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Russell S. Chin, D.D.S., Ltd.

Company Details

Name: Russell S. Chin, D.D.S., Ltd.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 22 Sep 1994 (30 years ago)
Identification Number: 000081241
ZIP code: 02861
County: Providence County
Principal Address: 1288 NEWPORT AVENUE, PAWTUCKET, RI, 02861, USA
Purpose: THE RENDERING OF THE PROFESSIONAL SERVICES OF A DENTIST.
NAICS: 621210 - Offices of Dentists

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RUSSELL S. CHIN D.D.S. 401(K) PLAN 2023 050480236 2024-05-24 RUSSELL S. CHIN D.D.S., LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4017281450
Plan sponsor’s address 1288 NEWPORT AVENUE, PAWTUCKET, RI, 02861
RUSSELL S. CHIN D.D.S. 401(K) PLAN 2022 050480236 2023-05-24 RUSSELL S. CHIN D.D.S., LTD. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4017281450
Plan sponsor’s address 1288 NEWPORT AVENUE, PAWTUCKET, RI, 02861
RUSSELL S. CHIN D.D.S. 401(K) PLAN 2021 050480236 2022-08-10 RUSSELL S. CHIN D.D.S., LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4017281450
Plan sponsor’s address 1288 NEWPORT AVENUE, PAWTUCKET, RI, 02861
RUSSELL S. CHIN D.D.S. 401(K) PLAN 2020 050480236 2021-09-23 RUSSELL S. CHIN D.D.S., LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4017281450
Plan sponsor’s address 1288 NEWPORT AVENUE, PAWTUCKET, RI, 02861

Signature of

Role Plan administrator
Date 2021-09-22
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-22
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. CHIN D.D.S. 401(K) PLAN 2019 050480236 2020-10-12 RUSSELL S. CHIN D.D.S., LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4017281450
Plan sponsor’s address 1288 NEWPORT AVENUE, PAWTUCKET, RI, 02861

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. CHIN D.D.S. 401(K) PLAN 2018 050480236 2019-10-02 RUSSELL S. CHIN D.D.S., LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4017281450
Plan sponsor’s address 1288 NEWPORT AVENUE, PAWTUCKET, RI, 02861

Signature of

Role Plan administrator
Date 2019-10-01
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-01
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. CHIN D.D.S. 401(K) PLAN 2017 050480236 2018-10-02 RUSSELL S. CHIN D.D.S., LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4017281450
Plan sponsor’s address 1288 NEWPORT AVENUE, PAWTUCKET, RI, 02861

Signature of

Role Plan administrator
Date 2018-10-01
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-01
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. CHIN D.D.S. 401(K) PLAN 2016 050480236 2017-10-05 RUSSELL S. CHIN D.D.S., LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4017281450
Plan sponsor’s address 1288 NEWPORT AVENUE, PAWTUCKET, RI, 02861

Signature of

Role Plan administrator
Date 2017-10-04
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-04
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. CHIN D.D.S. 401(K) PLAN 2015 050480236 2016-10-11 RUSSELL S. CHIN D.D.S., LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4017281450
Plan sponsor’s address 1288 NEWPORT AVENUE, PAWTUCKET, RI, 02861

Signature of

Role Plan administrator
Date 2016-10-11
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature
RUSSELL S. CHIN D.D.S. 401(K) PLAN 2014 050480236 2015-10-13 RUSSELL S. CHIN D.D.S., LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 4017281450
Plan sponsor’s address 1288 NEWPORT AVENUE, PAWTUCKET, RI, 02861

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-12
Name of individual signing RUSSELL S. CHIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROBERT J. AMEEN, ESQ. Agent 390 NEWPORT AVENUE, PAWTUCKET, RI, 02861, USA

TREASURER

Name Role Address
RUSSELL S. CHIN TREASURER 1288 NEWPORT AVENUE PAWTUCKET, RI 02861 USA

SECRETARY

Name Role Address
RUSSELL S. CHIN SECRETARY 1288 NEWPORT AVENUE PAWTUCKET, RI 02861 USA

PRESIDENT

Name Role Address
RUSSELL S CHIN PRESIDENT 1288 NEWPORT AVENUE PAWTUCKET, RI 02861 USA

Filings

Number Name File Date
202446212850 Annual Report 2024-02-12
202327653640 Annual Report 2023-02-06
202212001530 Annual Report 2022-03-03
202194651190 Annual Report 2021-03-17
202033515780 Annual Report 2020-01-31
201984527790 Annual Report 2019-01-16
201857950810 Annual Report 2018-02-09
201734659470 Annual Report 2017-02-24
201695031070 Annual Report 2016-03-25
201555886330 Annual Report 2015-02-27

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State