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  5. Aquidneck Island Orthopedics, Inc.

Aquidneck Island Orthopedics, Inc.

Company Details

Name: Aquidneck Island Orthopedics, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 09 Sep 2004 (20 years ago)
Date of Dissolution: 10 Feb 2017 (8 years ago)
Date of Status Change: 10 Feb 2017 (8 years ago)
Identification Number: 000142639
ZIP code: 02842
County: Newport County
Principal Address: 345 VALLEY ROAD, MIDDLETOWN, RI, 02842, USA
Purpose: TO ENGAGE IN THE PRACTICE OF ORTHOPEDIC MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679795801 2007-05-03 2020-08-22 345 VALLEY RD, MIDDLETOWN, RI, 028425236, US 345 VALLEY RD, MIDDLETOWN, RI, 028425236, US

Contacts
Phone +1 401-842-0555
Fax 4018475450

Authorized person
Name DR. DENNIS E JONES
Role PRESIDENT
Phone 4018420555

Taxonomy
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AQUIDNECK ISLAND ORTHOPEDICS, INC. RETIREMENT PLAN 2017 201596530 2018-10-15 AQUIDNECK ISLAND ORTHOPEDICS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4018420555
Plan sponsor’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 02842

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing MICHAEL STAEBLER
Valid signature Filed with authorized/valid electronic signature
AQUIDNECK ISLAND ORTHOPEDICS, INC. RETIREMENT PLAN 2016 201596530 2017-10-16 AQUIDNECK ISLAND ORTHOPEDICS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4018420555
Plan sponsor’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 02842

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing MICHAEL STAEBLER
Valid signature Filed with authorized/valid electronic signature
AQUIDNECK ISLAND ORTHOPEDICS, INC. RETIREMENT PLAN 2015 201596530 2016-10-25 AQUIDNECK ISLAND ORTHOPEDICS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4018420555
Plan sponsor’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 02842

Signature of
Role Plan administrator
Date 2016-10-25
Name of individual signing MICHAEL STAEBLER
Valid signature Filed with authorized/valid electronic signature
AQUIDNECK ISLAND ORTHOPEDICS, INC. RETIREMENT PLAN 2014 201596530 2015-10-27 AQUIDNECK ISLAND ORTHOPEDICS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4018420555
Plan sponsor’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 02842

Signature of
Role Plan administrator
Date 2015-10-27
Name of individual signing MICHAEL STAEBLER
Valid signature Filed with authorized/valid electronic signature
AQUIDNECK ISLAND ORTHOPEDICS, INC. RETIREMENT PLAN 2013 201596530 2014-09-23 AQUIDNECK ISLAND ORTHOPEDICS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4018420555
Plan sponsor’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 02842

Signature of
Role Plan administrator
Date 2014-09-23
Name of individual signing MICHAEL STAEBLER
Valid signature Filed with authorized/valid electronic signature
AQUIDNECK ISLAND ORTHOPEDICS, INC. RETIREMENT PLAN 2012 201596530 2013-08-07 AQUIDNECK ISLAND ORTHOPEDICS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4018420555
Plan sponsor’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 02842

Signature of
Role Plan administrator
Date 2013-08-07
Name of individual signing MICHAEL STAEBLER
Valid signature Filed with authorized/valid electronic signature
AQUIDNECK ISLAND ORTHOPEDICS, INC. RETIREMENT PLAN 2011 201596530 2012-09-12 AQUIDNECK ISLAND ORTHOPEDICS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4018420555
Plan sponsor’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 02842

Plan administrator’s name and address
Administrator’s EIN 201596530
Plan administrator’s name AQUIDNECK ISLAND ORTHOPEDICS, INC.
Plan administrator’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 028425236
Administrator’s telephone number 4018420555

Signature of
Role Plan administrator
Date 2012-09-12
Name of individual signing MICHAEL STAEBLER
Valid signature Filed with authorized/valid electronic signature
AQUIDNECK ISLAND ORTHOPEDICS, INC. RETIREMENT PLAN 2010 201596530 2011-07-20 AQUIDNECK ISLAND ORTHOPEDICS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4018420555
Plan sponsor’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 028425236

Plan administrator’s name and address
Administrator’s EIN 201596530
Plan administrator’s name AQUIDNECK ISLAND ORTHOPEDICS, INC.
Plan administrator’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 028425236
Administrator’s telephone number 4018420555

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing MICHAEL STAEBLER
Valid signature Filed with authorized/valid electronic signature
AQUIDNECK ISLAND ORTHOPEDICS, INC. RETIREMENT PLAN 2009 201596530 2010-09-15 AQUIDNECK ISLAND ORTHOPEDICS, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4018420555
Plan sponsor’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 028425236

Plan administrator’s name and address
Administrator’s EIN 201596530
Plan administrator’s name AQUIDNECK ISLAND ORTHOPEDICS, INC.
Plan administrator’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 028425236
Administrator’s telephone number 4018420555

Signature of
Role Plan administrator
Date 2010-09-15
Name of individual signing MICHAEL STAEBLER
Valid signature Filed with authorized/valid electronic signature
AQUIDNECK ISLAND ORTHOPEDICS, INC. RETIREMENT PLAN 2009 201596530 2010-09-14 AQUIDNECK ISLAND ORTHOPEDICS, INC. 4
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4018420555
Plan sponsor’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 028425236

Plan administrator’s name and address
Administrator’s EIN 201596530
Plan administrator’s name AQUIDNECK ISLAND ORTHOPEDICS, INC.
Plan administrator’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 028425236
Administrator’s telephone number 4018420555

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing MICHAEL STAEBLER
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 4018420555
Plan sponsor’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 028425236

Plan administrator’s name and address
Administrator’s EIN 201596530
Plan administrator’s name AQUIDNECK ISLAND ORTHOPEDICS, INC.
Plan administrator’s address 345 VALLEY ROAD, MIDDLETOWN, RI, 028425236
Administrator’s telephone number 4018420555

Signature of
Role Plan administrator
Date 2010-09-15
Name of individual signing MICHAEL STAEBLER
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
SAYER REGAN & THAYER, LLP Agent 130 BELLEVUE AVENUE, NEWPORT, RI, 02840, USA

PRESIDENT

Name Role Address
MICHAEL STAEBLER M.D. PRESIDENT 345 VALLEY ROAD MIDDLETOWN, RI 02842 USA

TREASURER

Name Role Address
MICHAEL STAEBLER M.D. TREASURER 345 VALLEY ROAD MIDDLETOWN, RI 02842 USA

SECRETARY

Name Role Address
MICHAEL STAEBLER M.D. SECRETARY 345 VALLEY ROAD MIDDLETOWN, RI 02842 USA

VICE PRESIDENT

Name Role Address
MICHAEL STAEBLER VICE PRESIDENT 345 VALLEY ROAD MIDDLETOWN, RI 02842 USA

Filings

Number Name File Date
201733857110 Articles of Dissolution 2017-02-10
201693348080 Annual Report 2016-02-29
201554334030 Annual Report 2015-01-29
201434346030 Annual Report 2014-01-27
201310468670 Annual Report 2013-01-29
201288835230 Annual Report 2012-02-01
201174974810 Annual Report 2011-02-16
201071611890 Annual Report 2010-11-05
201063249940 Revocation Notice For Failure to File An Annual Report 2010-06-16
200940659670 Annual Report 2009-01-22

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Related by address

345 VALLEY ROAD, MIDDLETOWN, RI, 02842, USA

James P. Studders, M. D., Ltd.

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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