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  5. LLN Cardiology Consultants, LLC

LLN Cardiology Consultants, LLC

Company Details

Name: LLN Cardiology Consultants, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Dissolved
Date of Organization in Rhode Island: 13 Aug 2003 (21 years ago)
Date of Dissolution: 26 Feb 2016 (9 years ago)
Date of Status Change: 26 Feb 2016 (9 years ago)
Identification Number: 000134149
ZIP code: 02860
County: Providence County
Principal Address: 407 EAST AVENUE, PAWTUCKET, RI, 02860, USA
Purpose: CARDIOLOGY
Historical names: GLL Cardiology, LLC
LGLN Cardiology Consultants, LLC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841318367 2007-03-26 2013-01-04 407 EAST AVENUE, SUITE 130, PAWTUCKET, RI, 02860, US 407 EAST AVENUE, SUITE 130, PAWTUCKET, RI, 02860, US

Contacts
Phone +1 401-726-7727
Fax 4017267775

Authorized person
Name CHRISTOPHER J LUTTMANN
Role PRESIDENT
Phone 4017267727

Taxonomy
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
State RI
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number GC53503
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LGLN CARDIOLOGY CONSULTANTS, LLC 401(K) RETIREMENT PLAN 2014 753127771 2015-04-22 LGLN CARDIOLOGY CONSULTANTS, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-02
Business code 621111
Sponsor’s telephone number 4017267727
Plan sponsor’s address 407 EAST AVENUE, PAWTUCKET, RI, 02860

Plan administrator’s name and address
Administrator’s EIN 753127771
Plan administrator’s name LGLN CARDIOLOGY CONSULTANTS, LLC
Plan administrator’s address 407 EAST AVENUE, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017267727

Signature of
Role Plan administrator
Date 2015-04-22
Name of individual signing CHRISTOPHER LUTTMANN
Valid signature Filed with authorized/valid electronic signature
LGLN CARDIOLOGY CONSULTANTS, LLC 401(K) RETIREMENT PLAN 2013 753127771 2014-06-10 LGLN CARDIOLOGY CONSULTANTS, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-02
Business code 621111
Sponsor’s telephone number 4017267727
Plan sponsor’s address 407 EAST AVENUE, PAWTUCKET, RI, 02860

Plan administrator’s name and address
Administrator’s EIN 753127771
Plan administrator’s name LGLN CARDIOLOGY CONSULTANTS, LLC
Plan administrator’s address 407 EAST AVENUE, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017267727

Signature of
Role Plan administrator
Date 2014-06-10
Name of individual signing CHRISTOPHER LUTTMANN
Valid signature Filed with authorized/valid electronic signature
LGLN CARDIOLOGY CONSULTANTS, LLC 401(K) RETIREMENT PLAN 2012 753127771 2013-09-30 LGLN CARDIOLOGY CONSULTANTS, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-02
Business code 621111
Sponsor’s telephone number 4017267727
Plan sponsor’s address 407 EAST AVENUE, PAWTUCKET, RI, 02860

Plan administrator’s name and address
Administrator’s EIN 753127771
Plan administrator’s name LGLN CARDIOLOGY CONSULTANTS, LLC
Plan administrator’s address 407 EAST AVENUE, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017267727

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing CHRISTOPHER LUTTMANN
Valid signature Filed with authorized/valid electronic signature
LGLN CARDIOLOGY CONSULTANTS, LLC 401(K) RETIREMENT PLAN 2011 753127771 2012-10-12 LGLN CARDIOLOGY CONSULTANTS, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-02
Business code 621111
Sponsor’s telephone number 4017267727
Plan sponsor’s address 407 EAST AVENUE, PAWTUCKET, RI, 02860

Plan administrator’s name and address
Administrator’s EIN 753127771
Plan administrator’s name LGLN CARDIOLOGY CONSULTANTS, LLC
Plan administrator’s address 407 EAST AVENUE, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017267727

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing CHRISTOPHER LUTTMANN
Valid signature Filed with authorized/valid electronic signature
LGLN CARDIOLOGY CONSULTANTS, LLC 401(K) RETIREMENT PLAN 2010 753127771 2011-10-07 LGLN CARDIOLOGY CONSULTANTS, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-02
Business code 621111
Sponsor’s telephone number 4017267727
Plan sponsor’s address 407 EAST AVENUE, PAWTUCKET, RI, 02860

Plan administrator’s name and address
Administrator’s EIN 753127771
Plan administrator’s name LGLN CARDIOLOGY CONSULTANTS, LLC
Plan administrator’s address 407 EAST AVENUE, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017267727

Signature of
Role Plan administrator
Date 2011-10-07
Name of individual signing CHRISTOPHER LUTTMANN
Valid signature Filed with authorized/valid electronic signature
LGLN CARDIOLOGY CONSULTANTS, LLC 401(K) RETIREMENT PLAN 2009 753127771 2010-10-07 LGLN CARDIOLOGY CONSULTANTS, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-02
Business code 621111
Sponsor’s telephone number 4017267727
Plan sponsor’s address 407 EAST AVENUE, PAWTUCKET, RI, 02860

Plan administrator’s name and address
Administrator’s EIN 753127771
Plan administrator’s name LGLN CARDIOLOGY CONSULTANTS, LLC
Plan administrator’s address 407 EAST AVENUE, PAWTUCKET, RI, 02860
Administrator’s telephone number 4017267727

Signature of
Role Plan administrator
Date 2010-10-07
Name of individual signing CHRISTOPHER LUTTMANN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HASLAW, INC. Agent HINCKLEY ALLEN & SNYDER LLP 50 KENNEDY PLAZA SUITE 1500, PROVIDENCE, RI, 02903, USA

Events

Type Date Old Value New Value
Name Change 2014-12-24 LGLN Cardiology Consultants, LLC LLN Cardiology Consultants, LLC
Name Change 2004-12-01 GLL Cardiology, LLC LGLN Cardiology Consultants, LLC

Filings

Number Name File Date
201693242360 Articles of Dissolution 2016-02-26
201588341440 Annual Report 2015-11-24
201452415570 Articles of Amendment 2014-12-24
201449767350 Annual Report 2014-11-07
201329769450 Annual Report 2013-10-22
201203876070 Annual Report 2012-11-12
201184442910 Annual Report 2011-10-25
201072383930 Annual Report 2010-11-22
201060204870 Miscellaneous Filing (No Fee) 2010-02-25
200951953440 Annual Report 2009-10-02

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Related by address

407 EAST AVENUE, PAWTUCKET, RI, 02860, USA

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Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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