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Geret A. Dubois, M.D., Inc.

Company Details

Name: Geret A. Dubois, M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 27 Mar 1997 (28 years ago)
Date of Dissolution: 31 Dec 2022 (2 years ago)
Date of Status Change: 31 Dec 2022 (2 years ago)
Identification Number: 000094264
ZIP code: 02864
County: Providence County
Principal Address: 2970 MENDON ROAD VILLA 86, CUMBERLAND, RI, 02864, USA
Purpose: TO RENDER MEDICAL SERVICES AS ORTHOPEDIC PHYSICIANS AND SURGEONS.
NAICS: 622310 - Specialty (except Psychiatric and Substance Abuse) Hospitals

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN 2016 061480818 2017-08-11 GERET A. DUBOIS, M.D., INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 4017292241
Plan sponsor’s address 111 BREWSTER STREET, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2017-08-11
Name of individual signing GERET DUBOIS
Valid signature Filed with authorized/valid electronic signature
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN 2015 061480818 2016-03-26 GERET A. DUBOIS, M.D., INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 4017292241
Plan sponsor’s address 111 BREWSTER STREET, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2016-03-26
Name of individual signing GERET DUBOIS
Valid signature Filed with authorized/valid electronic signature
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN 2014 061480818 2015-10-15 GERET A. DUBOIS, M.D., INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 4017292241
Plan sponsor’s address 111 BREWSTER STREET, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing GERET DUBOIS
Valid signature Filed with authorized/valid electronic signature
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN 2013 061480818 2014-06-28 GERET A. DUBOIS, M.D., INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 4017292241
Plan sponsor’s address 111 BREWSTER STREET, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2014-06-28
Name of individual signing GERET DUBOIS
Valid signature Filed with authorized/valid electronic signature
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN 2012 061480818 2013-06-01 GERET A. DUBOIS, M.D., INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 4017238300
Plan sponsor’s address 330 COTTAGE STREET, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2013-06-01
Name of individual signing GERET DUBOIS
Valid signature Filed with authorized/valid electronic signature
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN 2011 061480818 2012-09-12 GERET A. DUBOIS, M.D., INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 4017238300
Plan sponsor’s address 330 COTTAGE STREET, PAWTUCKET, RI, 02860

Plan administrator’s name and address

Administrator’s EIN 061480818
Plan administrator’s name GERET A. DUBOIS, M.D., INC.
Plan administrator’s address 330 COTTAGE STREET, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017238300

Signature of

Role Plan administrator
Date 2012-09-12
Name of individual signing GERET DUBOIS
Valid signature Filed with authorized/valid electronic signature
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN 2010 061480818 2011-06-21 GERET A. DUBOIS, M.D., INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 4017238300
Plan sponsor’s address 330 COTTAGE STREET, PAWTUCKET, RI, 02860

Plan administrator’s name and address

Administrator’s EIN 061480818
Plan administrator’s name GERET A. DUBOIS, M.D., INC.
Plan administrator’s address 330 COTTAGE STREET, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017238300

Signature of

Role Plan administrator
Date 2011-06-21
Name of individual signing GERET DUBOIS
Valid signature Filed with authorized/valid electronic signature
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN 2009 061480818 2010-09-01 GERET A. DUBOIS, M.D., INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 4017238300
Plan sponsor’s address 330 COTTAGE STREET, PAWTUCKET, RI, 02860

Plan administrator’s name and address

Administrator’s EIN 061480818
Plan administrator’s name GERET A. DUBOIS, M.D., INC.
Plan administrator’s address 330 COTTAGE STREET, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017238300

Signature of

Role Plan administrator
Date 2010-09-01
Name of individual signing GERET DUBOIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RALPH M. KINDER, ESQ. Agent 300 METRO CENTER BOULEVARD SUITE 150A, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
GERET A DUBOIS M.D. PRESIDENT 2970 MENDON ROAD VILLA 86 CUMBERLAND, RI 02864 USA

TREASURER

Name Role Address
GERET A DUBOIS M.D. TREASURER 2970 MENDON ROAD VILLA 86 CUMBERLAND, RI 02864 USA

SECRETARY

Name Role Address
GERET A DUBOIS M.D. SECRETARY 2970 MENDON ROAD VILLA 86 CUMBERLAND, RI 02864 USA

VICE PRESIDENT

Name Role Address
SANDRA L DUBOIS VICE PRESIDENT 2970 MENDON ROAD VILLA 86 CUMBERLAND, RI 02864 USA

Filings

Number Name File Date
202224674630 Articles of Dissolution 2022-11-14
202216047750 Annual Report 2022-04-28
202216045800 Statement of Change of Registered Office by the Registered Agent 2022-04-28
202187794310 Annual Report 2021-01-26
202185290850 Statement of Change of Registered Office by the Registered Agent 2021-01-08
202035836540 Annual Report 2020-03-04
201986072720 Annual Report 2019-02-06
201870856140 Annual Report - Amended 2018-06-28
201858869300 Annual Report 2018-02-23
201856620930 Statement of Change of Registered Office by the Registered Agent 2018-01-23

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State