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PATRICK K. SULLIVAN M.D., LTD.

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Company Details

Name: PATRICK K. SULLIVAN M.D., LTD.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revocation
Date of Organization in Rhode Island: 23 May 1995 (30 years ago)
Date of Dissolution: 18 Jun 2025 (a month ago)
Date of Status Change: 18 Jun 2025 (a month ago)
Identification Number: 000084493
ZIP code: 02905
City: Providence
County: Providence County
Purpose: TO ENGAGE IN THE PRACTICE OF PLASTIC SURGERY.
Principal Address: Google Maps Logo 235 PLAIN STREET SUITE 502, PROVIDENCE, RI, 02905, USA

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
ADLER POLLOCK & SHEEHAN P.C. Agent 100 WESTMINSTER STREET 16TH FLOOR, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
PATRICK K SULLIVAN MD PRESIDENT 235 PLAIN STREET PROVIDENCE, RI 02905 USA

National Provider Identifier

NPI Number:
1013978634

Authorized Person:

Name:
PATRICK SULLIVAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
050484627
Plan Year:
2022
Number Of Participants:
7
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
PATRICK SULLIVAN, MD(Plan administrator)
Plan Year:
2021
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
PATRICK SULLIVAN, MD(Plan administrator)
Plan Year:
2020
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
PATRICK SULLIVAN, MD(Plan administrator)
Plan Year:
2019
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
PATRICK SULLIVAN, MD(Plan administrator)
Plan Year:
2019
Number Of Participants:
8
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
PATRICK SULLIVAN(Plan administrator)

Filings

Number Name File Date
202451965550 Annual Report 2024-04-22
202332764870 Annual Report 2023-04-12
202214956630 Annual Report 2022-04-17
202193138430 Annual Report 2021-02-26
202034988060 Annual Report 2020-02-24

Uniform Commercial Code

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2020-08-17
Action:
InitialFiling

Parties

Party Name:
PATRICK K. SULLIVAN M.D., LTD.
Party Role:
Debtor(s)
Party Name:
U.S. SMALL BUSINESS ADMINISTRATION
Party Role:
Secured Parties

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$106,393
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$106,393
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$107,553.12
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $106,393

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Date of last update: 09 Jul 2025

Sources: Rhode Island Department of State