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Richard J. Zienowicz, M.D., Inc.

Company Details

Name: Richard J. Zienowicz, M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 08 May 1995 (30 years ago)
Date of Dissolution: 17 Sep 2024 (4 months ago)
Date of Status Change: 17 Sep 2024 (4 months ago)
Identification Number: 000084266
ZIP code: 02903
County: Providence County
Principal Address: 113 WICKENDEN STREET, PROVIDENCE, RI, 02903, USA
Purpose: TO OWN AND OPERATE A MEDICAL DOCTOR'S OFFICE.
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD J. ZIENOWICZ, M.D., INC. PROFIT SHARING PLAN 2014 050484789 2015-06-17 RICHARD J. ZIENOWICZ, M.D., INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4014530120
Plan sponsor’s address 113 WICKENDEN STREET, PROVIDENCE, RI, 029034364

Signature of

Role Plan administrator
Date 2015-06-17
Name of individual signing RICHARD J. ZIENOWICZ, M.D.
Valid signature Filed with authorized/valid electronic signature
RICHARD J. ZIENOWICZ, M.D., INC. PROFIT SHARING PLAN 2013 050484789 2014-06-05 RICHARD J. ZIENOWICZ, M.D., INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4014530120
Plan sponsor’s address 10 BRIDGE STREET, CORLISS LANDING, PROVIDENCE, RI, 029034362

Signature of

Role Plan administrator
Date 2014-06-05
Name of individual signing RICHARD J. ZIENOWICZ, M.D.
Valid signature Filed with authorized/valid electronic signature
RICHARD J. ZIENOWICZ, M.D., INC. PROFIT SHARING PLAN 2012 050484789 2013-09-30 RICHARD J. ZIENOWICZ, M.D., INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4014530120
Plan sponsor’s address 10 BRIDGE STREET, CORLISS LANDING, PROVIDENCE, RI, 029034362

Signature of

Role Plan administrator
Date 2013-09-30
Name of individual signing RICHARD J. ZIENOWICZ, M.D.
Valid signature Filed with authorized/valid electronic signature
RICHARD J. ZIENOWICZ, M.D., INC. PROFIT SHARING PLAN 2011 050484789 2012-08-17 RICHARD J. ZIENOWICZ, M.D., INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4014530120
Plan sponsor’s address 2 DUDLEY STREET, SUITE 380, PROVIDENCE, RI, 029053428

Plan administrator’s name and address

Administrator’s EIN 050484789
Plan administrator’s name RICHARD J. ZIENOWICZ, M.D., INC.
Plan administrator’s address 2 DUDLEY STREET, SUITE 380, PROVIDENCE, RI, 029053428
Administrator’s telephone number 4014530120

Signature of

Role Plan administrator
Date 2012-08-17
Name of individual signing RICHARD J. ZIENOWICZ, M.D.
Valid signature Filed with authorized/valid electronic signature
RICHARD J. ZIENOWICZ, M.D., INC. PROFIT SHARING PLAN 2010 050484789 2011-06-15 RICHARD J. ZIENOWICZ, M.D., INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4014530120
Plan sponsor’s address 2 DUDLEY STREET, SUITE 380, PROVIDENCE, RI, 029053428

Plan administrator’s name and address

Administrator’s EIN 050484789
Plan administrator’s name RICHARD J. ZIENOWICZ, M.D., INC.
Plan administrator’s address 2 DUDLEY STREET, SUITE 380, PROVIDENCE, RI, 029053428
Administrator’s telephone number 4014530120

Signature of

Role Plan administrator
Date 2011-06-15
Name of individual signing RICHARD J. ZIENOWICZ, M.D.
Valid signature Filed with authorized/valid electronic signature
RICHARD J. ZIENOWICZ, M.D., INC. PROFIT SHARING PLAN 2009 050484789 2010-10-06 RICHARD J. ZIENOWICZ, M.D., INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4014530120
Plan sponsor’s address TWO DUDLEY STREET - SUITE 380, PROVIDENCE, RI, 02905

Plan administrator’s name and address

Administrator’s EIN 050484789
Plan administrator’s name RICHARD J. ZIENOWICZ, M.D., INC.
Plan administrator’s address TWO DUDLEY STREET - SUITE 380, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014530120

Signature of

Role Plan administrator
Date 2010-10-06
Name of individual signing CAROL LIPMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARC A. GREENFIELD, ESQ. Agent 116 ORANGE STREET, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
RICHARD J ZIENOWICZ MD PRESIDENT 113 WICKENDEN STREET PROVIDENCE, RI 02903 USA

Filings

Number Name File Date
202459529150 Revocation Certificate For Failure to File the Annual Report for the Year 2024-09-17
202457132550 Revocation Notice For Failure to File An Annual Report 2024-06-25
202338847720 Articles of Amendment 2023-06-28
202333442290 Annual Report 2023-04-20
202443700350 Certificate of Correction 2023-01-03
202218268900 Annual Report 2022-05-31
202193575910 Annual Report 2021-03-04
202034048890 Annual Report 2020-02-07
201986024260 Annual Report 2019-02-05
201858771720 Annual Report 2018-02-20

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State