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  5. University Urological Associates, Inc.

University Urological Associates, Inc.

Company Details

Name: University Urological Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Merged Into An Entity Of Record
Date of Organization in Rhode Island: 07 Jan 1997 (28 years ago)
Date of Dissolution: 29 Jan 2018 (7 years ago)
Date of Status Change: 29 Jan 2018 (7 years ago)
Identification Number: 000092971
ZIP code: 02904
County: Providence County
Principal Address: 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904, USA
Purpose: TO RENDER PROFESSIONAL MEDICAL SERVICES BY DULY LICENSED PHYSICIANS.
NAICS: 62 - Health Care and Social Assistance
Fictitious names: Collyer Street Operatory, Inc. (trading name, 2004-10-12 - )
University Urological Research Institute (trading name, 2002-07-29 - )
Rhode Island Urodynamics (trading name, 2000-10-05 - )
MultiMed Research (trading name, 2000-10-05 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508142969 2011-10-31 2011-10-31 195 COLLYER ST, STE 201, PROVIDENCE, RI, 029041869, US 869 POST RD, WARWICK, RI, 028883360, US

Contacts
Phone +1 401-272-7799
Fax 4012729299

Authorized person
Name SANDY F COUTU
Role PRACTICE ADMINISTRATOR
Phone 4012762001

Taxonomy
Taxonomy Code 208800000X - Urology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY UROLOGICAL ASSOCIATES, INC 401K RETIREMENT PLAN 2017 061470514 2018-10-01 UNIVERSITY UROLOGICAL ASSOCIATES, INC 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET, SUITE 201, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2018-09-29
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-29
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY UROLOGICAL ASSOCIATES, INC 401K RETIREMENT PLAN 2016 061470514 2017-10-13 UNIVERSITY UROLOGICAL ASSOCIATES, INC 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET, SUITE 201, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-13
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY UROLOGICAL ASSOCIATES, INC 401K RETIREMENT PLAN 2015 061470514 2016-10-11 UNIVERSITY UROLOGICAL ASSOCIATES,INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET, SUITE 201, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY UROLOGICAL ASSOCIATES, INC. 401(K) RETIREMENT PLAN 2014 061470514 2015-10-15 UNIVERSITY UROLOGICAL ASSOCIATES, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 061470514
Plan administrator’s name UNIVERSITY UROLOGICAL ASSOCIATES, INC.
Plan administrator’s address 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904
Administrator’s telephone number 4012762000

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY UROLOGICAL ASSOCIATES, INC. 401(K) RETIREMENT PLAN 2013 061470514 2014-05-19 UNIVERSITY UROLOGICAL ASSOCIATES, INC. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 061470514
Plan administrator’s name UNIVERSITY UROLOGICAL ASSOCIATES, INC.
Plan administrator’s address 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904
Administrator’s telephone number 4012762000

Signature of
Role Plan administrator
Date 2014-05-19
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY UROLOGICAL ASSOCIATES, INC. 401(K) RETIREMENT PLAN 2012 061470514 2013-10-15 UNIVERSITY UROLOGICAL ASSOCIATES, INC. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 061470514
Plan administrator’s name UNIVERSITY UROLOGICAL ASSOCIATES, INC.
Plan administrator’s address 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904
Administrator’s telephone number 4012762000

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY UROLOGICAL ASSOCIATES, INC. 401(K) RETIREMENT PLAN 2011 061470514 2012-08-20 UNIVERSITY UROLOGICAL ASSOCIATES, INC. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 061470514
Plan administrator’s name UNIVERSITY UROLOGICAL ASSOCIATES, INC.
Plan administrator’s address 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904
Administrator’s telephone number 4012762000

Signature of
Role Plan administrator
Date 2012-08-20
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY UROLOGICAL ASSOCIATES, INC. 401(K) RETIREMENT PLAN 2010 061470514 2011-10-12 UNIVERSITY UROLOGICAL ASSOCIATES, INC. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 061470514
Plan administrator’s name UNIVERSITY UROLOGICAL ASSOCIATES, INC.
Plan administrator’s address 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904
Administrator’s telephone number 4012762000

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY UROLOGICAL ASSOCIATES, INC. 401(K) RETIREMENT PLAN 2009 061470514 2010-10-14 UNIVERSITY UROLOGICAL ASSOCIATES, INC. 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 4012762000
Plan sponsor’s address 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 061470514
Plan administrator’s name UNIVERSITY UROLOGICAL ASSOCIATES, INC.
Plan administrator’s address 195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904
Administrator’s telephone number 4012762000

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing MARK SIGMAN
Valid signature Filed with authorized/valid electronic signature

Agent

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

SECRETARY

Name Role Address
STEPHEN SCHIFF MD SECRETARY 195 COLLYER PROVIDENCE, RI 02904 USA

PRESIDENT

Name Role Address
MARK SIGMAN MD PRESIDENT 195 COLLYER STREET, SUITE 201 PROVIDENCE, RI 02904 USA

DIRECTOR

Name Role Address
SIMONE THAVASEELAN MD DIRECTOR 195 COLLYER STREET PROVIDENCE, RI 02904 USA
GYAN PAREEK MD DIRECTOR 195 COLLYER STREET PROVIDENCE , RI 02904 USA
DRAGAN GOLIJANIN MD DIRECTOR 195 COLLYER STREET PROVIDENCE, RI 02904 USA

Events

Type Date Old Value New Value
Merged 2018-01-29 University Urological Associates, Inc. Brown Urology, Inc. on
Merged 1997-01-31 UROLOGIC SERVICES, INC. on University Urological Associates, Inc.

Filings

Number Name File Date
201735009210 Annual Report 2017-02-28
201694004200 Annual Report 2016-03-07
201556091030 Annual Report 2015-03-02
201436750600 Annual Report 2014-03-03
201314544910 Annual Report 2013-03-28
201291416910 Annual Report 2012-03-26
201175599580 Annual Report 2011-02-23
201062107430 Annual Report 2010-04-15
200945333610 Annual Report 2009-04-24
200942493740 Statement of Change of Registered Office by the Registered Agent 2009-02-20

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DEFINITIVE CONTRACT AWARD 36C24118C0077 2018-08-01 2024-01-31 2024-01-31
Unique Award Key CONT_AWD_36C24118C0077_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 2360618.50
Current Award Amount 2360618.50
Potential Award Amount 2703110.50

Description
Title UROLOGY SURGICAL SERVICES
NAICS Code 611310: COLLEGES, UNIVERSITIES, AND PROFESSIONAL SCHOOLS
Product and Service Codes Q525: MEDICAL- UROLOGY

Recipient Details
Recipient UNIVERSITY UROLOGICAL ASSOCIATES, INC
UEI M1VNEL6FWAL3
Recipient Address UNITED STATES, 195 COLLYER ST STE 201, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029041869

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.

GYAN PAREEK MD

BAY AREA MOBILE MEDICAL, LLC University Urology Research and Education Foundation Brown Urology, Inc. Brown Physicians, Inc. Zested Research Institute

DRAGAN GOLIJANIN MD

University Urology Research and Education Foundation

Related by address

195 COLLYER STREET SUITE 201, PROVIDENCE, RI, 02904, USA

University Urology Research and Education Foundation

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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