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University Pulmonary Associates, Inc.

Company Details

Name: University Pulmonary Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 02 Aug 2002 (22 years ago)
Date of Dissolution: 01 Jan 2021 (4 years ago)
Date of Status Change: 01 Jan 2021 (4 years ago)
Identification Number: 000126272
ZIP code: 02818
County: Kent County
Principal Address: 1407 SOUTH COUNTY TRAIL BUILDING 4 3RD FLOOR SUITE A, EAST GREENWICH, RI, 02818, USA
Purpose: TO RENDER PROFESSIONAL MEDICAL SERVICES BY PHYSICIANS DULY LICENSED TO PRACTICE MEDICINE IN THE STATE OF RHODE ISLAND
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Fictitious names: University Pulmonary Associates & Asthma Center (trading name, 2002-11-18 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093889214 2006-11-20 2016-10-28 1407 SOUTH COUNTY TRAIL, BUILDING 4, 3RD FLOOR, SUITE 430A, EAST GREENWICH, RI, 02818, US 1407 SOUTH COUNTY TRAIL, BUILDING 4, 3RD FLOOR, SUITE 430A, EAST GREENWICH, RI, 02818, US

Contacts

Phone +1 401-886-7910
Fax 4018867913

Authorized person

Name DENISE STEVENSON
Role OFFICE MANAGER
Phone 4018867910

Taxonomy

Taxonomy Code 207RP1001X - Pulmonary Disease Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number UP46153
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY PULMONARY ASSOCIATES, INC. 401(K) PLAN 2019 061639241 2020-10-29 UNIVERSITY PULMONARY ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4018867910
Plan sponsor’s address 1407 S. COUNTY TRAIL, SUITE 430A, EAST GREENWICH, RI, 02818
UNIVERSITY PULMONARY ASSOCIATES, INC. 401(K) PLAN 2019 061639241 2020-05-04 UNIVERSITY PULMONARY ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4018867910
Plan sponsor’s address 1407 S. COUNTY TRAIL, SUITE 430A, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2020-05-04
Name of individual signing WALTER DONAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-04
Name of individual signing WALTER DONAT
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PULMONARY ASSOCIATES, INC. 401(K) PLAN 2018 061639241 2019-04-26 UNIVERSITY PULMONARY ASSOCIATES, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4018867910
Plan sponsor’s address 1407 S. COUNTY TRAIL, SUITE 430A, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2019-04-26
Name of individual signing WALTER DONAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-26
Name of individual signing WALTER DONAT
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PULMONARY ASSOCIATES, INC. 401(K) PLAN 2017 061639241 2018-03-23 UNIVERSITY PULMONARY ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4018867910
Plan sponsor’s address 1407 S. COUNTY TRAIL, BUILDING 4, 3RD FLOOR, SUITE A, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2018-03-23
Name of individual signing WALTER DONAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-23
Name of individual signing WALTER DONAT
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PULMONARY ASSOCIATES, INC. 401(K) PLAN 2016 061639241 2017-05-15 UNIVERSITY PULMONARY ASSOCIATES, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4018867910
Plan sponsor’s address 1407 S. COUNTY TRAIL, BUILDING 4, 3RD FLOOR, SUITE A, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2017-05-15
Name of individual signing WALTER DONAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-15
Name of individual signing WALTER DONAT
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY PULMONARY ASSOCIATES INC CROSS-TESTED ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2009 061639241 2010-09-16 UNIVERSITY PULMONARY ASSOCIATES INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 4018867910
Plan sponsor’s address 1407 SOUTH COUNTY TRAIL, BLDG 4, EAST GREENWICH, RI, 02818

Plan administrator’s name and address

Administrator’s EIN 061639241
Plan administrator’s name UNIVERSITY PULMONARY ASSOCIATES INC
Plan administrator’s address 1407 SOUTH COUNTY TRAIL, BLDG 4, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4018867910

Signature of

Role Plan administrator
Date 2010-09-16
Name of individual signing PATRICIA MCGOWAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CYNTHIA J. WARREN, ESQ. Agent CAMERON & MITTLEMAN LLP 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

TREASURER

Name Role Address
WALTER E. DONAT M.D. TREASURER 1407 S. COUNTY TRAIL, BLDG. 4, SUITE A EAST GREENWICH, RI 02818 USA

SECRETARY

Name Role Address
WILLIAM M. CORRAO M.D. SECRETARY 1407 S. COUNTY TRAIL, BLDG 4, SUITE A EAST GREENWICH, RI 02818 USA

PRESIDENT

Name Role Address
WALTER E. DONAT MD. PRESIDENT 1407 S. COUNTY TRAIL, BLDG. 4, SUITE A EAST GREENWICH, RI 02818 USA

VICE PRESIDENT

Name Role Address
WILLIAM M. CORRAO M.D. VICE PRESIDENT 1407 S. COUNTY TRAIL, BLDG.4, SUITE A EAST GREENWICH, RI 02818 USA

DIRECTOR

Name Role Address
WILLIAM M. CORRAO M.D. DIRECTOR 1407 S. COUNTY TRAIL, BLDG 4, SUTIE A EAST GREENWICH, RI 02818 USA
MICHAEL STANCHINA M.D. DIRECTOR 1407 S. COUNTY TRAIL, BLDG 4, SUITE A EAST GREENWICH, RI 02818 USA
WALTER E. DONAT M.D. DIRECTOR 1407 S. COUNTY TRAIL, BLDG 4, SUITE A EAST GREENWICH, RI 02818 USA

Filings

Number Name File Date
202184202430 Articles of Dissolution 2021-01-01
202035814700 Annual Report 2020-03-03
201987866940 Annual Report 2019-02-28
201858704610 Annual Report 2018-02-21
201738947780 Annual Report 2017-03-27
201693040830 Annual Report 2016-02-24
201554878660 Annual Report 2015-02-11
201436786050 Annual Report 2014-03-05
201314666900 Annual Report 2013-04-01
201291567180 Annual Report 2012-03-30

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State