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  5. COVENTRY FAMILY DENTAL, LLC

COVENTRY FAMILY DENTAL, LLC

Company Details

Name: COVENTRY FAMILY DENTAL, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 20 Sep 2004 (20 years ago)
Identification Number: 000142856
ZIP code: 02816
County: Kent County
Principal Address: 903 TIOGUE AVE, COVENTRY, RI, 02816, USA
Purpose: DENTAL OFFICE
NAICS: 621210 - Offices of Dentists

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COVENTRY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2023 201560466 2024-10-15 COVENTRY FAMILY DENTAL, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVENUE, COVENTRY, RI, 028166300
COVENTRY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2022 201560466 2023-05-03 COVENTRY FAMILY DENTAL, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVENUE, COVENTRY, RI, 028166300
COVENTRY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2021 201560466 2022-05-31 COVENTRY FAMILY DENTAL, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVENUE, COVENTRY, RI, 028166300
COVENTRY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN TRUST 2020 201560466 2021-05-11 COVENTRY FAMILY DENTAL, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVENUE, COVENTRY, RI, 028166300
COVENTRY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN TRUST 2019 201560466 2020-08-26 COVENTRY FAMILY DENTAL, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVENUE, COVENTRY, RI, 028166300
COVENTRY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN TRUST 2018 201560466 2019-10-15 COVENTRY FAMILY DENTAL, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVENUE, COVENTRY, RI, 028166300
COVENTRY FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST 2017 201560466 2018-07-24 COVENTRY FAMILY DENTAL LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVE, COVENTRY, RI, 028166300

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing DMITRY GELFAND
Valid signature Filed with authorized/valid electronic signature
COVENTRY FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST 2016 201560466 2017-07-17 COVENTRY FAMILY DENTAL LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVE, COVENTRY, RI, 028166300

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing DMITRY GELFAND
Valid signature Filed with authorized/valid electronic signature
COVENTRY FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST 2015 201560466 2016-07-15 COVENTRY FAMILY DENTAL LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVE, COVENTRY, RI, 028166300

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing DMITRY GELFAND
Valid signature Filed with authorized/valid electronic signature
COVENTRY FAMILY DENTAL LLC 401 K PROFIT SHARING PLAN TRUST 2014 201560466 2015-07-08 COVENTRY FAMILY DENTAL LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVE, COVENTRY, RI, 028166300

Signature of
Role Plan administrator
Date 2015-07-08
Name of individual signing DMITRY GELFAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/30/20140530175231P030423240657001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVE, COVENTRY, RI, 028166300

Signature of
Role Plan administrator
Date 2014-05-30
Name of individual signing DMITRY GELFAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/05/20130805084129P040044023639001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVE, COVENTRY, RI, 028166300

Signature of
Role Plan administrator
Date 2013-08-05
Name of individual signing COVENTRY FAMILY DENTAL LLC
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/02/20120802132156P040054357072001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVE, COVENTRY, RI, 028166300

Plan administrator’s name and address
Administrator’s EIN 201560466
Plan administrator’s name COVENTRY FAMILY DENTAL LLC
Plan administrator’s address 903 TIOGUE AVE, COVENTRY, RI, 028166300
Administrator’s telephone number 4018215864

Signature of
Role Plan administrator
Date 2012-08-02
Name of individual signing COVENTRY FAMILY DENTAL LLC
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/07/20120807142223P040025182354001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 4018215864
Plan sponsor’s address 903 TIOGUE AVENUE, COVENTRY, RI, 02816

Plan administrator’s name and address
Administrator’s EIN 201560466
Plan administrator’s name COVENTRY FAMILY DENTAL LLC
Plan administrator’s address 903 TIOGUE AVENUE, COVENTRY, RI, 02816
Administrator’s telephone number 4018215864

Signature of
Role Plan administrator
Date 2012-08-07
Name of individual signing DMITRY GELFAND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MEDICAL-DENTAL CONSULTANTS, INC. Agent 903 TIOGUE AVENUE, COVENTRY, RI, 02816, USA

Filings

Number Name File Date
202444232300 Annual Report 2024-01-19
202326155280 Annual Report 2023-01-18
202208143750 Annual Report 2022-01-19
202100551310 Annual Report 2021-08-31
202056548310 Annual Report 2020-09-21
201912092930 Annual Report 2019-08-14
201874368720 Annual Report 2018-08-14
201748858470 Annual Report 2017-08-29
201608422160 Annual Report 2016-09-06
201579279330 Annual Report 2015-09-15

Related by officers

MEDICAL-DENTAL CONSULTANTS, INC.

SHORELINE PERIODONTICS, PC

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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