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  5. STACEY A. HATTAN, DVM, INC.

STACEY A. HATTAN, DVM, INC.

Company Details

Name: STACEY A. HATTAN, DVM, INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 25 Aug 2000 (24 years ago)
Identification Number: 000114168
ZIP code: 02825
County: Providence County
Principal Address: 9 CUCUMBER HILL ROAD, FOSTER, RI, 02825, USA
Purpose: VETERINARY MEDICAL SERVICES
NAICS: 541940 - Veterinary Services

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STACEY A HATTAN DVM INC 401(K) PROFIT SHARING PLAN & TRUST 2023 050513665 2024-05-20 STACEY A HATTAN DVM INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Signature of
Role Plan administrator
Date 2024-05-20
Name of individual signing STACEY HATTAN
Valid signature Filed with authorized/valid electronic signature
STACEY A HATTAN DVM INC 401(K) PROFIT SHARING PLAN & TRUST 2022 050513665 2023-05-04 STACEY A HATTAN DVM INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Signature of
Role Plan administrator
Date 2023-05-04
Name of individual signing STACEY HATTAN
Valid signature Filed with authorized/valid electronic signature
STACEY A HATTAN DVM INC 401(K) PROFIT SHARING PLAN & TRUST 2021 050513665 2022-08-04 STACEY A HATTAN DVM INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Signature of
Role Plan administrator
Date 2022-08-04
Name of individual signing STACEY HATTAN
Valid signature Filed with authorized/valid electronic signature
STACEY A HATTAN DVM INC 401(K) PROFIT SHARING PLAN & TRUST 2020 050513665 2021-07-07 STACEY A HATTAN DVM INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Signature of
Role Plan administrator
Date 2021-07-07
Name of individual signing STACEY HATTAN
Valid signature Filed with authorized/valid electronic signature
STACEY A HATTAN DVM INC 401(K) PROFIT SHARING PLAN & TRUST 2019 050513665 2020-07-31 STACEY A HATTAN DVM INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing STACEY A HATTAN
Valid signature Filed with authorized/valid electronic signature
STACEY A HATTAN DVM INC 401 K PROFIT SHARING PLAN TRUST 2018 050513665 2019-07-30 STACEY A HATTAN DVM INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing STACEY HATTAN
Valid signature Filed with authorized/valid electronic signature
STACEY A HATTAN DVM INC 401 K PROFIT SHARING PLAN TRUST 2017 050513665 2018-07-06 STACEY A HATTAN DVM INC 6
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Signature of
Role Plan administrator
Date 2018-07-06
Name of individual signing STACEY HATTAN
Valid signature Filed with authorized/valid electronic signature
STACEY A HATTAN DVM INC 401 K PROFIT SHARING PLAN TRUST 2017 050513665 2018-07-17 STACEY A HATTAN DVM INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Signature of
Role Plan administrator
Date 2018-07-17
Name of individual signing STACEY HATTAN
Valid signature Filed with authorized/valid electronic signature
STACEY A HATTAN DVM INC 401 K PROFIT SHARING PLAN TRUST 2016 050513665 2017-07-25 STACEY A HATTAN DVM INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing STACEY HATTAN
Valid signature Filed with authorized/valid electronic signature
STACEY A HATTAN DVM INC 401 K PROFIT SHARING PLAN TRUST 2015 050513665 2016-10-14 STACEY A HATTAN DVM INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing GARY J PAZIENZA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/17/20150717085516P040118866609001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Signature of
Role Plan administrator
Date 2015-07-17
Name of individual signing GARY PAZIENZA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/31/20140731152818P040021221807001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing GARY PAZIENZA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/16/20130816115347P030448794065001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Signature of
Role Plan administrator
Date 2013-08-16
Name of individual signing STACEY A HATTAN DVM INC
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/31/20120731185758P030001297877001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211

Plan administrator’s name and address
Administrator’s EIN 050513665
Plan administrator’s name STACEY A HATTAN DVM INC
Plan administrator’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028251211
Administrator’s telephone number 4013973473

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing STACEY A HATTAN DVM INC
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/21/20110721115828P030002874739001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028250000

Plan administrator’s name and address
Administrator’s EIN 050513665
Plan administrator’s name STACEY A HATTAN DVM INC
Plan administrator’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028250000
Administrator’s telephone number 4013973473

Signature of
Role Plan administrator
Date 2011-07-21
Name of individual signing STACEY A HATTAN DVM INC
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/29/20100729115615P070073268241001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541940
Sponsor’s telephone number 4013973473
Plan sponsor’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028250000

Plan administrator’s name and address
Administrator’s EIN 050513665
Plan administrator’s name STACEY A HATTAN DVM INC
Plan administrator’s address 9 CUCUMBER HILL RD, FOSTER, RI, 028250000
Administrator’s telephone number 4013973473

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing STACEY A HATTAN DVM INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STACEY A. HATTAN, DVM Agent 9 CUCUMBER HILL ROAD, FOSTER, RI, 02825, USA

PRESIDENT

Name Role Address
STACEY A HATTAN DVM PRESIDENT 120 COONEY ROAD POMFRET CENTER, CT 06259 USA

Filings

Number Name File Date
202444805810 Annual Report 2024-01-26
202325857040 Annual Report 2023-01-09
202223214260 Annual Report 2022-10-06
202223214350 Annual Report 2022-10-06
202223214170 Reinstatement 2022-10-06
202199647260 Revocation Certificate For Failure to File the Annual Report for the Year 2021-07-29
202196797850 Revocation Notice For Failure to File An Annual Report 2021-05-19
201930345410 Annual Report 2019-12-18
201983520350 Annual Report 2019-01-02
201856330000 Annual Report 2018-01-18

Related by officers

No related officers

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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