| Name: | Leland S. Blough, Jr., D.M.D., Ltd. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 18 Jan 2000 (25 years ago) |
| Date of Dissolution: | 31 Dec 2018 (6 years ago) |
| Date of Status Change: | 31 Dec 2018 (6 years ago) |
| Identification Number: | 000110434 |
| ZIP code: | 02888 |
| County: | Kent County |
| Principal Address: | 33 COLLEGE HILL ROAD SUITE 5A, WARWICK, RI, 02888, USA |
| Purpose: | THE PERFORMANCE AND RENDERING OF SERVICES CONSISTENT WITH THE PROFESSION OF ORAL AND MAXILLOFACIAL SURGERY. |
| NAICS: | 621210 - Offices of Dentists |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LELAND S BLOUGH JR D M D LTD 401 K PROFIT SHARING PLAN TRUST | 2016 | 050509690 | 2017-07-19 | LELAND S BLOUGH JR D M D LTD | 8 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2017-07-19 |
| Name of individual signing | LELAND S BLOUGH JR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 4018283688 |
| Plan sponsor’s address | 33 COLLEGE HILL RD STE 5A, WARWICK, RI, 028862776 |
Signature of
| Role | Plan administrator |
| Date | 2016-06-20 |
| Name of individual signing | LELAND BLOUGH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 4018283688 |
| Plan sponsor’s address | 33 COLLEGE HILL RD STE 5A, WARWICK, RI, 028862776 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-31 |
| Name of individual signing | LELAND S BLOUGH JR DMD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 4018283688 |
| Plan sponsor’s address | 33 COLLEGE HILL RD STE 5A, WARWICK, RI, 028862776 |
Signature of
| Role | Plan administrator |
| Date | 2014-05-30 |
| Name of individual signing | LELAND S BLOUGH JR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MITCHELL S. RIFFKIN | Agent | 631 JEFFERSON BOULEVARD, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| LELAND S BLOUGH JR. | PRESIDENT | 529 MATTESON ROAD COVENTRY, RI 02816- USA |
| Number | Name | File Date |
|---|---|---|
| 201882658910 | Articles of Dissolution | 2018-12-14 |
| 201857045750 | Annual Report | 2018-01-26 |
| 201734840940 | Annual Report | 2017-02-23 |
| 201691639270 | Annual Report | 2016-02-01 |
| 201552701780 | Annual Report | 2015-01-02 |
| 201432988340 | Annual Report | 2014-01-14 |
| 201309814660 | Annual Report | 2013-01-14 |
| 201289813570 | Annual Report | 2012-02-16 |
| 201175565620 | Annual Report | 2011-02-23 |
| 201055829990 | Annual Report | 2010-01-04 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
