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  5. CHAMPION UROLOGY, LTD

CHAMPION UROLOGY, LTD

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Company Details

Name: CHAMPION UROLOGY, LTD
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 24 Dec 2001 (24 years ago)
Date of Dissolution: 13 Jan 2021 (5 years ago)
Date of Status Change: 13 Jan 2021 (5 years ago)
Identification Number: 000121932
ZIP code: 02891
City: Westerly
County: Washington County
Purpose: MEDICAL PRACTICE
Principal Address: Google Maps Logo 35 WELLS STREET, WESTERLY, RI, 02891, USA

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or 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. Learn more at the U.S. Census Bureau

Companies doing Offices of physicians (except mental health specialists)

Agent

Name Role Address
WILLIAM A. NARDONE Agent 42 GRANITE STREET, WESTERLY, RI, 02891, USA

PRESIDENT

Name Role Address
FRANKLIN F LEDDY MD PRESIDENT 35 WELLS STREET WESTERLY, RI 02891- USA

Links between entities

Type:
Headquarter of
Company Number:
1056994
State:
CONNECTICUT
CONNECTICUT profile:
CHAMPION UROLOGY, LTD (CT)

National Provider Identifier

NPI Number:
1013925965
Link:
View on NPI website

Authorized Person:

Name:
MRS. CONSTANCE LIN LUTZEL
Role:
OFFICE MANAGER
Phone:
4015960964

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
No
Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
No
Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Phone:
+1 401-596-0964
Fax:
4015968634

Form 5500 Series

Employer Identification Number (EIN):
020537108
Plan Year:
2023
Number Of Participants:
14
Plan Name:
401(K)
Sponsor's telephone number:
4015960964
File:
View File
Plan Administrator / Signatory:
FRANKLIN LEDDY(Plan administrator)
Plan Year:
2023
Number Of Participants:
15
Plan Name:
401(K)
Sponsor's telephone number:
4015960964
File:
View File
Plan Administrator / Signatory:
FRANKLIN LEDDY(Plan administrator)
Plan Year:
2018
Number Of Participants:
14
Plan Name:
401(K)
Sponsor's telephone number:
4015960964
File:
View File
Plan Administrator / Signatory:
FRANKLIN LEDDY(Plan administrator)
Plan Year:
2017
Number Of Participants:
14
Plan Name:
401(K)
Sponsor's telephone number:
4015960964
File:
View File
Plan Year:
2016
Number Of Participants:
10
Plan Name:
401(K)
Sponsor's telephone number:
4015960964
File:
View File

Filings

Number Name File Date
202186019090 Articles of Dissolution 2021-01-13
202038668940 Annual Report 2020-04-24
202038669370 Annual Report 2020-04-24
202038668850 Reinstatement 2020-04-24
201924576930 Revocation Certificate For Failure to File the Annual Report for the Year 2019-10-18

Uniform Commercial Code

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
202329971940
Filing Date:
2023-12-13
Action:
Continuation

Parties

Party Name:
CHAMPION UROLOGY, LTD
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
201921000230
Filing Date:
2019-04-19
Action:
InitialFiling

Parties

Party Name:
CHAMPION UROLOGY, LTD
Party Role:
Debtor(s)
Party Name:
Westerly Community Credit Union
Party Role:
Secured Parties

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35 WELLS STREET, WESTERLY, RI, 02891, USA

ACTIVE ORTHOPEDIC ASSOCIATES, INC.
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ACTIVE ORTHOPEDIC ASSOCIATES, INC., which currently Revoked Entity, had registered address 35 WELLS STREET, WESTERLY, RI, 02891, USA.
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LEDDY UROLOGY PROPERTIES, LLC, which currently Dissolved, had registered address 35 WELLS STREET, WESTERLY, RI, 02891, USA.
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ADVANCED SPINE AND PAIN MANAGEMENT, INC.
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Date of last update: 10 Jul 2025

Sources: Rhode Island Department of State

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