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  5. Partners in Primary Care, Inc.

Partners in Primary Care, Inc.

Company Details

Name: Partners in Primary Care, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 04 Oct 2004 (21 years ago)
Identification Number: 000143115
ZIP code: 02920
County: Providence County
Principal Address: 905 PONTIAC AVENUE, CRANSTON, RI, 02920, USA
Purpose: TO PROVIDE MEDICAL SERVICES

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Companies doing Offices of physicians (except mental health specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770781478 2007-07-05 2007-09-24 750 RESERVOIR AVE, CRANSTON, RI, 029104423, US 750 RESERVOIR AVE, CRANSTON, RI, 029104423, US

Contacts
Phone +1 401-464-6617
Fax 4014646673

Authorized person
Name DR. BRIAN J PICKETT
Role PRESDIENT OF COMPANY
Phone 4014646617

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARTNERS IN PRIMARY CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2020 593786697 2021-08-02 PARTNERS IN PRIMARY CARE INC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 4014646617
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 029207903

Signature of
Role Plan administrator
Date 2021-08-02
Name of individual signing BRIAN PICKETT
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PRIMARY CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2019 593786697 2020-06-25 PARTNERS IN PRIMARY CARE INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 4014646617
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 029207903

Signature of
Role Plan administrator
Date 2020-06-25
Name of individual signing BRIAN PICKETT
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PRIMARY CARE INC 401 K PROFIT SHARING PLAN TRUST 2018 593786697 2019-06-17 PARTNERS IN PRIMARY CARE INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 4014646617
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 029207903

Signature of
Role Plan administrator
Date 2019-06-17
Name of individual signing BRIAN PICKETT
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PRIMARY CARE INC 401 K PROFIT SHARING PLAN TRUST 2017 593786697 2018-07-16 PARTNERS IN PRIMARY CARE INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 4014646617
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 029207903

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing BRIAN PICKETT
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PRIMARY CARE INC 401 K PROFIT SHARING PLAN TRUST 2016 593786697 2017-07-03 PARTNERS IN PRIMARY CARE INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 4014646617
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 029207903

Signature of
Role Plan administrator
Date 2017-07-03
Name of individual signing BRIAN PICKETT
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PRIMARY CARE INC 401 K PROFIT SHARING PLAN TRUST 2015 593786697 2016-07-21 PARTNERS IN PRIMARY CARE INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 4014646617
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 029207903

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing BRIAN J PICKETT
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PRIMARY CARE INC 401 K PROFIT SHARING PLAN TRUST 2014 593786697 2015-06-25 PARTNERS IN PRIMARY CARE INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 4014646617
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 029207903

Signature of
Role Plan administrator
Date 2015-06-25
Name of individual signing BRIAN PICKETT
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PRIMARY CARE INC 401 K PROFIT SHARING PLAN TRUST 2013 593786697 2014-06-25 PARTNERS IN PRIMARY CARE INC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 4014646617
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 029207903

Signature of
Role Plan administrator
Date 2014-06-25
Name of individual signing BRIAN J PICKETT
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PRIMARY CARE INC 401 K PROFIT SHARING PLAN TRUST 2012 593786697 2013-06-28 PARTNERS IN PRIMARY CARE INC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 4014646617
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 029207903

Signature of
Role Plan administrator
Date 2013-06-28
Name of individual signing PARTNERS IN PRIMARY CARE INC
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN PRIMARY CARE INC 401 K PROFIT SHARING PLAN TRUST 2011 593786697 2012-08-30 PARTNERS IN PRIMARY CARE INC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 4014646617
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 029207903

Plan administrator’s name and address
Administrator’s EIN 593786697
Plan administrator’s name PARTNERS IN PRIMARY CARE INC
Plan administrator’s address 905 PONTIAC AVE, CRANSTON, RI, 029207903
Administrator’s telephone number 4014646617

Signature of
Role Plan administrator
Date 2012-08-30
Name of individual signing PARTNERS IN PRIMARY CARE INC
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 4014646617
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 029207903

Plan administrator’s name and address
Administrator’s EIN 593786697
Plan administrator’s name PARTNERS IN PRIMARY CARE INC
Plan administrator’s address 905 PONTIAC AVE, CRANSTON, RI, 029207903
Administrator’s telephone number 4014646617

