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  5. Blackstone Valley Eye Care, P.C.

Blackstone Valley Eye Care, P.C.

Company Details

Name: Blackstone Valley Eye Care, P.C.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 22 Jun 2007 (18 years ago)
Identification Number: 000164649
ZIP code: 02895
County: Providence County
Principal Address: 385 MENDON ROAD, WOONSOCKET, RI, 02895, USA
Purpose: OPTOMETRY PRACTICE THAT PROVIDES EYE EXAMINATION AND PRESCRIPTION CORRECTIVE LENSES.
NAICS: 621320 - Offices of Optometrists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285827824 2007-08-27 2014-12-18 385 MENDON RD, WOONSOCKET, RI, 028952477, US 385 MENDON RD, WOONSOCKET, RI, 028952477, US

Contacts
Phone +1 401-762-4473

Authorized person
Name JEFFREY S KENYON
Role PRESIDENT
Phone 4017624473

Taxonomy
Taxonomy Code 152W00000X - Optometrist
License Number ODTA00523
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLACKSTONE VALLEY EYE CARE PROFIT SHARING PLAN 2023 260429488 2024-04-30 BLACKSTONE VALLEY EYE CARE 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 4017624473
Plan sponsor’s address 385 MENDON RD, WOONSOCKET, RI, 028952477

Signature of
Role Plan administrator
Date 2024-04-30
Name of individual signing JEFFREY KENYON
Valid signature Filed with authorized/valid electronic signature
BLACKSTONE VALLEY EYE CARE PROFIT SHARING PLAN 2023 260429488 2024-01-25 BLACKSTONE VALLEY EYE CARE 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 4014624473
Plan sponsor’s address 385 MENDON RD, WOONSOCKET, RI, 028952477

Signature of
Role Plan administrator
Date 2024-01-25
Name of individual signing JEFFREY KENYON
Valid signature Filed with authorized/valid electronic signature
BLACKSTONE VALLEY EYE CARE PROFIT SHARING PLAN 2022 260429488 2024-01-25 BLACKSTONE VALLEY EYE CARE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 4017624473
Plan sponsor’s address 385 MENDON RD, WOONSOCKET, RI, 028952477

Signature of
Role Plan administrator
Date 2024-01-25
Name of individual signing JEFFREY KENYON
Valid signature Filed with authorized/valid electronic signature
BLACKSTONE VALLEY EYE CARE PROFIT SHARING PLAN 2021 260429488 2022-07-11 BLACKSTONE VALLEY EYE CARE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 4014624473
Plan sponsor’s address 385 MENDON RD, WOONSOCKET, RI, 028952477

Signature of
Role Plan administrator
Date 2022-07-11
Name of individual signing CHRISTOPHER TREMBLAY
Valid signature Filed with authorized/valid electronic signature
BLACKSTONE VALLEY EYE CARE PROFIT SHARING PLAN 2020 260429488 2021-07-23 BLACKSTONE VALLEY EYE CARE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 4014624473
Plan sponsor’s address 385 MENDON RD, WOONSOCKET, RI, 028952477

Signature of
Role Plan administrator
Date 2021-07-23
Name of individual signing CHRISTOPHER TREMBLAY
Valid signature Filed with authorized/valid electronic signature
BLACKSTONE VALLEY EYE CARE PROFIT SHARING PLAN 2019 260429488 2020-07-09 BLACKSTONE VALLEY EYE CARE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 4014624473
Plan sponsor’s address 385 MENDON RD, WOONSOCKET, RI, 028952477

Signature of
Role Plan administrator
Date 2020-07-09
Name of individual signing CHRISTOPHER TREMBLAY
Valid signature Filed with authorized/valid electronic signature
BLACKSTONE VALLEY EYE CARE 2018 260429488 2019-05-15 BLACKSTONE VALLEY EYE CARE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621320
Sponsor’s telephone number 4014624473
Plan sponsor’s address 385 MENDON RD, WOONSOCKET, RI, 028952477

Signature of
Role Plan administrator
Date 2019-05-15
Name of individual signing CHRISTOPHER TREMBLAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ARTHUR CARREIRO Agent 385 MENDON ROAD, WOONSOCKET, RI, 02895, USA

PRESIDENT

Name Role Address
JEFFREY S KENYON PRESIDENT 17 TANAGER ROAD SEEKONK, MA 02771

Filings

Number Name File Date
202444560980 Annual Report 2024-01-23
202338895460 Annual Report 2023-06-29
202338086390 Revocation Notice For Failure to File An Annual Report 2023-06-19
202207871870 Annual Report 2022-01-11
202184598830 Annual Report 2021-01-06
202060376330 Annual Report 2020-10-02
202055056870 Revocation Notice For Failure to File An Annual Report 2020-09-16
201882842760 Annual Report 2018-12-18
201855580190 Annual Report 2018-01-03
201734188880 Statement of Change of Registered Office by the Registered Agent 2017-02-16

Related by officers

JEFFREY S KENYON

4Sight Eyewear, Inc.

Related by address

385 MENDON ROAD, WOONSOCKET, RI, 02895, USA

SEPTEMBER, LLC 4Sight Eyewear, Inc.

Date of last update: 10 Oct 2024

Sources: Rhode Island Department of State

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