| Name: | University Neurosurgery, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 21 Jul 1999 (26 years ago) |
| Date of Dissolution: | 06 Nov 2014 (10 years ago) |
| Date of Status Change: | 06 Nov 2014 (10 years ago) |
| Identification Number: | 000107510 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | 1 DAVOL SQUARE SUITE 302, PROVIDENCE, RI, 02903, USA |
| Purpose: | TO RENDER PROFESSIONAL SERVICES BY PERSONS AUTHORIZED TO PRACTICE MEDICINE IN THE STATE OF RHODE ISLAND. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134106768 | 2005-12-23 | 2020-08-22 | 1 DAVOL SQ, PROVIDENCE, RI, 029034755, US | 1 DAVOL SQ, PROVIDENCE, RI, 029034755, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 401-621-8700 |
Authorized person
| Name | ANGELA CARRERA |
| Role | OFFICE MANAGER |
| Phone | 4016218700 |
Taxonomy
| Taxonomy Code | 207T00000X - Neurological Surgery Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY NEUROSURGERY, INC. RETIREMENT PLAN | 2010 | 050506728 | 2010-11-04 | UNIVERSITY NEUROSURGERY, INC. | 6 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 050506728 |
| Plan administrator’s name | UNIVERSITY NEUROSURGERY, INC. |
| Plan administrator’s address | ONE DAVOL SQUARE, PROVIDENCE, RI, 02903 |
| Administrator’s telephone number | 4016218700 |
Signature of
| Role | Plan administrator |
| Date | 2010-11-04 |
| Name of individual signing | LINDA DOBERSTEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-04-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4016218700 |
| Plan sponsor’s address | ONE DAVOL SQUARE, PROVIDENCE, RI, 02903 |
Plan administrator’s name and address
| Administrator’s EIN | 050506728 |
| Plan administrator’s name | UNIVERSITY NEUROSURGERY, INC. |
| Plan administrator’s address | ONE DAVOL SQUARE, PROVIDENCE, RI, 02903 |
| Administrator’s telephone number | 4016218700 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-27 |
| Name of individual signing | LINDA DOBERSTEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ROBERT K. TAYLOR, ESQ. | Agent | PARTRIDGE SNOW & HAHN LLP 40 WESTMINSTER STREET SUITE 1100, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| ADETOKUMBO A. OYELESE | PRESIDENT | 1 DAVOL SQUARE, SUITE 302 PROVIDENCE, RI 02903 USA |
| Number | Name | File Date |
|---|---|---|
| 201449493060 | Revocation Certificate For Failure to File the Annual Report for the Year | 2014-11-06 |
| 201439467550 | Revocation Notice For Failure to File An Annual Report | 2014-05-20 |
| 201327022340 | Statement of Change of Registered/Resident Agent Office | 2013-08-21 |
| 201313553580 | Annual Report | 2013-03-06 |
| 201291597420 | Annual Report | 2012-03-30 |
| 201176247840 | Annual Report | 2011-03-07 |
| 201176248450 | Annual Report | 2011-03-07 |
| 201176248540 | Annual Report | 2011-03-07 |
| 201176247570 | Reinstatement | 2011-03-07 |
| 200952947330 | Revocation Certificate For Failure to File the Annual Report for the Year | 2009-10-21 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
