Home Page
Counties
Kent County
02886
MJI, Inc.

MJI, Inc.

Company Details

Name:	MJI, Inc.
Jurisdiction:	Rhode Island
Entity type:	Professional Service Corporation
Status:	Revoked Entity
Date of Organization in Rhode Island:	09 Mar 2006 (19 years ago)
Date of Dissolution:	14 Sep 2012 (12 years ago)
Date of Status Change:	14 Sep 2012 (12 years ago)
Identification Number:	000154315
ZIP code:	02886
County:	Kent County
Principal Address:	215 TOLLGATE ROAD, WARWICK, RI, 02886, USA
Purpose:	PRACTICE OF MEDICINE

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1386691723

2006-05-30

2009-01-08

215 TOLL GATE RD, SUITE 206, WARWICK, RI, 028864458, US

215 TOLL GATE RD, WARWICK, RI, 028864458, US

Contacts

Phone	+1 401-739-9050
Fax	4017322203

Authorized person

Name	DR. MICHAEL J INFANTOLINO
Role	OWNER
Phone	4017399050

Taxonomy

Taxonomy Code	207X00000X - Orthopaedic Surgery Physician
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

MICHAEL J. INFANTOLINO, M.D., INC. 401(K) PLAN

2010

204458316

2010-11-12

MJI, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1984-01-01
Business code	621111
Sponsor’s telephone number	4017399050
Plan sponsor’s address	215 TOLLGATE ROAD, WARWICK, RI, 028864458

Plan administrator’s name and address

Administrator’s EIN	204458316
Plan administrator’s name	MJI, INC.
Plan administrator’s address	215 TOLLGATE ROAD, WARWICK, RI, 028864458
Administrator’s telephone number	4017399050

Signature of

Role	Plan administrator
Date	2010-11-12
Name of individual signing	MICHAEL INFANTOLINO
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2010-11-12
Name of individual signing	MICHAEL INFANTOLINO
Valid signature	Filed with authorized/valid electronic signature

MICHAEL J. INFANTOLINO, M.D., INC. 401(K) PLAN

2009

204458316

2010-09-15

MJI, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1984-01-01
Business code	621111
Sponsor’s telephone number	4017399050
Plan sponsor’s address	215 TOLLGATE ROAD, WARWICK, RI, 028864458

Plan administrator’s name and address

Administrator’s EIN	204458316
Plan administrator’s name	MJI, INC.
Plan administrator’s address	215 TOLLGATE ROAD, WARWICK, RI, 028864458
Administrator’s telephone number	4017399050

Signature of

Role	Plan administrator
Date	2010-09-15
Name of individual signing	MICHAEL INFANTOLINO
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2010-09-15
Name of individual signing	MICHAEL INFANTOLINO
Valid signature	Filed with authorized/valid electronic signature

Agent

Name	Role	Address
DEAN G. ROBINSON, ESQ.	Agent	670 WILLETT AVENUE, EAST PROVIDENCE, RI, 02915, USA

PRESIDENT

Name	Role	Address
MICHAEL J INFANTOLINO	PRESIDENT	215 TOLL GATE ROAD WARWICK, RI 02886- USA

Filings

Number	Name	File Date
201297903270	Revocation Certificate For Failure to File the Annual Report for the Year	2012-09-14
201293165870	Revocation Notice For Failure to File An Annual Report	2012-05-23
201174822850	Annual Report	2011-02-11
201057594490	Annual Report	2010-01-29
200942079430	Annual Report	2009-02-06
200808244330	Annual Report	2008-02-07

Date of last update: 10 Oct 2024

Sources: Rhode Island Department of State