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Administrative Services Medical Group, Inc.

Company Details

Name: Administrative Services Medical Group, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 20 Aug 1998 (26 years ago)
Identification Number: 000102087
ZIP code: 02920
County: Providence County
Principal Address: 1150 RESERVOIR AVENUE SUITE 205, CRANSTON, RI, 02920, USA
Purpose: TO CARRY ON ALL BUSINESS THAT A PHYSICIAN LICENSED TO PRACTICE MEDICINE IN THE STATE OF RI MIGHT BE INVOLVED IN
NAICS: 541611 - Administrative Management and General Management Consulting Services

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. PROFIT SHARING PLAN 2023 050500489 2024-07-22 ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. PROFIT SHARING PLAN 2022 050500489 2023-06-07 ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. PROFIT SHARING PLAN 2021 050500489 2022-06-29 ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. PROFIT SHARING PLAN 2020 050500489 2021-05-25 ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. PROFIT SHARING PLAN 2019 050500489 2020-10-07 ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. PROFIT SHARING PLAN 2018 050500489 2019-10-08 ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. PROFIT SHARING PLAN 2017 050500489 2018-10-03 ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. PROFIT SHARING PLAN 2016 050500489 2017-05-19 ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. PROFIT SHARING PLAN 2015 050500489 2016-06-27 ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050500489
Plan administrator’s name ADMINISTRATIVE SERVICES MEDICAL GROUP, INC.
Plan administrator’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
Administrator’s telephone number 4019439222
ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. PROFIT SHARING PLAN 2014 050500489 2015-07-27 ADMINISTRATIVE SERVICES MEDICAL GROUP, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050500489
Plan administrator’s name ADMINISTRATIVE SERVICES MEDICAL GROUP, INC.
Plan administrator’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
Administrator’s telephone number 4019439222

Signature of

Role Plan administrator
Date 2015-07-27
Name of individual signing JAMES BONNER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/19/20140819144241P040029751439001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050500489
Plan administrator’s name ADMINISTRATIVE SERVICES MEDICAL GROUP, INC.
Plan administrator’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
Administrator’s telephone number 4019439222

Signature of

Role Plan administrator
Date 2014-08-19
Name of individual signing JAMES BONNER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/16/20130716113602P040306133331001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050500489
Plan administrator’s name ADMINISTRATIVE SERVICES MEDICAL GROUP, INC.
Plan administrator’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
Administrator’s telephone number 4019439222

Signature of

Role Plan administrator
Date 2013-07-16
Name of individual signing JAMES BONNER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/17/20120717094851P030006808994001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050500489
Plan administrator’s name ADMINISTRATIVE SERVICES MEDICAL GROUP, INC.
Plan administrator’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
Administrator’s telephone number 4019439222

Signature of

Role Plan administrator
Date 2012-07-17
Name of individual signing JAMES BONNER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/21/20110621082533P030079760833001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050500489
Plan administrator’s name ADMINISTRATIVE SERVICES MEDICAL GROUP, INC.
Plan administrator’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
Administrator’s telephone number 4019439222

Signature of

Role Plan administrator
Date 2011-06-21
Name of individual signing JAMES BONNER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/04/20100604001609P040095179202001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4019439222
Plan sponsor’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920

Plan administrator’s name and address

Administrator’s EIN 050500489
Plan administrator’s name ADMINISTRATIVE SERVICES MEDICAL GROUP, INC.
Plan administrator’s address 1150 RESERVOIR AVENUE, SUITE 205, CRANSTON, RI, 02920
Administrator’s telephone number 4019439222

Signature of

Role Plan administrator
Date 2010-06-04
Name of individual signing JAMES BONNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ARTHUR J. LEONARD, ESQ. Agent 272 WEST EXCHANGE STREET SUITE 001, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
CARINE M LECONTE PRESIDENT 1150 RESERVOIR AVENUE, SUITE 205 CRANSTON, RI 02920- USA

Filings

Number Name File Date
202450662540 Annual Report 2024-04-10
202446248200 Statement of Change of Registered/Resident Agent Office 2024-02-13
202332490940 Annual Report 2023-04-06
202215350950 Annual Report 2022-04-13
202195052400 Annual Report 2021-03-29
202195052590 Annual Report 2021-03-29
202195052770 Annual Report 2021-03-29
202195052220 Reinstatement 2021-03-29
201924567190 Revocation Certificate For Failure to File the Annual Report for the Year 2019-10-18
201907014750 Revocation Notice For Failure to File An Annual Report 2019-07-24

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State