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  5. Peter S. Margolis, M.D., Inc.

Peter S. Margolis, M.D., Inc.

Company Details

Name: Peter S. Margolis, 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: 08 Feb 2018 (7 years ago)
Date of Status Change: 08 Feb 2018 (7 years ago)
Identification Number: 000102205
ZIP code: 02905
County: Providence County
Principal Address: 33 STANIFORD STREET, PROVIDENCE, RI, 02905, USA
Purpose: TO ENGAGE IN THE PRACTICE OF MEDICINE.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETER S. MARGOLIS, M.D., INC. RETIREMENT PLAN 2014 050500482 2015-01-15 PETER S. MARGOLIS, 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 050500482
Plan administrator’s name PETER S. MARGOLIS, 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 2015-01-15
Name of individual signing JAMES W. STAUFFER
Valid signature Filed with authorized/valid electronic signature
PETER S. MARGOLIS, M.D., INC. RETIREMENT PLAN 2013 050500482 2014-10-02 PETER S. MARGOLIS, 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 050500482
Plan administrator’s name PETER S. MARGOLIS, 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
PETER S. MARGOLIS, M.D., INC. RETIREMENT PLAN 2012 050500482 2013-06-20 PETER S. MARGOLIS, 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 050500482
Plan administrator’s name PETER S. MARGOLIS, 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
PETER S. MARGOLIS, M.D., INC. RETIREMENT PLAN 2011 050500482 2012-07-09 PETER S. MARGOLIS, 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 050500482
Plan administrator’s name PETER S. MARGOLIS, 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 PETER S. MARGOLIS, M.D.
Valid signature Filed with authorized/valid electronic signature
PETER S. MARGOLIS, M.D., INC. RETIREMENT PLAN 2010 050500482 2011-06-29 PETER S. MARGOLIS, 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 050500482
Plan administrator’s name PETER S. MARGOLIS, 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 PETER S. MARGOLIS, M.D.
Valid signature Filed with authorized/valid electronic signature
PETER S. MARGOLIS, M.D., INC. RETIREMENT PLAN 2009 050500482 2010-10-14 PETER S. MARGOLIS, 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 050500482
Plan administrator’s name PETER S. MARGOLIS, 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
PETER S. MARGOLIS M.D. PRESIDENT 33 STANIFORD STREET PROVIDENCE, RI 02905 USA

Filings

Number Name File Date
201857882580 Articles of Dissolution 2018-02-08
201731065850 Annual Report 2017-01-27
201690897590 Annual Report 2016-01-19
201554075050 Annual Report 2015-01-22
201433902750 Annual Report 2014-01-21
201310457980 Annual Report 2013-01-28
201289627320 Annual Report 2012-02-13
201174251470 Annual Report 2011-01-31
201058469490 Annual Report 2010-02-16
200942403730 Annual Report 2009-02-17

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.

PETER S. MARGOLIS M.D.

SPECIALTY PHYSICIAN PARTNERS, 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. Thomas E. Sepe, M.D., Inc. STANIFORD REALTY, LLC

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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