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Anesthesia Care, Inc.

Company Details

Name: Anesthesia Care, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 05 Jul 1994 (31 years ago)
Date of Dissolution: 28 Feb 2019 (6 years ago)
Date of Status Change: 28 Feb 2019 (6 years ago)
Identification Number: 000080356
ZIP code: 02860
County: Providence County
Principal Address: 200 MAIN STREET SUITE 350, PAWTUCKET, RI, 02860, USA
Purpose: TO RENDER PROFESSIONAL MEDICAL SERVICES BY DULY LICENSED RI PHYSICIANS SPECIALIZING IN ANESTHESIOLOGY.
NAICS: 621399 - Offices of All Other Miscellaneous Health Practitioners
Fictitious names: Anesthesia Pain Consultants (trading name, 2011-10-04 - )
Center For Pain Management (trading name, 2010-04-20 - )

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANESTHESIA CARE, INC. 401(K) PLAN 2018 050478115 2019-10-09 ANESTHESIA CARE, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4017267300
Plan sponsor’s address 200 MAIN STREET, SUITE 350, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2019-10-09
Name of individual signing SUSAN WALKER
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE, INC. 401(K) PLAN 2017 050478115 2018-02-01 ANESTHESIA CARE, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4017267300
Plan sponsor’s address 200 MAIN STREET, SUITE 350, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2018-02-01
Name of individual signing SUSAN WALKER
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE, INC. 401(K) PLAN 2016 050478115 2017-10-03 ANESTHESIA CARE, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4017267300
Plan sponsor’s address 200 MAIN STREET, SUITE 350, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2017-10-03
Name of individual signing SUSAN WALKER
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE, INC. 401(K) PLAN 2015 050478115 2016-10-17 ANESTHESIA CARE, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4017267300
Plan sponsor’s address 200 MAIN STREET, SUITE 350, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing SUSAN WALKER
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE, INC. 401(K) PLAN 2014 050478115 2015-09-15 ANESTHESIA CARE, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4017267300
Plan sponsor’s address 200 MAIN STREET, SUITE 350, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2015-09-15
Name of individual signing PETER BAZIOTIS
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE, INC. 401(K) PLAN 2013 050478115 2014-07-09 ANESTHESIA CARE, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4017267300
Plan sponsor’s address 200 MAIN STREET, SUITE 350, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2014-07-09
Name of individual signing PETER BAZIOTIS
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE, INC. 401(K) PLAN 2012 050478115 2013-10-07 ANESTHESIA CARE, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4017267300
Plan sponsor’s address 200 MAIN ST, STE 350, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2013-10-07
Name of individual signing PETER BAZIOTIS
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE, INC. 401(K) PLAN 2011 050478115 2012-07-11 ANESTHESIA CARE, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4017267300
Plan sponsor’s address 200 MAIN ST, STE 350, PAWTUCKET, RI, 02860

Plan administrator’s name and address

Administrator’s EIN 050478115
Plan administrator’s name ANESTHESIA CARE, INC.
Plan administrator’s address 200 MAIN ST, STE 350, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017267300

Signature of

Role Plan administrator
Date 2012-07-11
Name of individual signing PETER BAZIOTIS
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE, INC. 401(K) PLAN 2010 050478115 2011-09-28 ANESTHESIA CARE, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4017267300
Plan sponsor’s address 200 MAIN ST, STE 350, PAWTUCKET, RI, 02860

Plan administrator’s name and address

Administrator’s EIN 050478115
Plan administrator’s name ANESTHESIA CARE, INC.
Plan administrator’s address 200 MAIN ST, STE 350, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017267300

Signature of

Role Plan administrator
Date 2011-09-28
Name of individual signing PETER BAZIOTIS
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA CARE, INC. 401(K) PLAN 2009 050478115 2010-09-09 ANESTHESIA CARE, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 4017267300
Plan sponsor’s address 200 MAIN ST, STE 350, PAWTUCKET, RI, 02860

Plan administrator’s name and address

Administrator’s EIN 050478115
Plan administrator’s name ANESTHESIA CARE, INC.
Plan administrator’s address 200 MAIN ST, STE 350, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017267300

Signature of

Role Plan administrator
Date 2010-09-09
Name of individual signing PETER BAZIOTIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAMES A. BRIDEN Agent 150 MAIN STREET, PAWTUCKET, RI, 02860, USA

PRESIDENT

Name Role Address
SUSAN WALKER MD PRESIDENT 200 MAIN STREET, SUITE 350 PAWTUCKET, RI 02860 USA

Filings

Number Name File Date
201987824760 Articles of Dissolution 2019-02-28
201859776580 Annual Report 2018-03-05
201738099100 Annual Report 2017-03-13
201692667010 Annual Report 2016-02-18
201556122310 Annual Report 2015-03-02
201435876770 Annual Report 2014-02-19
201312560020 Annual Report 2013-02-22
201289682400 Annual Report 2012-02-14
201183744060 Fictitious Business Name Statement 2011-10-04
201174455210 Annual Report 2011-02-03

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State