| 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 DentistsThis industry comprises establishments of health practitioners having the degree of D.M.D. (Doctor of Dental Medicine), D.D.S. (Doctor of Dental Surgery), or D.D.Sc. (Doctor of Dental Science) primarily engaged in the independent practice of general or specialized dentistry or dental surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. They can provide either comprehensive preventive, cosmetic, or emergency care, or specialize in a single field of dentistry. Learn more at the U.S. Census Bureau
| 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: 10 Apr 2025
Sources: Rhode Island Department of State
