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Beverly C. Walters, M.D., Inc.

Company Details

Name: Beverly C. Walters, M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 12 Aug 1999 (26 years ago)
Date of Dissolution: 14 Sep 2020 (4 years ago)
Date of Status Change: 14 Sep 2020 (4 years ago)
Identification Number: 000107853
Principal Address: 270 WOODSIDE LAKE DRIVE, ORMOND BEACH, FL, 32174, USA
Purpose: TO RENDER PROFESSIONAL SERVICES BY PERSONS AUTHORIZED TO PRACTICE MEDICINE IN THE STATE OF RI
NAICS: 621399 - Offices of All Other Miscellaneous Health Practitioners
Fictitious names: EBM Advisors (trading name, 2007-04-26 - )

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BEVERLY C. WALTERS, M.D., INC. RETIREMENT PLAN 2016 050506764 2017-11-16 BEVERLY C. WALTERS, M.D., INC. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4015299233
Plan sponsor’s address 48 NORTH COURT STREET, UNIT #3, PROVIDENCE, RI, 02903
BEVERLY C. WALTERS, M.D., INC. 401(K) PLAN 2016 050506764 2017-11-16 BEVERLY C. WALTERS, M.D., INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4015299233
Plan sponsor’s address 48 NORTH COURT STREET, UNIT #3, PROVIDENCE, RI, 02903
BEVERLY C. WALTERS, M.D., INC. 401(K) PLAN 2016 050506764 2017-07-10 BEVERLY C. WALTERS, M.D., INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4015299233
Plan sponsor’s address 48 NORTH COURT STREET, UNIT #3, PROVIDENCE, RI, 02903
BEVERLY C. WALTERS, M.D., INC. RETIREMENT PLAN 2016 050506764 2017-07-18 BEVERLY C. WALTERS, M.D., INC. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4015299233
Plan sponsor’s address 48 NORTH COURT STREET, UNIT #3, PROVIDENCE, RI, 02903
BEVERLY C. WALTERS, M.D., INC. 401(K) PLAN 2015 050506764 2016-10-14 BEVERLY C. WALTERS, M.D., INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4015299233
Plan sponsor’s address 48 NORTH COURT STREET, UNIT #3, PROVIDENCE, RI, 02903
BEVERLY C. WALTERS, M.D., INC. RETIREMENT PLAN 2015 050506764 2016-10-14 BEVERLY C. WALTERS, M.D., INC. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4015299233
Plan sponsor’s address 48 NORTH COURT STREET, UNIT #3, PROVIDENCE, RI, 02903
BEVERLY C. WALTERS, M.D., INC. RETIREMENT PLAN 2014 050506764 2015-10-12 BEVERLY C. WALTERS, M.D., INC. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4015299233
Plan sponsor’s address 48 NORTH COURT STREET, UNIT #3, PROVIDENCE, RI, 02903

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing BEVERLY C. WALTERS
Valid signature Filed with authorized/valid electronic signature
BEVERLY C. WALTERS, M.D., INC. 401(K) PLAN 2014 050506764 2015-10-12 BEVERLY C. WALTERS, M.D., INC. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 4015299233
Plan sponsor’s address 48 NORTH COURT STREET, UNIT #3, PROVIDENCE, RI, 02903

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing BEVERLY C. WALTERS
Valid signature Filed with authorized/valid electronic signature

PRESIDENT

Name Role Address
BEVERLY C. WALTERS PRESIDENT 270 WOODSIDE LAKE DRIVE ORMOND BEACH, FL 32174 USA

TREASURER

Name Role Address
BEVERLY C. WALTERS TREASURER 270 WOODSIDE LAKE DRIVE ORMOND BEACH, FL 32174 USA

SECRETARY

Name Role Address
BEVERLY C. WALTERS SECRETARY 270 WOODSIDE LAKE DRIVE ORMOND BEACH, FL 32174 USA

DIRECTOR

Name Role Address
BEVERLY C. WALTERS DIRECTOR 270 WOODSIDE LAKE DRIVE ORMOND BEACH, FL 32174 USA

Filings

Number Name File Date
202054525250 Revocation Certificate For Failure to Maintain a Registered Agent 2020-09-14
202035897820 Revocation Notice For Failure to Maintain a Registered Agent 2020-03-05
202032684810 Agent Resigned 2020-01-13
201996229680 Statement of Change of Registered/Resident Agent Office 2019-06-10
201985287170 Annual Report 2019-01-28
201857544460 Annual Report 2018-02-01
201735090470 Annual Report 2017-02-27
201694714280 Annual Report 2016-03-14
201555056120 Annual Report 2015-02-13
201434928920 Annual Report 2014-01-31

Related by officers

No related officers

Related by address

270 WOODSIDE LAKE DRIVE, ORMOND BEACH, FL, 32174, USA

Walko Investments, LLC

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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