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  5. Ocean State Pediatrics, Inc.

Ocean State Pediatrics, Inc.

Company Details

Name: Ocean State Pediatrics, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 17 Feb 1999 (26 years ago)
Identification Number: 000104934
ZIP code: 02818
County: Kent County
Principal Address: 1672 SOUTH COUNTY TRAIL SUITE 201, EAST GREENWICH, RI, 02818, USA
Purpose: TO PROVIDE PEDIATRIC HEALTH CARE SERVICES TO PATIENTS.
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760526214 2007-02-17 2022-02-14 1672 S COUNTY TRL STE 201, EAST GREENWICH, RI, 028185099, US 1672 S COUNTY TRL STE 201, EAST GREENWICH, RI, 028185099, US

Contacts
Phone +1 401-886-7881

Authorized person
Name HOWARD G SILVERSMITH
Role MD
Phone 4018867881

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
License Number 10269
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OCEAN STATE PEDIATRICS INC 401(K) PROFIT SHARING PLAN & TRUST 2023 050503868 2024-05-08 OCEAN STATE PEDIATRICS INC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 4018867881
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2024-05-08
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE PEDIATRICS INC 401(K) PROFIT SHARING PLAN & TRUST 2022 050503868 2023-05-03 OCEAN STATE PEDIATRICS INC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 4018867881
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2023-05-03
Name of individual signing DEBORAH ZINCK, M.D.
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE PEDIATRICS INC 401(K) PROFIT SHARING PLAN & TRUST 2021 050503868 2022-04-16 OCEAN STATE PEDIATRICS INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 4018867881
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2022-04-16
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE PEDIATRICS INC 401(K) PROFIT SHARING PLAN & TRUST 2020 050503868 2021-04-18 OCEAN STATE PEDIATRICS INC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 4018867881
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2021-04-18
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE PEDIATRICS INC 401(K) PROFIT SHARING PLAN & TRUST 2019 050503868 2020-05-08 OCEAN STATE PEDIATRICS INC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 4018867881
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2020-05-08
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE PEDIATRICS INC 401 K PROFIT SHARING PLAN TRUST 2018 050503868 2019-05-22 OCEAN STATE PEDIATRICS INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 4018867881
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2019-05-22
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE PEDIATRICS INC 401 K PROFIT SHARING PLAN TRUST 2017 050503868 2018-04-28 OCEAN STATE PEDIATRICS INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 4018867881
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2018-04-28
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE PEDIATRICS INC 401 K PROFIT SHARING PLAN TRUST 2016 050503868 2017-05-29 OCEAN STATE PEDIATRICS INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 4018867881
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2017-05-29
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE PEDIATRICS INC 401 K PROFIT SHARING PLAN TRUST 2015 050503868 2016-05-30 OCEAN STATE PEDIATRICS INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 4018867881
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2016-05-30
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE PEDIATRICS INC 401 K PROFIT SHARING PLAN TRUST 2014 050503868 2015-06-10 OCEAN STATE PEDIATRICS INC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 4018867881
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2015-06-10
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/15/20140615071627P030387729827001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-06-01
Business code 621111
Sponsor’s telephone number 4018867881
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818

Signature of
Role Plan administrator
Date 2014-06-15
Name of individual signing DEBORAH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/25/20120525092443P040002259300001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-03-30
Business code 621111
Sponsor’s telephone number 4012940220
Plan sponsor’s mailing address 1672 SOUTH COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 050503868
Plan administrator’s name OCEAN STATE PEDIATRICS
Plan administrator’s address 1672 SOUTH COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4012940220

Number of participants as of the end of the plan year
Active participants 18
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 18
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-05-25
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/12/21/20121221150017P030000602103001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-03-30
Business code 621111
Sponsor’s telephone number 4012940220
Plan sponsor’s mailing address 1672 SOUTH COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 050503868
Plan administrator’s name OCEAN STATE PEDIATRICS
Plan administrator’s address 1672 SOUTH COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4012940220

Number of participants as of the end of the plan year
Active participants 15
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 18
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2012-12-21
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2007-03-30
Business code 621111
Sponsor’s telephone number 4012940220
Plan sponsor’s mailing address 1672 SOUTH COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818
Plan sponsor’s address 1672 SOUTH COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 050503868
Plan administrator’s name OCEAN STATE PEDIATRICS
Plan administrator’s address 1672 SOUTH COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4012940220

Number of participants as of the end of the plan year
Active participants 15
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 18
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2012-05-25
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2007-03-30
Business code 621111
Sponsor’s telephone number 4012940220
Plan sponsor’s mailing address 1672 S. COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818
Plan sponsor’s address 1672 S. COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 050503868
Plan administrator’s name OCEAN STATE PEDIATRICS
Plan administrator’s address 1672 S. COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4012940220

Number of participants as of the end of the plan year
Active participants 14
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 15
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2010-06-27
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2007-03-30
Business code 621111
Sponsor’s telephone number 4012940220
Plan sponsor’s mailing address 1672 S. COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818
Plan sponsor’s address 1672 S. COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 050503868
Plan administrator’s name OCEAN STATE PEDIATRICS
Plan administrator’s address 1672 S. COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4012940220

Number of participants as of the end of the plan year
Active participants 14
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 15
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2010-06-27
Name of individual signing DEBORAH ZINCK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/07/20100707080542P040016507316001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-03-30
Business code 621111
Sponsor’s telephone number 4012940220
Plan sponsor’s mailing address 1672 S. COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818
Plan sponsor’s address 1672 S. COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818

Plan administrator’s name and address
Administrator’s EIN 050503868
Plan administrator’s name OCEAN STATE PEDIATRICS
Plan administrator’s address 1672 S. COUNTY TRAIL, SUITE 201, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4012940220

Number of participants as of the end of the plan year
Active participants 14
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 15
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing DEBORAH ZINCK
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
DEBORAH A ZINCK M.D. PRESIDENT 1672 SOUTH COUNTY TRAIL SUITE 201 EAST GREENWICH, RI 02818 USA

TREASURER

Name Role Address
DEBORAH A ZINCK M.D. TREASURER 1672 SOUTH COUNTY TRAIL SUITE 201 EAST GREENWICH, RI 02818 USA

SECRETARY

Name Role Address
ANNE E NOEL M.D. SECRETARY 1672 SOUTH COUNTY TRAIL SUITE 201 EAST GREENWICH, RI 02818 USA

VICE PRESIDENT

Name Role Address
HOWARD G SILVERSMITH M.D. VICE PRESIDENT 1672 SOUTH COUNTY TRAIL SUITE 201 EAST GREENWICH, RI 02818 USA

Filings

Number Name File Date
202445309380 Annual Report 2024-02-02
202327537940 Annual Report 2023-02-05
202209131440 Annual Report 2022-02-02
202185458070 Annual Report 2021-01-09
202032581560 Annual Report 2020-01-18
201984287900 Annual Report 2019-01-13
201856286910 Annual Report 2018-01-17
201729583890 Annual Report 2017-01-06
201691143010 Annual Report 2016-01-24
201552677850 Annual Report 2015-01-03

Related by officers

DON E. WINEBERG, ESQ.

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Related by address

No related companies by address

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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