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  5. Atwood Gastroenterology Services, Ltd.

Atwood Gastroenterology Services, Ltd.

Company Details

Name: Atwood Gastroenterology Services, Ltd.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 19 Dec 2003 (21 years ago)
Date of Dissolution: 12 Jan 2017 (8 years ago)
Date of Status Change: 12 Jan 2017 (8 years ago)
Identification Number: 000136657
ZIP code: 02920
County: Providence County
Principal Address: 15 BLUE RIDGE ROAD, CRANSTON, RI, 02920, USA
Purpose: THE PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407836109 2006-01-19 2007-08-10 1524 ATWOOD AVE, JOHNSTON, RI, 029193228, US 1524 ATWOOD AVE, JOHNSTON, RI, 029193228, US

Contacts
Phone +1 401-383-0400

Authorized person
Name VINCENT VACCA
Role PHYSICIAN OWNER
Phone 4013830400

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ATWOOD GASTROENTEROLOGY SERVICES, LTD. RETIREMENT PLAN 2015 200521951 2016-03-03 ATWOOD GASTROENTEROLOGY SERVICES, LTD. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4014644646
Plan sponsor’s address 15 BLUE RIDGE ROAD, CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 200521951
Plan administrator’s name ATWOOD GASTROENTEROLOGY SERVICES, LTD.
Plan administrator’s address 15 BLUE RIDGE ROAD, CRANSTON, RI, 02920
Administrator’s telephone number 4014644646
ATWOOD GASTROENTEROLOGY SERVICES, LTD. RETIREMENT PLAN 2015 200521951 2016-05-18 ATWOOD GASTROENTEROLOGY SERVICES, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4013830400
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919
ATWOOD GASTROENTEROLOGY SERVICES, LTD. RETIREMENT PLAN 2014 200521951 2015-10-01 ATWOOD GASTROENTEROLOGY SERVICES, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4014644646
Plan sponsor’s address 15 BLUE RIDGE ROAD, CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 200521951
Plan administrator’s name ATWOOD GASTROENTEROLOGY SERVICES, LTD.
Plan administrator’s address 15 BLUE RIDGE ROAD, CRANSTON, RI, 02920
Administrator’s telephone number 4014644646

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing VINCENT F. VACCA, M.D.
Valid signature Filed with authorized/valid electronic signature
ATWOOD GASTROENTEROLOGY SERVICES, LTD. RETIREMENT PLAN 2013 200521951 2014-07-10 ATWOOD GASTROENTEROLOGY SERVICES, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4013830400
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 200521951
Plan administrator’s name ATWOOD GASTROENTEROLOGY SERVICES, LTD.
Plan administrator’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4013830400

Signature of
Role Plan administrator
Date 2014-07-10
Name of individual signing VINCENT F. VACCA, M.D.
Valid signature Filed with authorized/valid electronic signature
ATWOOD GASTROENTEROLOGY SERVICES, LTD. RETIREMENT PLAN 2012 200521951 2013-09-18 ATWOOD GASTROENTEROLOGY SERVICES, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4013830400
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 200521951
Plan administrator’s name ATWOOD GASTROENTEROLOGY SERVICES, LTD.
Plan administrator’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4013830400

Signature of
Role Plan administrator
Date 2013-09-18
Name of individual signing VINCENT F. VACCA, M.D.
Valid signature Filed with authorized/valid electronic signature
ATWOOD GASTROENTEROLOGY SERVICES, LTD. RETIREMENT PLAN 2011 200521951 2012-09-19 ATWOOD GASTROENTEROLOGY SERVICES, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4013830400
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 200521951
Plan administrator’s name ATWOOD GASTROENTEROLOGY SERVICES, LTD.
Plan administrator’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4013830400

Signature of
Role Plan administrator
Date 2012-09-19
Name of individual signing VINCENT F. VACCA, M.D.
Valid signature Filed with authorized/valid electronic signature
ATWOOD GASTROENTEROLOGY SERVICES, LTD. RETIREMENT PLAN 2010 200521951 2011-09-19 ATWOOD GASTROENTEROLOGY SERVICES, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4013830400
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 200521951
Plan administrator’s name ATWOOD GASTROENTEROLOGY SERVICES, LTD.
Plan administrator’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4013830400

Signature of
Role Plan administrator
Date 2011-09-19
Name of individual signing VINCENT F. VACCA, M.D.
Valid signature Filed with authorized/valid electronic signature
ATWOOD GASTROENTEROLOGY SERVICES, LTD. RETIREMENT PLAN 2009 200521951 2010-10-07 ATWOOD GASTROENTEROLOGY SERVICES, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4013830400
Plan sponsor’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 200521951
Plan administrator’s name ATWOOD GASTROENTEROLOGY SERVICES, LTD.
Plan administrator’s address 1524 ATWOOD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4013830400

Signature of
Role Plan administrator
Date 2010-10-07
Name of individual signing VINCENT F. VACCA, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WALTER F. RICHARDSON III, ESQ. Agent 1551 CENTREVILLE ROAD, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
VINCENT VACCA MD PRESIDENT 15 BLUE RIDGE ROAD CRANSTON, RI 02920

Filings

Number Name File Date
201730009440 Articles of Dissolution 2017-01-12
201695449460 Annual Report 2016-03-31
201558033470 Annual Report 2015-03-25
201434432580 Annual Report 2014-01-27
201310436110 Annual Report 2013-01-25
201288552740 Annual Report 2012-01-26
201174079100 Annual Report 2011-01-26
201060035140 Annual Report 2010-03-09
201060035780 Statement of Change of Registered/Resident Agent 2010-03-09
200941078010 Annual Report 2009-01-27

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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