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  5. Alliance ENT, Inc.

Alliance ENT, Inc.

Company Details

Name: Alliance ENT, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 20 Dec 1999 (25 years ago)
Date of Dissolution: 22 Dec 2015 (9 years ago)
Date of Status Change: 22 Dec 2015 (9 years ago)
Identification Number: 000109808
ZIP code: 02904
County: Providence County
Principal Address: 845 NORTH MAIN STREET UNIT ONE, PROVIDENCE, RI, 02904, USA
Purpose: TO PROVIDE HEALTH CARE SERVICES TO PATIENTS.
Fictitious names: Alliance Hearing Center (trading name, 2000-01-12 - )
Alliance ENT (trading name, 2000-01-05 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891719563 2006-07-27 2011-02-08 845 N MAIN ST, SUITE 1, PROVIDENCE, RI, 029045700, US 845 N MAIN ST, SUITE 1, PROVIDENCE, RI, 029045700, US

Contacts
Phone +1 401-331-9690
Fax 4013319609

Authorized person
Name DR. FREDERICK A. GODLEY
Role PRESIDENT
Phone 4013319690

Taxonomy
Taxonomy Code 207Y00000X - Otolaryngology Physician
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALLIANCE ENT, INC. 401(K) RETIREMENT PLAN 2015 050508200 2016-02-09 ALLIANCE ENT, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-03-01
Business code 621498
Sponsor’s telephone number 4013319690
Plan sponsor’s address 845 N MAIN ST STE 1, PROVIDENCE, RI, 029045700

Signature of
Role Plan administrator
Date 2016-02-09
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-09
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature
ALLIANCE ENT, INC. 401(K) RETIREMENT PLAN 2014 050508200 2015-04-13 ALLIANCE ENT, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-03-01
Business code 621498
Sponsor’s telephone number 4013319690
Plan sponsor’s address 845 N MAIN ST STE 1, PROVIDENCE, RI, 029045700

Signature of
Role Plan administrator
Date 2015-04-13
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-13
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature
ALLIANCE ENT, INC. 401(K) RETIREMENT PLAN 2013 050508200 2014-04-07 ALLIANCE ENT, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-03-01
Business code 621498
Sponsor’s telephone number 4013319690
Plan sponsor’s address 845 N MAIN ST STE 1, PROVIDENCE, RI, 029045700

Signature of
Role Plan administrator
Date 2014-04-07
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-07
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature
ALLIANCE ENT, INC. 401(K) RETIREMENT PLAN 2012 050508200 2013-06-21 ALLIANCE ENT, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-03-01
Business code 621498
Sponsor’s telephone number 4013319690
Plan sponsor’s address 845 N MAIN ST STE 1, PROVIDENCE, RI, 029045700

Signature of
Role Plan administrator
Date 2013-06-21
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-21
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature
ALLIANCE ENT, INC. 401(K) RETIREMENT PLAN 2011 050508200 2012-07-27 ALLIANCE ENT, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-03-01
Business code 621498
Sponsor’s telephone number 4013319690
Plan sponsor’s address 845 N MAIN ST STE 1, PROVIDENCE, RI, 029045700

Plan administrator’s name and address
Administrator’s EIN 050508200
Plan administrator’s name ALLIANCE ENT, INC.
Plan administrator’s address 845 N MAIN ST STE 1, PROVIDENCE, RI, 029045700
Administrator’s telephone number 4013319690

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-27
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature
ALLIANCE ENT, INC. 401(K) RETIREMENT PLAN 2010 050508200 2011-09-01 ALLIANCE ENT, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-03-01
Business code 621498
Sponsor’s telephone number 4013319690
Plan sponsor’s address 845 N MAIN ST STE 1, PROVIDENCE, RI, 029045700

Plan administrator’s name and address
Administrator’s EIN 050508200
Plan administrator’s name ALLIANCE ENT, INC.
Plan administrator’s address 845 N MAIN ST STE 1, PROVIDENCE, RI, 029045700
Administrator’s telephone number 4013319690

Signature of
Role Plan administrator
Date 2011-09-01
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-01
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature
ALLIANCE ENT, INC. 401(K) RETIREMENT PLAN 2009 050508200 2010-08-03 ALLIANCE ENT, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-03-01
Business code 621498
Sponsor’s telephone number 4013319690
Plan sponsor’s address 845 N MAIN ST STE 1, PROVIDENCE, RI, 029045700

Plan administrator’s name and address
Administrator’s EIN 050508200
Plan administrator’s name ALLIANCE ENT, INC.
Plan administrator’s address 845 N MAIN ST STE 1, PROVIDENCE, RI, 029045700
Administrator’s telephone number 4013319690

Signature of
Role Plan administrator
Date 2010-08-03
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-03
Name of individual signing FREDERICK GODLEY
Valid signature Filed with authorized/valid electronic signature

TREASURER

Name Role Address
FREDERICK GODLEY M.D. TREASURER 845 NORTH MAIN ST., PROVIDENCE, RI 02904 USA

SECRETARY

Name Role Address
PAUL CHRISTU M.D. SECRETARY 845 NORTH MAIN ST., UNIT 1 PROVIDENCE, RI 02904 USA

PRESIDENT

Name Role Address
FREDERICK GODLEY MD PRESIDENT 845 NORTH MAIN STREET, UNIT ONE PROVIDENCE, RI 02904 USA

VICE PRESIDENT

Name Role Address
DANIEL NADEAU M.D. VICE PRESIDENT 845 NORTH MAIN ST., STE 1 PROVIDENCE, RI 02904 USA

DIRECTOR

Name Role Address
FREDERICK GODLEY M.D. DIRECTOR 845 NORTH MAIN ST., UNIT 1 PROVIDENCE, RI 02904 USA
PAUL CHRISTU M.D. DIRECTOR 845 NORTH MAIN ST., UNIT 1 PROVIDENCE, RI 02904 USA
DANIEL NADEAU M.D. DIRECTOR 845 NORTH MAIN ST., STE 1 PROVIDENCE, RI 02904 USA

Filings

Number Name File Date
201924435930 Agent Resigned 2019-10-03
201589646210 Articles of Dissolution 2015-12-22
201558116380 Annual Report 2015-03-27
201434447980 Annual Report 2014-01-29
201310249990 Annual Report 2013-01-24
201289877770 Annual Report 2012-02-21
201173246080 Annual Report 2011-01-06
201055954890 Annual Report 2010-01-07
200941524670 Annual Report 2009-01-29
200940018530 Statement of Change of Registered/Resident Agent Office 2009-01-07

Related by officers

FREDERICK GODLEY MD

Association of Migraine Disorders

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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