| Name: | Anchor Medical Associates |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 09 Nov 1999 (25 years ago) |
| Identification Number: | 000109191 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | ONE COMMERCE STREET, LINCOLN, RI, 02865, USA |
| Purpose: | TO PROVIDE MEDICAL SERVICES TO THE SICK AND INJURED. |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
Anchor Pediatric Associates (trading name, 2000-01-05 - ) |
| Historical names: |
AM Health Professionals |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANCHOR MEDICAL ASSOCIATES RETIREMENT PLAN | 2009 | 050508079 | 2010-10-06 | ANCHOR MEDICAL ASSOCIATES | 29 | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 050508079 |
| Plan administrator’s name | ANCHOR MEDICAL ASSOCIATES |
| Plan administrator’s address | ONE COMMERCE STREET, 2ND FLOOR, LINCOLN, RI, 02865 |
| Administrator’s telephone number | 4017938392 |
Number of participants as of the end of the plan year
| Active participants | 27 |
| 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 | 26 |
| 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 | 2010-10-06 |
| Name of individual signing | REX APPENFELLER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DON E. WINEBERG, ESQ. | Agent | ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| NATHAN B. BERAHA MD | PRESIDENT | ONE COMMERCE STREET LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| ROBERT H COHEN MD | TREASURER | ONE COMMERCE STREET LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| KATHLEEN M. HENDERSON MD | CHAIRMAN OF THE BOARD | 1 COMMERCE ST., STE 200 LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| MALINI C GILLEN MD | BOARD MEMBER | 1 COMMERCE ST., STE 100 LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| STEPHANIE P FAVREAU MD | DIRECTOR | 400 BALD HILL RD., STE 520 WARWICK, RI 02886 USA |
| WALTER J. GOULA MD | DIRECTOR | 180 CORLISS STREET PROVIDENCE, RI 02904 USA |
| DIANE R. SIEDLECKI MD | DIRECTOR | 180 CORLISS STREET PROVIDENCE, RI 02904 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2000-01-05 | AM Health Professionals | Anchor Medical Associates |
| Number | Name | File Date |
|---|---|---|
| 202447453720 | Annual Report | 2024-02-28 |
| 202328233210 | Annual Report | 2023-02-13 |
| 202211752820 | Annual Report | 2022-02-28 |
| 202197338430 | Annual Report | 2021-06-01 |
| 202040857600 | Annual Report | 2020-05-26 |
| 201994963090 | Annual Report | 2019-06-01 |
| 201868403790 | Annual Report | 2018-06-04 |
| 201745385410 | Annual Report | 2017-06-13 |
| 201699601530 | Annual Report | 2016-05-31 |
| 201561939730 | Annual Report | 2015-05-26 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
