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  5. THE INDEPENDENT WOMAN, INC.

THE INDEPENDENT WOMAN, INC.

Company Details

Name: THE INDEPENDENT WOMAN, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 22 Mar 2002 (23 years ago)
Date of Dissolution: 26 Feb 2018 (7 years ago)
Date of Status Change: 26 Feb 2018 (7 years ago)
Identification Number: 000123793
ZIP code: 02886
County: Kent County
Principal Address: 400 BALDHILL ROAD SUITE 508, WARWICK, RI, 02886, USA
Purpose: GYNECOLOGIC SERVICES
NAICS: 62 - Health Care and Social Assistance

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700928579 2007-02-12 2020-08-22 400 BALD HILL RD, SUITE 508, WARWICK, RI, 028861617, US 400 BALD HILL RD, SUITE 508, WARWICK, RI, 028861617, US

Contacts
Phone +1 401-384-6293

Authorized person
Name MARY CATHERINE DEROSA
Role PHYSICIAN
Phone 4013846293

Taxonomy
Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
License Number MD07443
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE INDEPENDENT WOMAN RETIREMENT PLAN 2015 010649732 2016-10-13 THE INDEPENDENT WOMAN, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013846444
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 508, WARWICK, RI, 028861617
THE INDEPENDENT WOMAN RETIREMENT PLAN 2015 010649732 2016-10-13 THE INDEPENDENT WOMAN, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013846444
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 508, WARWICK, RI, 028861617
THE INDEPENDENT WOMAN RETIREMENT PLAN 2014 010649732 2015-06-10 THE INDEPENDENT WOMAN, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013846444
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 508, WARWICK, RI, 028861617

Plan administrator’s name and address
Administrator’s EIN 010649732
Plan administrator’s name THE INDEPENDENT WOMAN, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 508, WARWICK, RI, 028861617
Administrator’s telephone number 4013846444

Signature of
Role Plan administrator
Date 2015-06-10
Name of individual signing MARY CATHERINE DEROSA
Valid signature Filed with authorized/valid electronic signature
THE INDEPENDENT WOMAN RETIREMENT PLAN 2013 010649732 2014-05-12 THE INDEPENDENT WOMAN, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013846444
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 508, WARWICK, RI, 028861617

Plan administrator’s name and address
Administrator’s EIN 010649732
Plan administrator’s name THE INDEPENDENT WOMAN, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 508, WARWICK, RI, 028861617
Administrator’s telephone number 4013846444

Signature of
Role Plan administrator
Date 2014-05-12
Name of individual signing MARY CATHERINE DEROSA
Valid signature Filed with authorized/valid electronic signature
THE INDEPENDENT WOMAN RETIREMENT PLAN 2012 010649732 2013-03-05 THE INDEPENDENT WOMAN, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013846444
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 508, WARWICK, RI, 028861617

Plan administrator’s name and address
Administrator’s EIN 010649732
Plan administrator’s name THE INDEPENDENT WOMAN, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 508, WARWICK, RI, 028861617
Administrator’s telephone number 4013846444

Signature of
Role Plan administrator
Date 2013-03-05
Name of individual signing MARY CATHERINE DEROSA
Valid signature Filed with authorized/valid electronic signature
THE INDEPENDENT WOMAN RETIREMENT PLAN 2011 010649732 2012-06-26 THE INDEPENDENT WOMAN, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013846444
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 508, WARWICK, RI, 028861617

Plan administrator’s name and address
Administrator’s EIN 010649732
Plan administrator’s name THE INDEPENDENT WOMAN, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 508, WARWICK, RI, 028861617
Administrator’s telephone number 4013846444

Signature of
Role Plan administrator
Date 2012-06-26
Name of individual signing MARY CATHERINE DEROSA
Valid signature Filed with authorized/valid electronic signature
THE INDEPENDENT WOMAN RETIREMENT PLAN 2010 010649732 2011-09-15 THE INDEPENDENT WOMAN, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013846444
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 508, WARMICK, RI, 028861617

Plan administrator’s name and address
Administrator’s EIN 010649732
Plan administrator’s name THE INDEPENDENT WOMAN, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 508, WARMICK, RI, 028861617
Administrator’s telephone number 4013846444

Signature of
Role Plan administrator
Date 2011-09-15
Name of individual signing MARY CATHERINE DEROSA
Valid signature Filed with authorized/valid electronic signature
THE INDEPENDENT WOMAN RETIREMENT PLAN 2009 010649732 2010-09-23 THE INDEPENDENT WOMAN, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4013846444
Plan sponsor’s address 400 BALD HILL ROAD, SUITE 508, WARMICK, RI, 028861617

Plan administrator’s name and address
Administrator’s EIN 010649732
Plan administrator’s name THE INDEPENDENT WOMAN, INC.
Plan administrator’s address 400 BALD HILL ROAD, SUITE 508, WARMICK, RI, 028861617
Administrator’s telephone number 4013846444

Signature of
Role Plan administrator
Date 2010-09-22
Name of individual signing MARY CATHERINE DEROSA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARTIN P. SLEPKOW, ESQ. Agent 1481 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915, USA

PRESIDENT

Name Role Address
MARY CATHERINE DEROSA MD PRESIDENT 147 DATEHILL DRIVE EAST GREENWICH, RI 02818 USA

Filings

Number Name File Date
201859084360 Articles of Dissolution 2018-02-26
201735096120 Annual Report 2017-02-27
201694948810 Annual Report 2016-03-23
201555602660 Annual Report 2015-02-23
201435640290 Annual Report 2014-02-14
201311234940 Annual Report 2013-02-07
201288594100 Annual Report 2012-01-27
201174258910 Annual Report 2011-01-31
201057651760 Annual Report 2010-02-01
200940918740 Annual Report 2009-01-22

Related by officers

MARTIN P. SLEPKOW, ESQ.

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Related by address

No related companies by address

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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