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  5. John S. Kacewicz, D.M.D., Inc.

John S. Kacewicz, D.M.D., Inc.

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Company Details

Name: John S. Kacewicz, D.M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 24 Sep 2002 (23 years ago)
Date of Dissolution: 23 May 2025 (2 months ago)
Date of Status Change: 23 May 2025 (2 months ago)
Identification Number: 000127177
ZIP code: 02818
City: East Greenwich
County: Kent County
Purpose: TO PROVIDE ORTHODONTIC SERVICES TO PATIENTS REQUESTING SUCH SERVICES
Principal Address: Google Maps Logo 990 MAIN STREET, EAST GREENWICH, RI, 02818, USA

Industry & Business Activity

NAICS

621210 Offices of Dentists

This industry comprises establishments of health practitioners having the degree of D.M.D. (Doctor of Dental Medicine), D.D.S. (Doctor of Dental Surgery), or D.D.Sc. (Doctor of Dental Science) primarily engaged in the independent practice of general or specialized dentistry or dental 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. They can provide either comprehensive preventive, cosmetic, or emergency care, or specialize in a single field of dentistry. Learn more at the U.S. Census Bureau

Companies doing Offices of dentists

PRESIDENT

Name Role Address
MICHAEL S. KACEWICZ DMD PRESIDENT 990 MAIN STREET EAST GREENWICH, RI 02818 USA

TREASURER

Name Role Address
MICHAEL S. KACEWICZ DMD TREASURER 990 MAIN STREET EAST GREENWICH, RI 02818 USA

SECRETARY

Name Role Address
MICHAEL S. KACEWICZ DMD SECRETARY 990 MAIN STREET EAST GREENWICH, RI 02818 USA

VICE PRESIDENT

Name Role Address
MICHAEL S. KACEWICZ DMD VICE PRESIDENT 990 MAIN STREET EAST GREENWICH, RI 02818 USA

DIRECTOR

Name Role Address
MICHAEL S. KACEWICZ DMD DIRECTOR 990 MAIN STREET EAST GREENWICH, RI 02818 USA

National Provider Identifier

NPI Number:
1396468013
Certification Date:
2022-09-13
Link:
View on NPI website

Authorized Person:

Name:
ANNE DESOUSA
Role:
OFFICE MANAGER
Phone:
4018846500

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
Yes

Contacts:

Phone:
+1 401-884-6500
Fax:
4018864432

Form 5500 Series

Employer Identification Number (EIN):
050395040
Plan Year:
2009
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
4018846500
File:
View File
Plan Administrator / Signatory:
JOHN S. KACEWICZ, D.M.D.(Plan administrator)

Filings

Number Name File Date
202448473060 Annual Report 2024-03-12
202331230510 Annual Report - Amended 2023-03-21
202331228120 Annual Report 2023-03-21
202224128430 Statement of Change of Registered/Resident Agent 2022-10-14
202222149220 Revocation Notice For Failure to Maintain a Registered Agent 2022-08-15

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
202226867580
Filing Date:
2022-05-19
Action:
Continuation

Parties

Party Name:
John S. Kacewicz, D.M.D., Inc.
Party Role:
Debtor(s)
Party Name:
RBS CITIZENS, N.A.
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-3 TERMINATION
UCC Filing Number:
202022057400
Filing Date:
2020-01-03
Action:
TerminationSecuredParty

Parties

Party Name:
John S. Kacewicz, D.M.D., Inc.
Party Role:
Debtor(s)
Party Name:
RBS CITIZENS, N.A.
Party Role:
Secured Parties
Party Name:
MCCORMICK 101, LLC
Party Role:
Assignee
Party Name:
RBS CITIZENS, N.A.
Party Role:
Assignee

Uniform Commercial Code Summary

Type:
UCC-3 ASSIGNMENT
UCC Filing Number:
201820189360
Filing Date:
2018-09-18
Action:
Assignment

Parties

Party Name:
John S. Kacewicz, D.M.D., Inc.
Party Role:
Debtor(s)
Party Name:
RBS CITIZENS, N.A.
Party Role:
Secured Parties
Party Name:
MCCORMICK 101, LLC
Party Role:
Assignee
Party Name:
RBS CITIZENS, N.A.
Party Role:
Assignee

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$48,665
Date Approved:
2021-01-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$48,665
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$49,306.31
Servicing Lender:
HarborOne Bank
Use of Proceeds:
Payroll: $48,663
Utilities: $1
Jobs Reported:
11
Initial Approval Amount:
$48,000
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$48,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$48,636.49
Servicing Lender:
HarborOne Bank
Use of Proceeds:
Payroll: $48,000

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Date of last update: 10 Jul 2025

Sources: Rhode Island Department of State

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