| Name: | John S. Kacewicz, D.M.D., Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 24 Sep 2002 (22 years ago) |
| Identification Number: | 000127177 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 990 MAIN STREET, EAST GREENWICH, RI, 02818, USA |
| Purpose: | TO PROVIDE ORTHODONTIC SERVICES TO PATIENTS REQUESTING SUCH SERVICES |
| NAICS: | 621210 - Offices of Dentists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396468013 | 2022-09-20 | 2022-09-20 | 990 MAIN ST, EAST GREENWICH, RI, 028183182, US | 990 MAIN ST, EAST GREENWICH, RI, 028183182, US | |||||||||||||||
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| Phone | +1 401-884-6500 |
| Fax | 4018864432 |
Authorized person
| Name | ANNE DESOUSA |
| Role | OFFICE MANAGER |
| Phone | 4018846500 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN S. KACEWICZ, D.M.D. 401(K) PROFIT SHARING PLAN | 2009 | 050395040 | 2010-07-14 | JOHN S. KACEWICZ, D.M.D. | 12 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 050395040 |
| Plan administrator’s name | JOHN S. KACEWICZ, D.M.D. |
| Plan administrator’s address | 990 MAIN STREET, EAST GREENWICH, RI, 02818 |
| Administrator’s telephone number | 4018846500 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-14 |
| Name of individual signing | JOHN S. KACEWICZ, D.M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| OWEN LYNCH, ESQ. | Agent | C/O WHEELER CORRENTE & FLANDERS LLP 100 WESTMINSTER STREET SUITE 710, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL S. KACEWICZ DMD | PRESIDENT | 990 MAIN STREET EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL S. KACEWICZ DMD | TREASURER | 990 MAIN STREET EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL S. KACEWICZ DMD | SECRETARY | 990 MAIN STREET EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL S. KACEWICZ DMD | VICE PRESIDENT | 990 MAIN STREET EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL S. KACEWICZ DMD | DIRECTOR | 990 MAIN STREET EAST GREENWICH, RI 02818 USA |
| 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 |
| 202220819710 | Agent Resigned | 2022-06-30 |
| 202213871420 | Annual Report | 2022-04-03 |
| 202193469390 | Annual Report | 2021-03-02 |
| 202078818550 | Statement of Change of Registered Office by the Registered Agent | 2020-12-07 |
| 202036817700 | Annual Report | 2020-03-26 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
