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Angela Fishman DO, Inc.

Company Details

Name: Angela Fishman DO, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 31 Jan 2005 (20 years ago)
Date of Dissolution: 28 Feb 2012 (13 years ago)
Date of Status Change: 28 Feb 2012 (13 years ago)
Identification Number: 000145459
ZIP code: 02905
County: Providence County
Principal Address: 33 STANIFORD STREET, PROVIDENCE, RI, 02905, USA
Purpose: TO ENGAGE IN THE PRACTICE OF MEDICINE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANGELA FISHMAN DO, INC. 401(K) PROFIT SHARING PLA 2012 202358106 2013-06-20 ANGELA FISHMAN DO, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, PROVIDENCE, RI, 02905

Plan administrator’s name and address

Administrator’s EIN 202358106
Plan administrator’s name ANGELA FISHMAN DO, INC.
Plan administrator’s address 33 STANIFORD STREET, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of

Role Plan administrator
Date 2013-06-20
Name of individual signing JAMES W. STAUFFER
Valid signature Filed with authorized/valid electronic signature
ANGELA FISHMAN DO, INC. 401(K) PROFIT SHARING PLA 2011 202358106 2012-07-09 ANGELA FISHMAN DO, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, PROVIDENCE, RI, 02905

Plan administrator’s name and address

Administrator’s EIN 202358106
Plan administrator’s name ANGELA FISHMAN DO, INC.
Plan administrator’s address 33 STANIFORD STREET, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of

Role Plan administrator
Date 2012-07-09
Name of individual signing ANGELA FISHMAN DO
Valid signature Filed with authorized/valid electronic signature
ANGELA FISHMAN DO, INC. 401(K) PROFIT SHARING PLA 2010 202358106 2011-07-01 ANGELA FISHMAN DO, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, PROVIDENCE, RI, 02905

Plan administrator’s name and address

Administrator’s EIN 202358106
Plan administrator’s name ANGELA FISHMAN DO, INC.
Plan administrator’s address 33 STANIFORD STREET, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of

Role Plan administrator
Date 2011-07-01
Name of individual signing ANGELA FISHMAN DO
Valid signature Filed with authorized/valid electronic signature
ANGELA FISHMAN DO, INC. 401(K) PROFIT SHARING PLA 2009 202358106 2010-10-12 ANGELA FISHMAN DO, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, PROVIDENCE, RI, 02905

Plan administrator’s name and address

Administrator’s EIN 202358106
Plan administrator’s name ANGELA FISHMAN DO, INC.
Plan administrator’s address 33 STANIFORD STREET, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of

Role Plan administrator
Date 2010-10-12
Name of individual signing CAROL LIPMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN D. ZUBIAGO, ESQ. Agent NIXON PEABODY LLP ONE CITIZENS PLAZA, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
ANGELA FISHMAN, D.O. PRESIDENT 33 STANIFORD STREET PROVIDENCE, RI 02905 USA

Filings

Number Name File Date
201290324090 Articles of Dissolution 2012-02-28
201174251650 Annual Report 2011-01-31
201058474980 Annual Report 2010-02-16
200942400720 Annual Report 2009-02-17
200809568660 Annual Report 2008-03-03

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State