Search icon

DUANE T. GOLOMB, M.D., INC.

Company Details

Name: DUANE T. GOLOMB, M.D., INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 05 Aug 1998 (26 years ago)
Identification Number: 000101901
ZIP code: 02825
County: Providence County
Principal Address: 229 OLD PLAINFIELD PIKE, FOSTER, RI, 02825, USA
Purpose: TO PROVIDE MEDICAL AND ASSOCIATED HEALTH CARE MANAGEMENT SERVICES.
NAICS: 541611 - Administrative Management and General Management Consulting Services

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DUANE T. GOLOMB, M.D., INC. RETIREMENT PLAN 2018 050501016 2019-01-14 DUANE T. GOLOMB, M.D., INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4018222807
Plan sponsor’s address 595 WASHINGTON STREET, COVENTRY, RI, 028165486

Signature of

Role Plan administrator
Date 2019-01-14
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-01-14
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
DUANE T. GOLOMB, M.D., INC. RETIREMENT PLAN 2017 050501016 2018-06-12 DUANE T. GOLOMB, M.D., INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4018222807
Plan sponsor’s address 595 WASHINGTON STREET, COVENTRY, RI, 028165486

Signature of

Role Plan administrator
Date 2018-06-12
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-12
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
DUANE T. GOLOMB, M.D., INC. RETIREMENT PLAN 2016 050501016 2017-03-30 DUANE T. GOLOMB, M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4018222807
Plan sponsor’s address 595 WASHINGTON STREET, COVENTRY, RI, 028165486

Signature of

Role Plan administrator
Date 2017-03-30
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-30
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
DUANE T. GOLOMB, M.D., INC. RETIREMENT PLAN 2015 050501016 2016-07-06 DUANE T. GOLOMB, M.D., INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4018222807
Plan sponsor’s address 595 WASHINGTON STREET, COVENTRY, RI, 028165486

Signature of

Role Plan administrator
Date 2016-07-06
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-06
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
DUANE T. GOLOMB, M.D., INC. RETIREMENT PLAN 2014 050501016 2015-08-04 DUANE T. GOLOMB, M.D., INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4018222807
Plan sponsor’s address 595 WASHINGTON STREET, COVENTRY, RI, 028165486

Signature of

Role Plan administrator
Date 2015-08-04
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-04
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
DUANE T. GOLOMB, M.D., INC. RETIREMENT PLAN 2013 050501016 2014-06-12 DUANE T. GOLOMB, M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4018222807
Plan sponsor’s address 595 WASHINGTON STREET, COVENTRY, RI, 028165486

Signature of

Role Plan administrator
Date 2014-06-12
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-12
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
DUANE T. GOLOMB, M.D., INC. RETIREMENT PLAN 2012 050501016 2013-07-03 DUANE T. GOLOMB, M.D., INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4018222807
Plan sponsor’s address 595 WASHINGTON STREET, COVENTRY, RI, 028165486

Signature of

Role Plan administrator
Date 2013-07-03
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-03
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
DUANE T. GOLOMB, M.D., INC. RETIREMENT PLAN 2011 050501016 2012-07-11 DUANE T. GOLOMB, M.D., INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4018222807
Plan sponsor’s address 766 WASHINGTON STREET, COVENTRY, RI, 028165486

Plan administrator’s name and address

Administrator’s EIN 050501016
Plan administrator’s name DUANE T. GOLOMB, M.D., INC.
Plan administrator’s address 766 WASHINGTON STREET, COVENTRY, RI, 028165486
Administrator’s telephone number 4018222807

Signature of

Role Plan administrator
Date 2012-07-11
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-11
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
DUANE T. GOLOMB, M.D., INC. RETIREMENT PLAN 2010 050501016 2011-07-19 DUANE T. GOLOMB, M.D., INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4018222807
Plan sponsor’s address 766 WASHINGTON STREET, COVENTRY, RI, 028165486

Plan administrator’s name and address

Administrator’s EIN 050501016
Plan administrator’s name DUANE T. GOLOMB, M.D., INC.
Plan administrator’s address 766 WASHINGTON STREET, COVENTRY, RI, 028165486
Administrator’s telephone number 4018222807

Signature of

Role Plan administrator
Date 2011-07-19
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
DUANE T. GOLOMB, M.D., INC. RETIREMENT PLAN 2009 050501016 2010-09-27 DUANE T. GOLOMB, M.D., INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 4018222807
Plan sponsor’s address 766 WASHINGTON STREET, COVENTRY, RI, 028165486

Plan administrator’s name and address

Administrator’s EIN 050501016
Plan administrator’s name DUANE T. GOLOMB, M.D., INC.
Plan administrator’s address 766 WASHINGTON STREET, COVENTRY, RI, 028165486
Administrator’s telephone number 4018222807

Signature of

Role Plan administrator
Date 2010-09-27
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-27
Name of individual signing DUANE GOLOMB
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DUANE T. GOLOMB, MD Agent 595 WASHINGTON STREET, COVENTRY, RI, 02816, USA

PRESIDENT

Name Role Address
DUANE T. GOLOMB PRESIDENT 229 OLD PLAINFIELD PIKE FOSTER, RI 02825 USA

OTHER OFFICER

Name Role Address
DUANE T GOLOMB OTHER OFFICER 229 OLD PLAINFIELD PIKE FOSTER, RI 02825 USA

Filings

Number Name File Date
202447919730 Annual Report 2024-03-06
202336631880 Annual Report 2023-06-06
202208985710 Annual Report 2022-01-31
202187416690 Annual Report 2021-01-15
202033203470 Annual Report 2020-01-27
201984136640 Annual Report 2019-01-10
201857071010 Annual Report 2018-01-26
201731354170 Annual Report 2017-02-02
201691200380 Annual Report 2016-01-25
201553999870 Annual Report 2015-01-20

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State