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  5. Thomas E. Sepe, M.D., Inc.

Thomas E. Sepe, M.D., Inc.

Company Details

Name: Thomas E. Sepe, M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 24 Aug 1998 (26 years ago)
Date of Dissolution: 30 Jul 2024 (6 months ago)
Date of Status Change: 30 Jul 2024 (6 months ago)
Identification Number: 000102204
ZIP code: 02905
County: Providence County
Principal Address: 33 STANIFORD STREET, PROVIDENCE, RI, 02905, USA
Purpose: TO ENGAGE IN THE PRACTICE OF MEDICINE.
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THOMAS E. SEPE, M.D., INC. 401(K) PROFIT SHARING PLAN 2019 050500481 2020-10-14 THOMAS E. SEPE, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
THOMAS E. SEPE, M.D., INC. 401(K) PROFIT SHARING PLAN 2018 050500481 2019-07-19 THOMAS E. SEPE, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
THOMAS E. SEPE, M.D., INC. 401(K) PROFIT SHARING PLAN 2017 050500481 2018-07-31 THOMAS E. SEPE, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
THOMAS E. SEPE, M.D., INC. 401(K) PROFIT SHARING PLAN 2016 050500481 2017-09-18 THOMAS E. SEPE, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
THOMAS E. SEPE, M.D., INC. 401(K) PROFIT SHARING PLAN 2015 050500481 2016-09-13 THOMAS E. SEPE, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
THOMAS E. SEPE, M.D., INC. 401(K) PROFIT SHARING PLAN 2014 050500481 2015-09-16 THOMAS E. SEPE, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2015-09-16
Name of individual signing JAMES W. STAUFFER
Valid signature Filed with authorized/valid electronic signature
THOMAS E. SEPE, M.D., INC. 401(K) PROFIT SHARING PLAN 2013 050500481 2014-10-02 THOMAS E. SEPE, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050500481
Plan administrator’s name THOMAS E. SEPE, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2014-10-02
Name of individual signing JAMES W. STAUFFER
Valid signature Filed with authorized/valid electronic signature
THOMAS E. SEPE, M.D., INC. 401(K) PROFIT SHARING PLAN 2012 050500481 2013-06-20 THOMAS E. SEPE, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050500481
Plan administrator’s name THOMAS E. SEPE, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2013-06-20
Name of individual signing JAMES W. STAUFFER
Valid signature Filed with authorized/valid electronic signature
THOMAS E. SEPE, M.D., INC. 401(K) PROFIT SHARING PLAN 2011 050500481 2012-07-09 THOMAS E. SEPE, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050500481
Plan administrator’s name THOMAS E. SEPE, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2012-07-09
Name of individual signing THOMAS E. SEPE, M.D.
Valid signature Filed with authorized/valid electronic signature
THOMAS E. SEPE, M.D., INC. 401(K) PROFIT SHARING PLAN 2010 050500481 2011-06-29 THOMAS E. SEPE, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050500481
Plan administrator’s name THOMAS E. SEPE, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2011-06-29
Name of individual signing THOMAS E. SEPE, M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/14/20101014042811P070026312305001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050500481
Plan administrator’s name THOMAS E. SEPE, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing CAROL LIPMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN D. ZUBIAGO, ESQ. Agent NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
THOMAS E. SEPE M.D. PRESIDENT 33 STANIFORD STREET PROVIDENCE, RI 02905 USA

Filings

Number Name File Date
202458425570 Articles of Dissolution 2024-07-30
202454611580 Annual Report 2024-05-14
202330282880 Annual Report 2023-03-07
202211032760 Annual Report 2022-02-15
202193110210 Annual Report 2021-02-25
202032983120 Annual Report 2020-01-22
201985061220 Annual Report 2019-01-22
201857543120 Annual Report 2018-02-01
201731114350 Annual Report 2017-01-30
201690389590 Annual Report 2016-01-11

Related by officers

STEPHEN D. ZUBIAGO, ESQ.

Nicholas A. Califano, M.D., Inc. CARDIOLOGY ASSOCIATES, INC. MIRIAM IPA, INC. ORTHOPEDIC GROUP, INC. Bayside Endoscopy Group, Inc. Mobile Storage Inc. H & H TRUCKING INC. MIRIAM PHO, INC. Bayside OB-GYN, Inc. West Bay Orthopaedics and Neurosurgery, Inc.

Related by address

33 STANIFORD STREET, PROVIDENCE, RI, 02905, USA

Nicholas A. Califano, M.D., Inc. SHELDON LIDOFSKY, M.D. INC. Bayside Endoscopy Group, Inc. Thomas D. DeNucci, M.D., Inc. Paul E.A. VanZuiden, M,D., F.A.C.P., Inc. University Gastroenterology Practice, Inc. Paul A. Akerman, M.D., Inc. Peter S. Margolis, M.D., Inc. STANIFORD REALTY, LLC

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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