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  5. South County Podiatry Associates, Inc.

South County Podiatry Associates, Inc.

Company Details

Name: South County Podiatry Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 10 Jul 1998 (27 years ago)
Date of Dissolution: 31 Dec 2022 (2 years ago)
Date of Status Change: 31 Dec 2022 (2 years ago)
Identification Number: 000101462
ZIP code: 02879
County: Washington County
Principal Address: 24 SALT POND ROAD UNIT E1, WAKEFIELD, RI, 02879, USA
Purpose: THE PRACTICE OF PODIATRIC MEDICINE AND SURGERY.
NAICS: 621391 - Offices of Podiatrists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225042591 2006-07-29 2008-01-03 70 KENYON AVE, SUITE 212, WAKEFIELD, RI, 028794239, US 70 KENYON AVE, SUITE 212, WAKEFIELD, RI, 028794239, US

Contacts
Phone +1 401-789-8912
Fax 4017828702

Authorized person
Name DR. JOHN CHARLES ZERVOS
Role PARTNER
Phone 4017898912

Taxonomy
Taxonomy Code 213E00000X - Podiatrist
State RI
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 9082009
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTH COUNTY PODIATRY ASSOCIATES PROFIT SHARING PLAN 2012 050500184 2013-06-26 SOUTH COUNTY PODIATRY ASSOCIATES,INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621391
Sponsor’s telephone number 4017898912
Plan sponsor’s mailing address 70 KENYON AVENUE SUITE 212, WAKEFIELD, RI, 02879
Plan sponsor’s address 70 KENYON AVENUE SUITE 212, WAKEFIELD, RI, 02879

Plan administrator’s name and address
Administrator’s EIN 050500184
Plan administrator’s name JOHN ZERVOS
Plan administrator’s address 70 KENYON AVENUE SUITE 212, WAKEFIELD, RI, 02879
Administrator’s telephone number 4017898912

Number of participants as of the end of the plan year
Active participants 2

Signature of
Role Plan administrator
Date 2013-06-26
Name of individual signing JOHN ZERVOS
Valid signature Filed with authorized/valid electronic signature
SOUTH COUNTY PODIATRY ASSOCIATES PROFIT SHARING PLAN 2011 050500184 2012-06-25 SOUTH COUNTY PODIATRY ASSOCIATES,INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621391
Sponsor’s telephone number 4017898912
Plan sponsor’s mailing address 70 KENYON AVENUE, SUITE 212, WAKEFIELD, RI, 02879
Plan sponsor’s address 70 KENYON AVENUE, SUITE 212, WAKEFIELD, RI, 02879

Plan administrator’s name and address
Administrator’s EIN 050500184
Plan administrator’s name JOHN ZERVOS
Plan administrator’s address 70 KENYON AVENUE SUITE 212, WAKEFIELD, RI, 02879
Administrator’s telephone number 4017898912

Number of participants as of the end of the plan year
Active participants 2

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing JOHN ZERVOS
Valid signature Filed with authorized/valid electronic signature
SOUTH COUNTY PODIATRY ASSOCIATES PROFIT SHARING PALN AND TRUST 2010 050500184 2011-07-21 SOUTH COUNTY PODIATRY ASSOCIATES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621391
Sponsor’s telephone number 4017898912
Plan sponsor’s mailing address 70 KENYON AVENUE ,SUITE 212, WAKEFIELD, RI, 02879
Plan sponsor’s address 70 KENYON AVENUE ,SUITE 212, WAKEFIELD, RI, 02879

Plan administrator’s name and address
Administrator’s EIN 050500184
Plan administrator’s name JOHN ZERVOS
Plan administrator’s address 70 KENYON AVENUE, SUITE 212, WAKEFIELD, RI, 02879
Administrator’s telephone number 4017898912

Number of participants as of the end of the plan year
Active participants 2

Signature of
Role Plan administrator
Date 2011-07-21
Name of individual signing JOHN ZERVOS
Valid signature Filed with authorized/valid electronic signature
SOUTH COUNTY PODIATRY ASSOCIATES PROFIT SHARING PLAN AND TRUST 2009 050500184 2010-09-24 SOUTH COUNTY PODIATRY ASSOCIATES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621391
Sponsor’s telephone number 4017898912
Plan sponsor’s mailing address 70 KENYON AVENUE, SUITE 212, WAKEFIELD, RI, 02879
Plan sponsor’s address 70 KENYON AVENUE, SUITE 212, WAKEFIELD, RI, 02879

Plan administrator’s name and address
Administrator’s EIN 050500184
Plan administrator’s name JOHN ZERVOS
Plan administrator’s address 70 KENYON AVENUE, SUITE 212, WAKEFIELD, RI, 02879
Administrator’s telephone number 4017898912

Number of participants as of the end of the plan year
Retired or separated participants receiving benefits 2

Signature of
Role Plan administrator
Date 2010-09-24
Name of individual signing JOHN ZERVOS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TERRENCE G. SIMPSON, ESQUIRE Agent 65 BOSTON NECK ROAD, NORTH KINGSTOWN, RI, 02852, USA

PRESIDENT

Name Role Address
JOHN C ZERVOS PRESIDENT 24 SALT POND ROAD, UNIT E1 WAKEFIELD, RI 02879 USA

Filings

Number Name File Date
202225379930 Articles of Dissolution 2022-12-20
202214240450 Annual Report 2022-04-01
202194836380 Annual Report 2021-03-22
202193656330 Statement of Change of Registered/Resident Agent Office 2021-03-06
202037117340 Annual Report 2020-04-01
202035258810 Statement of Change of Registered/Resident Agent 2020-02-26
201988767020 Annual Report 2019-03-15
201861121330 Annual Report 2018-03-28
201735187620 Annual Report 2017-02-28
201692320960 Annual Report 2016-02-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2598907105 2020-04-11 0165 PPP 24 SALT POND RD UNIT E1, WAKEFIELD, RI, 02879-4304
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 70751
Loan Approval Amount (current) 64900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 33209
Servicing Lender Name Berkshire Bank
Servicing Lender Address 99 North St, PITTSFIELD, MA, 01201-5114
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WAKEFIELD, WASHINGTON, RI, 02879-4304
Project Congressional District RI-02
Number of Employees 7
NAICS code 621391
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 33209
Originating Lender Name Berkshire Bank
Originating Lender Address PITTSFIELD, MA
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 65470.76
Forgiveness Paid Date 2021-03-29
4162208406 2021-02-06 0165 PPS 24 Salt Pond Rd Ste E1, Wakefield, RI, 02879-4335
Loan Status Date 2022-04-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 54097
Loan Approval Amount (current) 54097
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Wakefield, WASHINGTON, RI, 02879-4335
Project Congressional District RI-02
Number of Employees 5
NAICS code 621391
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 29599
Originating Lender Name Northeast Bank
Originating Lender Address LEWISTON, ME
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 54689.84
Forgiveness Paid Date 2022-03-21

Related by officers

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Related by address

No related companies by address

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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