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  5. Theodore C. Palumbo, M.D., Inc.

Theodore C. Palumbo, M.D., Inc.

Company Details

Name: Theodore C. Palumbo, M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 30 Jun 1999 (26 years ago)
Date of Dissolution: 28 Feb 2012 (13 years ago)
Date of Status Change: 28 Feb 2012 (13 years ago)
Identification Number: 000107188
ZIP code: 02905
County: Providence County
Principal Address: 33 STANIFORD STREET, PROVIDENCE, RI, 02905, USA
Purpose: TO ENGAGE PRIMARILY IN THE SPECIFIC BUSINESS OF PRACTICING MEDICINE.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THEODORE C. PALUMBO, M.D., INC. PROFIT SHARING PLAN 2011 050505606 2012-07-13 THEODORE C. PALUMBO, 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 050505606
Plan administrator’s name THEODORE C. PALUMBO, 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 2012-07-13
Name of individual signing THEODORE C. PALUMBO, M.D.
Valid signature Filed with authorized/valid electronic signature
THEODORE C. PALUMBO, M.D., INC. PROFIT SHARING PLAN 2010 050505606 2011-07-01 THEODORE C. PALUMBO, 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 050505606
Plan administrator’s name THEODORE C. PALUMBO, 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 2011-07-01
Name of individual signing THEODORE C. PALUMBO, M.D.
Valid signature Filed with authorized/valid electronic signature
THEODORE C. PALUMBO, M.D., INC. PROFIT SHARING PLAN 2009 050505606 2010-10-08 THEODORE C. PALUMBO, 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 050505606
Plan administrator’s name THEODORE C. PALUMBO, 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 2010-10-08
Name of individual signing CAROL LIPMAN
Valid signature Filed with authorized/valid electronic signature

Agent

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

PRESIDENT

Name Role Address
THEODORE C PALUMBO MD PRESIDENT 33 STANIFORD STREET PROVIDENCE, RI 02905 USA

Filings

Number Name File Date
201290325330 Articles of Dissolution 2012-02-28
201175142100 Statement of Change of Registered/Resident Agent 2011-02-17
201174253320 Annual Report 2011-01-31
201058480080 Annual Report 2010-02-17
200942440780 Annual Report 2009-02-17
200704972580 Annual Report 2007-12-27

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. Thomas E. Sepe, 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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