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  5. FRANKLIN E. MIRRER, M.D. ORTHOPAEDIC SURGEON, INC.

FRANKLIN E. MIRRER, M.D. ORTHOPAEDIC SURGEON, INC.

Company Details

Name: FRANKLIN E. MIRRER, M.D. ORTHOPAEDIC SURGEON, INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 12 Mar 2007 (18 years ago)
Identification Number: 000162407
ZIP code: 02886
County: Kent County
Principal Address: 215 TOLLGATE ROAD SUITE 305, WARWICK, RI, 02886, USA
Purpose: THE PRACTICE OF MEDICINE INCLUDING SURGERY
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Fictitious names: Warwick Physical Therapy Institute (trading name, 2011-03-21 - )

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 401(K) RETIREMENT PLAN 2022 208630214 2023-04-12 FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 4017399050
Plan sponsor’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2023-04-12
Name of individual signing FRANKLIN E MIRRER MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-12
Name of individual signing FRANKLIN E MIRRER MD
Valid signature Filed with authorized/valid electronic signature
FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 401(K) RETIREMENT PLAN 2021 208630214 2022-06-22 FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 4017399050
Plan sponsor’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing FRANKLIN MIRRER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-22
Name of individual signing FRANKLIN MIRRER
Valid signature Filed with authorized/valid electronic signature
FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 401(K) RETIREMENT PLAN 2020 208630214 2021-04-08 FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 4017399050
Plan sponsor’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2021-04-08
Name of individual signing CONNIE LANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-08
Name of individual signing CONNIE LANG
Valid signature Filed with authorized/valid electronic signature
FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 401(K) RETIREMENT PLAN 2019 208630214 2020-02-05 FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 4017399050
Plan sponsor’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2020-02-05
Name of individual signing CONNIE BROWN LANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-02-05
Name of individual signing CONNIE BROWN LANG
Valid signature Filed with authorized/valid electronic signature
FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 401(K) RETIREMENT PLAN 2018 208630214 2019-01-22 FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 4017399050
Plan sponsor’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2019-01-22
Name of individual signing FRANKLIN MIRRER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-01-22
Name of individual signing FRANKLIN MIRRER
Valid signature Filed with authorized/valid electronic signature
FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 401(K) RETIREMENT PLAN 2016 208630214 2017-03-30 FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 4017399050
Plan sponsor’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2017-03-30
Name of individual signing FRANKLIN MIRRER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-30
Name of individual signing FRANKLIN MIRRER
Valid signature Filed with authorized/valid electronic signature
FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 401(K) RETIREMENT PLAN 2015 208630214 2016-03-30 FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 4017399050
Plan sponsor’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2016-03-30
Name of individual signing FRANKLIN MIRRER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-30
Name of individual signing FRANKLIN MIRRER
Valid signature Filed with authorized/valid electronic signature
FRANKLIN E.MIRRER, M.D. ORTHOPAEDIC SURGEON, INC. 401(K) RETIREMENT PLAN 2014 208630214 2015-05-18 FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 4017399050
Plan sponsor’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 208630214
Plan administrator’s name FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC.
Plan administrator’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886
Administrator’s telephone number 4017399050

Signature of
Role Plan administrator
Date 2015-05-18
Name of individual signing FRANKLIN MIRRER
Valid signature Filed with authorized/valid electronic signature
FRANKLIN E.MIRRER, M.D. ORTHOPAEDIC SURGEON, INC. 401(K) RETIREMENT PLAN 2013 208630214 2014-07-03 FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 4017399050
Plan sponsor’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 208630214
Plan administrator’s name FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC.
Plan administrator’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886
Administrator’s telephone number 4017399050

Signature of
Role Plan administrator
Date 2014-07-03
Name of individual signing FRANKLIN MIRRER
Valid signature Filed with authorized/valid electronic signature
FRANKLIN E.MIRRER, M.D. ORTHOPAEDIC SURGEON, INC. 401(K) RETIREMENT PLAN 2012 208630214 2013-09-06 FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 4017399050
Plan sponsor’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 208630214
Plan administrator’s name FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC.
Plan administrator’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886
Administrator’s telephone number 4017399050

Signature of
Role Plan administrator
Date 2013-09-06
Name of individual signing FRANKLIN MIRRER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/10/20120410111650P040065795841001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-03-01
Business code 621111
Sponsor’s telephone number 4017399050
Plan sponsor’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 208630214
Plan administrator’s name FRANKLIN E. MIRRER, M.D., ORTHOPAEDIC SURGEON, INC.
Plan administrator’s address 215 TOLLGATE ROAD, SUITE 206, WARWICK, RI, 02886
Administrator’s telephone number 4017399050

Signature of
Role Plan administrator
Date 2012-04-10
Name of individual signing FRANKLIN E. MIRRER, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
FRANKLIN E. MIRRER, MD Agent 215 TOLLGATE ROAD SUITE 206, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
FRANKLIN E. MIRRER MD. PRESIDENT 215 TOLLGATE ROAD WARWICK, RI 02886 USA

Filings

Number Name File Date
202453720670 Annual Report 2024-05-02
202330202950 Annual Report 2023-03-08
202217508980 Annual Report 2022-05-19
202195222010 Annual Report 2021-04-01
202034677360 Annual Report 2020-02-19
201986607490 Annual Report 2019-02-14
201856760870 Annual Report 2018-01-25
201729531350 Annual Report 2017-01-05
201627307480 Statement of Change of Registered/Resident Agent 2016-11-21
201692269610 Annual Report 2016-02-10

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 10 Oct 2024

Sources: Rhode Island Department of State

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