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A.W.C.R.I. Medical Group, Inc.

Company Details

Name: A.W.C.R.I. Medical Group, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 09 Oct 1998 (26 years ago)
Date of Dissolution: 08 Mar 2019 (6 years ago)
Date of Status Change: 08 Mar 2019 (6 years ago)
Identification Number: 000102932
ZIP code: 02860
County: Providence County
Principal Address: 21 DIVISION STREET, PAWTUCKET, RI, 02860, USA
Purpose: PROVISION HEALTH CARE BY PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS TO THE GENERAL PUBLIC.
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Fictitious names: Women's Care, Inc. (trading name, 1998-12-16 - )

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WOMEN'S CARE 401(K) PLAN 2017 050501178 2018-09-25 A.W.C.R.I. MEDICAL GROUP, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4016161685
Plan sponsor’s DBA name WOMEN'S CARE, INC.
Plan sponsor’s address 21 DIVISION STREET, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2018-09-25
Name of individual signing PABLO RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
WOMEN'S CARE 401(K) PLAN 2017 050501178 2018-04-04 A.W.C.R.I. MEDICAL GROUP, INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4016161616
Plan sponsor’s DBA name WOMEN'S CARE, INC.
Plan sponsor’s address 21 DIVISION STREET, PAWTUCKET, RI, 02860
WOMEN'S CARE 401(K) PLAN 2016 050501178 2017-03-28 A.W.C.R.I. MEDICAL GROUP, INC. 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4016161685
Plan sponsor’s DBA name WOMEN'S CARE, INC.
Plan sponsor’s address 21 DIVISION STREET, PAWTUCKET, RI, 02860
WOMEN'S CARE 401(K) PLAN 2015 050501178 2016-05-06 A.W.C.R.I. MEDICAL GROUP, INC. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4016161685
Plan sponsor’s DBA name WOMEN'S CARE, INC.
Plan sponsor’s address 21 DIVISION STREET, PAWTUCKET, RI, 02860
WOMEN'S CARE 401(K) PLAN 2014 050501178 2015-06-25 A.W.C.R.I. MEDICAL GROUP, INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4016161685
Plan sponsor’s DBA name WOMENS CARE INC.
Plan sponsor’s address 42 PARK PLACE, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2015-06-25
Name of individual signing PABLO RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
WOMEN'S CARE 401(K) PLAN 2013 050501178 2014-08-19 A.W.C.R.I. MEDICAL GROUP, INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4016161685
Plan sponsor’s DBA name WOMENS CARE INC.
Plan sponsor’s address 42 PARK PLACE, PAWTUCKET, RI, 02860

Plan administrator’s name and address

Administrator’s EIN 050501178
Plan administrator’s name A.W.C.R.I. MEDICAL GROUP, INC.
Plan administrator’s address 42 PARK PLACE, PAWTUCKET, RI, 02860
Administrator’s telephone number 4016161685

Signature of

Role Plan administrator
Date 2014-08-19
Name of individual signing PABLO RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
WOMEN'S CARE 401(K) PLAN 2012 050501178 2013-08-13 A.W.C.R.I. MEDICAL GROUP, INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4016161685
Plan sponsor’s DBA name WOMENS CARE INC.
Plan sponsor’s address 407 EAST AVENUE, SUITE 150, PAWTUCKET, RI, 02860

Plan administrator’s name and address

Administrator’s EIN 050501178
Plan administrator’s name A.W.C.R.I. MEDICAL GROUP, INC.
Plan administrator’s address 407 EAST AVENUE, SUITE 150, PAWTUCKET, RI, 02860
Administrator’s telephone number 4016161685

Signature of

Role Plan administrator
Date 2013-08-13
Name of individual signing PABLO RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
WOMEN'S CARE 401(K) PLAN 2011 050501178 2012-08-09 A.W.C.R.I. MEDICAL GROUP, INC. 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4016161685
Plan sponsor’s DBA name WOMENS CARE INC.
Plan sponsor’s address 407 EAST AVENUE, SUITE 150, PAWTUCKET, RI, 02860

Plan administrator’s name and address

Administrator’s EIN 050501178
Plan administrator’s name A.W.C.R.I. MEDICAL GROUP, INC.
Plan administrator’s address 407 EAST AVENUE, SUITE 150, PAWTUCKET, RI, 02860
Administrator’s telephone number 4016161685

Signature of

Role Plan administrator
Date 2012-08-09
Name of individual signing PABLO RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
WOMEN'S CARE 401(K) PLAN 2010 050501178 2011-08-19 A.W.C.R.I. MEDICAL GROUP, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4016161685
Plan sponsor’s DBA name WOMENS CARE INC.
Plan sponsor’s address 407 EAST AVENUE, SUITE 150, PAWTUCKET, RI, 02860

Plan administrator’s name and address

Administrator’s EIN 050501178
Plan administrator’s name A.W.C.R.I. MEDICAL GROUP, INC.
Plan administrator’s address 407 EAST AVENUE, SUITE 150, PAWTUCKET, RI, 02860
Administrator’s telephone number 4016161685

Signature of

Role Plan administrator
Date 2011-08-19
Name of individual signing PABLO RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-19
Name of individual signing PABLO RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
WOMEN'S CARE 401(K) PLAN 2009 050501178 2010-08-03 A.W.C.R.I. MEDICAL GROUP, INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4016161685
Plan sponsor’s DBA name WOMENS CARE INC.
Plan sponsor’s address 407 EAST AVENUE, SUITE 150, PAWTUCKET, RI, 02860

Plan administrator’s name and address

Administrator’s EIN 050501178
Plan administrator’s name A.W.C.R.I. MEDICAL GROUP, INC.
Plan administrator’s address 407 EAST AVENUE, SUITE 150, PAWTUCKET, RI, 02860
Administrator’s telephone number 4016161685

Signature of

Role Plan administrator
Date 2010-08-03
Name of individual signing PABLO RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DON E. WINEBERG, ESQ. Agent ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
PABLO RODRIGUEZ MD PRESIDENT 21 DIVISION STREET PAWTUCKET, RI 02860 USA

TREASURER

Name Role Address
DEBRA L. GOLDMAN MD TREASURER 21 DIVISION STREET PAWTUCKET, RI 02860 USA

SECRETARY

Name Role Address
PABLO RODRIGUEZ MD SECRETARY 21 DIVISION STREET PAWTUCKET, RI 02860 USA

VICE PRESIDENT

Name Role Address
CARROLL A. MEDEIROS MD VICE PRESIDENT 21 DIVISION STREET PAWTUCKET, RI 02860 USA

Events

Type Date Old Value New Value
Merged 2002-05-01 AHC Rhode Island, Inc. on A.W.C.R.I. Medical Group, Inc.

Filings

Number Name File Date
201988318330 Annual Report 2019-03-08
201988318060 Articles of Dissolution 2019-03-08
201877027390 Annual Report 2018-09-06
201875474600 Revocation Notice For Failure to File An Annual Report 2018-08-24
201730661710 Annual Report 2017-01-23
201690404130 Annual Report 2016-01-12
201554833650 Annual Report 2015-02-10
201432969880 Annual Report 2014-01-14
201312438130 Annual Report 2013-02-22
201290194710 Annual Report 2012-02-27

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State