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  5. PETER J. LODGE, D.M.D., LTD.

PETER J. LODGE, D.M.D., LTD.

Company Details

Name: PETER J. LODGE, D.M.D., LTD.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 14 Dec 1995 (29 years ago)
Identification Number: 000087244
ZIP code: 02882
County: Washington County
Principal Address: 28 CASWELL STREET, NARRAGANSETT, RI, 02882, USA
Purpose: GENERAL DENTAL PRACTICE
NAICS: 621210 - Offices of Dentists

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300UM0H87FVE4G559 000087244 US-RI GENERAL ACTIVE No data

Addresses
Legal C/O Peter J. Lodge, Pier Professional Towers, 28 Caswell Street, Narragansett, US-RI, US, 02882
Headquarters C/O Peter J. Lodge, Pier Professional Towers, 28 Caswell Street, Narragansett, US-RI, US, 02882

Registration details
Registration Date 2013-07-16
Last Update 2023-08-04
Status LAPSED
Next Renewal 2014-07-16
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 000087244

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2014 050487990 2015-07-27 PETER J. LODGE, D.M.D., LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Signature of
Role Plan administrator
Date 2015-05-21
Name of individual signing PETER LODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-21
Name of individual signing PETER LODGE
Valid signature Filed with authorized/valid electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2013 050487990 2014-07-31 PETER J. LODGE, D.M.D., LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing PETER LODGE
Valid signature Filed with authorized/valid electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2012 050487990 2013-07-29 PETER J. LODGE, D.M.D., LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing PETER J. LODGE
Valid signature Filed with authorized/valid electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2011 050487990 2012-05-01 PETER J. LODGE, D.M.D., LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2012-05-01
Name of individual signing PETER J. LODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-01
Name of individual signing PETER J. LODGE
Valid signature Filed with authorized/valid electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2010 050487990 2011-05-26 PETER J. LODGE, D.M.D., LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2011-05-26
Name of individual signing PETER J. LODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-26
Name of individual signing PETER J. LODGE
Valid signature Filed with authorized/valid electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2009 050487990 2010-10-05 PETER J. LODGE, D.M.D., LTD. 8
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing JEAN D MAACK
Valid signature Filed with incorrect/unrecognized electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2009 050487990 2010-10-15 PETER J. LODGE, D.M.D., LTD. 8
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing PETER J LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2009 050487990 2010-10-15 PETER J. LODGE, D.M.D., LTD. 8
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing PETER J. LODGE D.M.D., LTD.
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing PETER J LODGE D.M.D., LTD.
Valid signature Filed with incorrect/unrecognized electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2009 050487990 2010-10-15 PETER J. LODGE, D.M.D., LTD. 8
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing PETER J LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
PETER J. LODGE, D.M.D., LTD. PROFIT SHARING PLAN 2009 050487990 2010-10-15 PETER J. LODGE, D.M.D., LTD. 8
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing PETER J LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/19/20101019133015P070006151335001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-19
Name of individual signing PETER J. LODGE
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-19
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-19
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-19
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing PETER J LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing PETER J. LODGE
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 4017893010
Plan sponsor’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882

Plan administrator’s name and address
Administrator’s EIN 050487990
Plan administrator’s name PETER J. LODGE, D.M.D., LTD.
Plan administrator’s address 28 CASWELL STREET, NARRAGANSETT, RI, 02882
Administrator’s telephone number 4017893010

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing JEAN D. MAACK
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-06
Name of individual signing JEAN D. MAACK
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
E. COLBY CAMERON, ESQ. Agent CAMERON & MITTLEMAN LLP 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

PRESIDENT

Name Role Address
PETER J LODGE DMD PRESIDENT 28 CASWELL STREET NARRAGANSETT, RI 02882 USA

TREASURER

Name Role Address
PETER J. LODGE, DMD TREASURER 28 CASWELL STREET NARRAGANSETT, RI 02882 USA

SECRETARY

Name Role Address
PETER J. LODGE, DMD SECRETARY 28 CASWELL STREET NARRAGANSETT, RI 02882 USA

DIRECTOR

Name Role Address
PETER J. LODGE, DMD DIRECTOR 28 CASWELL STREET NARRAGANSETT, RI 02882 USA

Filings

Number Name File Date
202449122570 Annual Report 2024-03-22
202333464120 Annual Report 2023-04-20
202213243010 Statement of Change of Registered/Resident Agent 2022-03-22
202211526160 Annual Report 2022-02-24
202198174000 Annual Report 2021-06-11
202196773520 Revocation Notice For Failure to File An Annual Report 2021-05-19
202073585240 Annual Report 2020-11-09
202054989890 Revocation Notice For Failure to File An Annual Report 2020-09-16
201920923800 Annual Report 2019-09-19
201907001660 Revocation Notice For Failure to File An Annual Report 2019-07-24

Related by officers

E. COLBY CAMERON, ESQ.

AC Holdings, Inc. The Chisholm RIP Corp. CHOQUETTE & CO., INC. CHURCH TRAVEL AGENCY, INC. Certified Automotive, Inc. Memorial X-Ray Services, Ltd. Periodontics, Inc. D. L. Thurrott RIP, Inc. Sinel, Wilfand & Vinci, Certified Public Accountants, Inc. O'NEILL MEDICAL, INC.

Related by address

28 CASWELL STREET, NARRAGANSETT, RI, 02882, USA

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Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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