Failure to File An Annual Report 2018-08-24
201751377290 Annual Report - Amended 2017-10-11
201739040110 Annual Report 2017-03-28
201693203550 Annual Report 2016-02-25
201552976340 Annual Report 2015-01-08
201437684580 Annual Report 2014-03-25
201310427000 Annual Report 2013-01-28
201291265220 Statement of Change of Registered/Resident Agent Office 2012-03-20
201289342430 Annual Report 2012-02-10

Related by officers

JAMES P. REDDING, ESQ.

UNION FUNDING, INC. D.J.B., INC. TASCA ENTERPRISES, INC. MUNICIPAL COMPUTER FACILITY, INC. Wm. J. Lynch Realty Co. RHODE ISLAND NOVELTY, INC. L & B Holdings Corp. B & D Tavern, Inc. BHG, Inc. PGA Realty, l.p.

Related by address

No related companies by address

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State

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