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David Mayer M.D. and Associates Inc.

Company Details

Name: David Mayer M.D. and Associates Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 28 Jun 2002 (23 years ago)
Date of Dissolution: 19 Nov 2021 (3 years ago)
Date of Status Change: 19 Nov 2021 (3 years ago)
Identification Number: 000125651
ZIP code: 02882
County: Washington County
Principal Address: 2 ABALONE RD, NARRAGANSETT, RI, 02882, USA
Purpose: HEALTH CARE AND THE PRACTICE OF MEDICINE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID MAYER, M.D. AND ASSOCIATES, INC. PROFIT SHARING PLAN 2020 200832366 2021-01-07 DAVID MAYER, M.D. AND ASSOCIATES, INC. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4017320660
Plan sponsor’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2021-01-07
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-01-07
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
DAVID MAYER, M.D. AND ASSOCIATES, INC. PROFIT SHARING PLAN 2019 200832366 2020-08-02 DAVID MAYER, M.D. AND ASSOCIATES, INC. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4017320660
Plan sponsor’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2020-08-02
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-02
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
DAVID MAYER, M.D. AND ASSOCIATES, INC. PROFIT SHARING PLAN 2018 200832366 2019-09-12 DAVID MAYER, M.D. AND ASSOCIATES, INC. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4017320660
Plan sponsor’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2019-09-12
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-12
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
DAVID MAYER, M.D. AND ASSOCIATES, INC. PROFIT SHARING PLAN 2017 200832366 2018-07-24 DAVID MAYER, M.D. AND ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4017320660
Plan sponsor’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2018-07-24
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-24
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
DAVID MAYER, M.D. AND ASSOCIATES, INC. PROFIT SHARING PLAN 2016 200832366 2017-10-02 DAVID MAYER, M.D. AND ASSOCIATES, INC. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4017320660
Plan sponsor’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2017-10-02
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-02
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
DAVID MAYER, M.D. AND ASSOCIATES, INC. PROFIT SHARING PLAN 2015 200832366 2016-09-12 DAVID MAYER, M.D. AND ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4017320660
Plan sponsor’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2016-09-12
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-12
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
DAVID MAYER M.D. AND ASSOCIATES, INC. PROFIT SHARING PLAN 2014 200832366 2015-05-12 DAVID MAYER, M.D. AND ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4017320660
Plan sponsor’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2015-05-12
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-12
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
DAVID MAYER M.D. AND ASSOCIATES, INC. PROFIT SHARING PLAN 2013 200832366 2014-10-07 DAVID MAYER, M.D. AND ASSOCIATES, INC. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4017320660
Plan sponsor’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2014-10-07
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-07
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
DAVID MAYER M.D. AND ASSOCIATES, INC. PROFIT SHARING PLAN 2012 200832366 2013-07-26 DAVID MAYER, M.D. AND ASSOCIATES, INC. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4017320660
Plan sponsor’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2013-07-26
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
DAVID MAYER M.D. AND ASSOCIATES, INC. PROFIT SHARING PLAN 2011 200832366 2012-09-27 DAVID MAYER, M.D. AND ASSOCIATES, INC. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4017320660
Plan sponsor’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886

Plan administrator’s name and address

Administrator’s EIN 200832366
Plan administrator’s name DAVID MAYER, M.D. AND ASSOCIATES, INC.
Plan administrator’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4017320660

Signature of

Role Plan administrator
Date 2012-09-27
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-27
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/03/20111003070823P040004437635001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4017320660
Plan sponsor’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886

Plan administrator’s name and address

Administrator’s EIN 200832366
Plan administrator’s name DAVID MAYER, M.D. AND ASSOCIATES, INC.
Plan administrator’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4017320660

Signature of

Role Plan administrator
Date 2011-10-03
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-03
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/23/20100923120231P070008163425001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 4017320660
Plan sponsor’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886

Plan administrator’s name and address

Administrator’s EIN 200832366
Plan administrator’s name DAVID MAYER, M.D. AND ASSOCIATES, INC.
Plan administrator’s address 300 TOLLGATE ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4017320660

Signature of

Role Plan administrator
Date 2010-09-23
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-23
Name of individual signing DAVID MAYER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DAVID MAYER, MD Agent 300 TOLLGATE ROAD SUITE 202, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
DAVID M MAYER MD PRESIDENT 2 ABALONE RD NARRAGANSETT, RI 02882 USA

Filings

Number Name File Date
202105237110 Articles of Dissolution 2021-11-19
202198081920 Annual Report 2021-06-09
202196810810 Revocation Notice For Failure to File An Annual Report 2021-05-19
202032248300 Annual Report 2020-01-14
201986593630 Annual Report 2019-02-14
201857874080 Annual Report 2018-02-08
201730443640 Annual Report 2017-01-19
201691897300 Annual Report 2016-02-04
201552731200 Annual Report 2015-01-05
201331938220 Annual Report 2013-12-18

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State