Signature of
Role Plan administrator
Date 2012-07-10
Name of individual signing PARTNERS IN PRIMARY CARE INC
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/02/28/20130228161315P030112063843001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 4014646617
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 593786697
Plan administrator’s name PARTNERS IN PRIMARY CARE INC
Plan administrator’s address 905 PONTIAC AVE, CRANSTON, RI, 02920
Administrator’s telephone number 4014646617

Signature of
Role Plan administrator
Date 2013-02-28
Name of individual signing BRIAN PICKETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/21/20100721104047P070020649122001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 812990
Sponsor’s telephone number 4014646617
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 593786697
Plan administrator’s name PARTNERS IN PRIMARY CARE INC
Plan administrator’s address 905 PONTIAC AVE, CRANSTON, RI, 02920
Administrator’s telephone number 4014646617

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing PARTNERS IN PRIMARY CARE INC
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/21/20100721141757P040388727537001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Sponsor’s telephone number 4014646617
Plan sponsor’s mailing address 905 PONTIAC AVE, CRANSTON, RI, 02920
Plan sponsor’s address 905 PONTIAC AVE, CRANSTON, RI, 02920

Plan administrator’s name and address
Administrator’s EIN 593786697
Plan administrator’s name PARTNERS IN PRIMARY CARE, INC
Plan administrator’s address 905 PONTIAC AVE, CRANSTON, RI, 02920
Administrator’s telephone number 4014646617

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing STEPHANIE KRUSZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHARLES W. NORMAND, ESQ. Agent 100 WESTMINSTER STREET SUITE 1500 C/O HINCKLEY ALLEN & SNYDER LLP, PROVIDENCE, RI, 02903, USA

TREASURER

Name Role Address
STEPHANIE J. KRUSZ, M.D. TREASURER 258 POPLAR DRIVE CRANSTON, RI 02920 USA

SECRETARY

Name Role Address
BRIAN J. PICKETT, M.D. SECRETARY 5 ROCKY WAY WEST KINGSTON, RI 02892 USA

PRESIDENT

Name Role Address
BRIAN J PICKETT MD PRESIDENT 5 ROCKY WAY WEST KINGSTON, RI 02892- USA

VICE PRESIDENT

Name Role Address
STEPHANIE J. KRUSZ, M.D. VICE PRESIDENT 258 POPLAR DRIVE CRANSTON, RI 02920 USA

DIRECTOR

Name Role Address
BRIAN J. PICKETT, M.D. DIRECTOR 5 ROCKY WAY WEST KINGSTON, RI 02892 USA
STEPHANIE J. KRUSZ, M.D. DIRECTOR 258 POPLAR DRIVE CRANSTON, RI 02920 USA

Filings

Number Name File Date
202455199780 Annual Report 2024-05-31
202335175240 Annual Report 2023-05-02
202217934590 Annual Report 2022-05-27
202194975890 Annual Report 2021-03-25
202036980710 Annual Report 2020-03-30
201989541250 Annual Report 2019-03-29
201861130620 Annual Report 2018-03-28
201738950870 Annual Report 2017-03-27
201696063520 Annual Report 2016-04-19
201696063340 Statement of Change of Registered Office by the Registered Agent 2016-04-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1359207203 2020-04-15 0165 PPP 905 PONTIAC AVE, CRANSTON, RI, 02920-7903
Loan Status Date 2021-06-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 120910
Loan Approval Amount (current) 120910
Undisbursed Amount 0
Franchise Name -
Lender Location ID 65777
Servicing Lender Name The Washington Trust Company of Westerly
Servicing Lender Address 23 Broad St, WESTERLY, RI, 02891-1879
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CRANSTON, PROVIDENCE, RI, 02920-7903
Project Congressional District RI-02
Number of Employees 5
NAICS code 621111
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 65777
Originating Lender Name The Washington Trust Company of Westerly
Originating Lender Address WESTERLY, RI
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 122206.42
Forgiveness Paid Date 2021-05-24

Related by officers

CHARLES W. NORMAND, ESQ.

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Related by address

905 PONTIAC AVENUE, CRANSTON, RI, 02920, USA

PPC Properties, LLC

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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