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INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING

Company Details

Name: INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 12 Aug 1998 (26 years ago)
Identification Number: 000102118
ZIP code: 02914
County: Providence County
Principal Address: 2224 PAWTUCKET AVE., EAST PROVIDENCE, RI, 02914, USA
Mailing Address: 2224 PAWTUCKET AVE, EAST PROVIDENCE, RI, 02914, USA
Purpose: HEALTH CARE EQUIPMENT AND SUPPLIES
NAICS: 621999 - All Other Miscellaneous Ambulatory Health Care Services
Fictitious names: HomeHealthWares (trading name, 2001-08-15 - 2006-02-23)

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INDEPENDENCE 401(K) PLAN 2015 050500500 2016-06-02 INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812190
Sponsor’s telephone number 4012738888
Plan sponsor’s address 35 AGNES STREET, EAST PROVIDENCE, RI, 02914

Plan administrator’s name and address

Administrator’s EIN 050500500
Plan administrator’s name INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
Plan administrator’s address 35 AGNES STREET, EAST PROVIDENCE, RI, 02914
Administrator’s telephone number 4012738888

Signature of

Role Plan administrator
Date 2016-06-02
Name of individual signing RICHARD WESTLAKE
Valid signature Filed with authorized/valid electronic signature
INDEPENDENCE 401(K) PLAN 2014 050500500 2016-06-02 INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING 9
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812190
Sponsor’s telephone number 4012738888
Plan sponsor’s address 35 AGNES STREET, EAST PROVIDENCE, RI, 02914

Signature of

Role Plan administrator
Date 2016-06-02
Name of individual signing RICHARD WESTLAKE
Valid signature Filed with authorized/valid electronic signature
INDEPENDENCE 401(K) PLAN 2014 050500500 2015-05-22 INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812190
Sponsor’s telephone number 4012738888
Plan sponsor’s address 35 AGNES STREET, EAST PROVIDENCE, RI, 02914

Plan administrator’s name and address

Administrator’s EIN 050500500
Plan administrator’s name INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
Plan administrator’s address 35 AGNES STREET, EAST PROVIDENCE, RI, 02914
Administrator’s telephone number 4012738888

Signature of

Role Plan administrator
Date 2015-05-22
Name of individual signing RICHARD WESTLAKE
Valid signature Filed with authorized/valid electronic signature
INDEPENDENCE 401(K) PLAN 2013 050500500 2014-09-12 INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812190
Sponsor’s telephone number 4012738888
Plan sponsor’s address 35 AGNES STREET, EAST PROVIDENCE, RI, 02914

Plan administrator’s name and address

Administrator’s EIN 050500500
Plan administrator’s name INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
Plan administrator’s address 35 AGNES STREET, EAST PROVIDENCE, RI, 02914
Administrator’s telephone number 4012738888

Signature of

Role Plan administrator
Date 2014-09-12
Name of individual signing RICHARD WESTLAKE
Valid signature Filed with authorized/valid electronic signature
INDEPENDENCE 401(K) PLAN 2012 050500500 2013-10-01 INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812190
Sponsor’s telephone number 4012738888
Plan sponsor’s address 35 AGNES STREET, EAST PROVIDENCE, RI, 02914

Plan administrator’s name and address

Administrator’s EIN 050500500
Plan administrator’s name INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
Plan administrator’s address 35 AGNES STREET, EAST PROVIDENCE, RI, 02914
Administrator’s telephone number 4012738888

Signature of

Role Plan administrator
Date 2013-10-01
Name of individual signing RICHARD WESTLAKE
Valid signature Filed with authorized/valid electronic signature
INDEPENDENCE 401(K) PLAN 2011 050500500 2012-09-18 INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812190
Sponsor’s telephone number 4012738888
Plan sponsor’s address 35 AGNES STREET, EAST PROVIDENCE, RI, 02914

Plan administrator’s name and address

Administrator’s EIN 050500500
Plan administrator’s name INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
Plan administrator’s address 35 AGNES STREET, EAST PROVIDENCE, RI, 02914
Administrator’s telephone number 4012738888

Signature of

Role Plan administrator
Date 2012-09-17
Name of individual signing RICHARD WESTLAKE
Valid signature Filed with authorized/valid electronic signature
INDEPENDENCE 401(K) PLAN 2010 050500500 2011-09-26 INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812190
Sponsor’s telephone number 4012738888
Plan sponsor’s address 32 AGNES STREET, EAST PROVIDENCE, RI, 02914

Plan administrator’s name and address

Administrator’s EIN 050500500
Plan administrator’s name INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
Plan administrator’s address 32 AGNES STREET, EAST PROVIDENCE, RI, 02914
Administrator’s telephone number 4012738888

Signature of

Role Plan administrator
Date 2011-09-26
Name of individual signing RICHARD WESTLAKE
Valid signature Filed with authorized/valid electronic signature
INDEPENDENCE 401(K) PLAN 2010 050500500 2011-09-26 INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING 20
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812190
Sponsor’s telephone number 4012738888
Plan sponsor’s address 32 AGNES STREET, EAST PROVIDENCE, RI, 02914

Plan administrator’s name and address

Administrator’s EIN 050500500
Plan administrator’s name INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
Plan administrator’s address 32 AGNES STREET, EAST PROVIDENCE, RI, 02914
Administrator’s telephone number 4012738888

Signature of

Role Plan administrator
Date 2011-09-26
Name of individual signing RICHARD WESTLAKE
Valid signature Filed with incorrect/unrecognized electronic signature
INDEPENDENCE 401(K) PLAN 2009 050500500 2010-10-06 INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812190
Sponsor’s telephone number 4012738888
Plan sponsor’s address 32 AGNES STREET, EAST PROVIDENCE, RI, 02914

Plan administrator’s name and address

Administrator’s EIN 050500500
Plan administrator’s name INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
Plan administrator’s address 32 AGNES STREET, EAST PROVIDENCE, RI, 02914
Administrator’s telephone number 4012738888

Signature of

Role Plan administrator
Date 2010-10-06
Name of individual signing CAROL LIPMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TODD ACKERMAN Agent 2224 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914, USA

Filings

Number Name File Date
202444605410 Annual Report 2024-01-24
202327957450 Annual Report 2023-02-09
202327802110 Statement of Change of Registered/Resident Agent Office 2023-02-07
202208163550 Annual Report 2022-01-19
202100648010 Annual Report 2021-09-01
202059837060 Statement of Change of Registered/Resident Agent 2020-10-01
202059829650 Annual Report 2020-10-01
201913990730 Annual Report 2019-08-20
201877580930 Annual Report 2018-09-17
201749054880 Annual Report 2017-09-01

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State