Name: | Artistic Surgical Center, Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Professional Service Corporation |
Status: | Dissolved |
Date of Organization in Rhode Island: | 03 Jan 2007 (18 years ago) |
Date of Dissolution: | 01 Mar 2013 (12 years ago) |
Date of Status Change: | 01 Mar 2013 (12 years ago) |
Identification Number: | 000160752 |
ZIP code: | 02818 |
County: | Kent County |
Principal Address: | 1567 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818, USA |
Purpose: | Ambulatory Surgical Center |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1366764987 | 2010-02-23 | 2010-02-23 | 1567 S COUNTY TRL, EAST GREENWICH, RI, 028181695, US | 1567 S COUNTY TRL, EAST GREENWICH, RI, 028181695, US | |||||||||||||||||||
|
Phone | +1 401-541-7170 |
Fax | 4015417170 |
Authorized person
Name | DR. CURTIS JOHN PERRY |
Role | MEDICAL DIRECTOR |
Phone | 4015417170 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
License Number | PHS00016 |
State | RI |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ARTISTIC SURGICAL CENTER INC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN | 2011 | 208128400 | 2012-06-27 | ARTISTIC SURGICAL CENTER INC | 3 | |||||||||||||||||||||||||||||||
|
Administrator’s EIN | 208128400 |
Plan administrator’s name | ARTISTIC SURGICAL CENTER INC |
Plan administrator’s address | 1567 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818 |
Administrator’s telephone number | 4015417170 |
Signature of
Role | Plan administrator |
Date | 2012-06-27 |
Name of individual signing | PATRICIA MCGOWAN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2002-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 4015417170 |
Plan sponsor’s address | 1567 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818 |
Plan administrator’s name and address
Administrator’s EIN | 208128400 |
Plan administrator’s name | ARTISTIC SURGICAL CENTER INC |
Plan administrator’s address | 1567 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818 |
Administrator’s telephone number | 4015417170 |
Signature of
Role | Plan administrator |
Date | 2011-04-14 |
Name of individual signing | PATRICIA MCGOWAN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2002-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 4015417170 |
Plan sponsor’s address | 1567 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818 |
Plan administrator’s name and address
Administrator’s EIN | 208128400 |
Plan administrator’s name | ARTISTIC SURGICAL CENTER INC |
Plan administrator’s address | 1567 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818 |
Administrator’s telephone number | 4015417170 |
Signature of
Role | Plan administrator |
Date | 2010-08-18 |
Name of individual signing | PATRICIA MCGOWAN |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
CURTIS PERRY MD | Agent | 1567 SOUTH COUNTY TRAIL, EAST GREENWICH, RI, 02818, USA |
Name | Role | Address |
---|---|---|
CURTIS J PERRY | PRESIDENT | 1567 SOUTH COUNTY TRAIL EAST GREENWICH, RI 02818 USA |
Name | Role | Address |
---|---|---|
CURTIS J PERRY | OTHER OFFICER | 1567 SOUTH COUNTY TRAIL EAST GREENWICH, RI 02818-1695 UNI |
Number | Name | File Date |
---|---|---|
201313340720 | Articles of Dissolution | 2013-03-01 |
201288657670 | Annual Report | 2012-01-30 |
201173866530 | Annual Report | 2011-01-21 |
201173145950 | Statement of Change of Registered/Resident Agent | 2011-01-05 |
201059718010 | Annual Report | 2010-03-02 |
200942154100 | Annual Report | 2009-02-10 |
200940434420 | Statement of Change of Registered Office by the Registered Agent | 2009-01-16 |
200809462030 | Annual Report | 2008-02-29 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State