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  5. DeCrescenzo Chiropractic, Inc.

DeCrescenzo Chiropractic, Inc.

Company Details

Name: DeCrescenzo Chiropractic, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 30 Jul 2001 (23 years ago)
Identification Number: 000119751
ZIP code: 02914
County: Providence County
Principal Address: 160 TAUNTON AVENUE, EAST PROVIDENCE, RI, 02914, USA
Purpose: TO PROVIDE CHIROPRACTIC TREATMENT AND CONSULTATION
NAICS: 621310 - Offices of Chiropractors

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013036326 2007-03-28 2014-02-19 160 TAUNTON AVE., EAST PROVIDENCE, RI, 029144533, US 160 TAUNTON AVE, EAST PROVIDENCE, RI, 029144533, US

Contacts
Phone +1 401-435-2002
Fax 4014353553

Authorized person
Name DR. GREGORY DECRESCENZO
Role OWNER/CHIROPRACTOR
Phone 4014352002

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
License Number DC395
State RI
Is Primary No
Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DECRESCENZO CHIROPRACTIC, INC. CASH BALANCE PLAN 2023 050519323 2024-07-18 DECRESCENZO CHIROPRACTIC, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 160 TAUNTON AVENUE, EAST PROVIDENCE, RI, 02914

Signature of
Role Plan administrator
Date 2024-07-18
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
DECRESCENZO CHIROPRACTIC, INC. 401(K) PROFIT SHARING PLAN 2023 050519323 2024-07-15 DECRESCENZO CHIROPRACTIC, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 160 TAUNTON AVENUE, EAST PROVIDENCE, RI, 02914

Signature of
Role Plan administrator
Date 2024-07-15
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
DECRESCENZO CHIROPRACTIC, INC. 401(K) PROFIT SHARING PLAN 2022 050519323 2023-07-14 DECRESCENZO CHIROPRACTIC, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 160 TAUNTON AVENUE, EAST PROVIDENCE, RI, 02914

Signature of
Role Plan administrator
Date 2023-07-14
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
DECRESCENZO CHIROPRACTIC, INC. CASH BALANCE PLAN 2022 050519323 2023-10-04 DECRESCENZO CHIROPRACTIC, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 160 TAUNTON AVE., EAST PROVIDENCE, RI, 02914

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
DECRESCENZO CHIROPRACTIC, INC. 401(K) PROFIT SHARING PLAN 2021 050519323 2022-09-27 DECRESCENZO CHIROPRACTIC, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 160 TAUNTON AVE., EAST PROVIDENCE, RI, 02914

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
DECRESCENZO CHIROPRACTIC, INC. CASH BALANCE PLAN 2021 050519323 2022-10-12 DECRESCENZO CHIROPRACTIC, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 160 TAUNTON AVE., EAST PROVIDENCE, RI, 02914

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
DECRESCENZO CHIROPRACTIC, INC. CASH BALANCE PLAN 2020 050519323 2021-09-24 DECRESCENZO CHIROPRACTIC, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 160 TAUNTON AVE., EAST PROVIDENCE, RI, 02914

Signature of
Role Plan administrator
Date 2021-09-24
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
DECRESCENZO CHIROPRACTIC, INC. 401(K) PROFIT SHARING PLAN 2020 050519323 2021-09-24 DECRESCENZO CHIROPRACTIC, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 160 TAUNTON AVE., EAST PROVIDENCE, RI, 02914

Signature of
Role Plan administrator
Date 2021-09-24
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
DECRESCENZO CHIROPRACTIC, INC. 401(K) PROFIT SHARING PLAN 2019 050519323 2020-07-20 DECRESCENZO CHIROPRACTIC, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 160 TAUNTON AVE., EAST PROVIDENCE, RI, 02914

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
DECRESCENZO CHIROPRACTIC, INC. 401(K) PROFIT SHARING PLAN 2018 050519323 2019-07-29 DECRESCENZO CHIROPRACTIC, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 1155 NEWPORT AVE, PAWTUCKET, RI, 02861

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/23/20180723095259P040076048455001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 160 TAUNTON AVE., EAST PROVIDENCE, RI, 02914

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/03/29/20170329171001P040074087959001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 1155 NEWPORT AVENUE, PAWTUCKET, RI, 02861

Signature of
Role Plan administrator
Date 2017-03-29
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/06/10/20160610143110P040096307933001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 1155 NEWPORT AVENUE, PAWTUCKET, RI, 02861

Signature of
Role Plan administrator
Date 2016-06-10
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/08/21/20150821102125P030018417863001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 1155 NEWPORT AVENUE, PAWTUCKET, RI, 02861

Signature of
Role Plan administrator
Date 2015-08-21
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/02/20141002163234P030011586989001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 1155 NEWPORT AVENUE, PAWTUCKET, RI, 02861

Signature of
Role Plan administrator
Date 2014-10-02
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/19/20130919092418P030390670643001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 1155 NEWPORT AVENUE, PAWTUCKET, RI, 02861

Signature of
Role Plan administrator
Date 2013-09-19
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/11/20120511151631P030000555990001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Plan sponsor’s address 1155 NEWPORT AVENUE, PAWTUCKET, RI, 02861

Plan administrator’s name and address
Administrator’s EIN 050519323
Plan administrator’s name DECRESCENZO CHIROPRACTIC, INC.
Plan administrator’s address 1155 NEWPORT AVENUE, PAWTUCKET, RI, 02861
Administrator’s telephone number 4014352002

Signature of
Role Plan administrator
Date 2012-05-11
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/19/20110519125922P040019836055001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 96 FORD FARM ROAD, TIVERTON, RI, 02878

Plan administrator’s name and address
Administrator’s EIN 050519323
Plan administrator’s name DECRESCENZO CHIROPRACTIC, INC.
Plan administrator’s address 96 FORD FARM ROAD, TIVERTON, RI, 02878
Administrator’s telephone number 4014352002

Signature of
Role Plan administrator
Date 2011-05-19
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/25/20100625094041P030016277108001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621310
Sponsor’s telephone number 4014352002
Plan sponsor’s address 96 FORD FARM ROAD, TIVERTON, RI, 02878

Plan administrator’s name and address
Administrator’s EIN 050519323
Plan administrator’s name DECRESCENZO CHIROPRACTIC, INC.
Plan administrator’s address 96 FORD FARM ROAD, TIVERTON, RI, 02878
Administrator’s telephone number 4014352002

Signature of
Role Plan administrator
Date 2010-06-23
Name of individual signing GREGORY DECRESCENZO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAMES O. REAVIS, ESQ. Agent 245 WATERMAN STREET SUITE 109, PROVIDENCE, RI, 02906, USA

TREASURER

Name Role Address
GREGORY DECRESCENZO TREASURER 96 FORD FARM ROAD TIVERTON, RI 02878 USA

SECRETARY

Name Role Address
GREGORY DECRESCENZO SECRETARY 96 FORD FARM ROAD TIVERTON, RI 02878 USA

VICE PRESIDENT

Name Role Address
SHADI SHAKOORI VICE PRESIDENT 96 FORD FARM ROAD TIVERTON, RI 02878 USA

PRESIDENT

Name Role Address
GREGORY DECRESCENZO PRESIDENT 96 FORD FARM ROAD TIVERTON, RI 02787- USA

Filings

Number Name File Date
202452353310 Annual Report 2024-04-24
202335540200 Annual Report 2023-05-11
202211650270 Annual Report 2022-02-25
202193659610 Annual Report 2021-03-07
202035038980 Annual Report 2020-02-24
201987213140 Annual Report 2019-02-21
201877165920 Statement of Change of Registered/Resident Agent 2018-09-11
201755127350 Annual Report 2017-12-17
201729450660 Annual Report 2017-01-04
201690024220 Annual Report 2016-01-05

Related by officers

JAMES O. REAVIS, ESQ.

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Related by address

160 TAUNTON AVENUE, EAST PROVIDENCE, RI, 02914, USA

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Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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