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  5. Keith L. Callahan MD, PC

Keith L. Callahan MD, PC

Company Details

Name: Keith L. Callahan MD, PC
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 31 Jul 2007 (17 years ago)
Identification Number: 000166773
ZIP code: 02886
County: Kent County
Principal Address: 390 TOLL GATE ROAD SUITE 108, WARWICK, RI, 02886, USA
Purpose: PRACTICE OF MEDICINE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. KEITH L CALLAHAN 401 K PROFIT SHARING PLAN TRUST 2014 260387205 2015-07-25 KEITH L CALLAHAN MD PC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4019215672
Plan sponsor’s address 390 TOLL GATE RD STE 108, WARWICK, RI, 028864326

Signature of
Role Plan administrator
Date 2015-07-25
Name of individual signing KEITH CALLAHAN
Valid signature Filed with authorized/valid electronic signature
DR. KEITH L CALLAHAN 401 K PROFIT SHARING PLAN TRUST 2013 260387205 2014-07-16 KEITH L CALLAHAN MD PC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4019215672
Plan sponsor’s address 390 TOLL GATE RD STE 108, WARWICK, RI, 028864326

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing KEITH CALLAHAN
Valid signature Filed with authorized/valid electronic signature
DR. KEITH L CALLAHAN 401 K PROFIT SHARING PLAN TRUST 2012 260387205 2013-07-19 KEITH L CALLAHAN MD PC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4019215672
Plan sponsor’s address 390 TOLL GATE RD STE 108, WARWICK, RI, 028864326

Signature of
Role Plan administrator
Date 2013-07-19
Name of individual signing KEITH L CALLAHAN MD PC
Valid signature Filed with authorized/valid electronic signature
KEITH L CALLAHAN MD PC 401 K PROFIT SHARING PLAN TRUST 2011 260387205 2012-07-09 KEITH L CALLAHAN MD PC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4019215672
Plan sponsor’s address 390 TOLL GATE RD STE 108, WARWICK, RI, 028864326

Plan administrator’s name and address
Administrator’s EIN 260387205
Plan administrator’s name KEITH L CALLAHAN MD PC
Plan administrator’s address 390 TOLL GATE RD STE 108, WARWICK, RI, 028864326
Administrator’s telephone number 4019215672

Signature of
Role Plan administrator
Date 2012-07-09
Name of individual signing KEITH L CALLAHAN MD PC
Valid signature Filed with authorized/valid electronic signature
KEITH L CALLAHAN MD PC 401 K PROFIT SHARING PLAN TRUST 2010 260387205 2011-11-21 KEITH L CALLAHAN MD PC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4019215672
Plan sponsor’s address 390 TOLLGATE AVE, STE 108, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 260387205
Plan administrator’s name KEITH L CALLAHAN MD PC
Plan administrator’s address 390 TOLLGATE AVE, STE 108, WARWICK, RI, 02886
Administrator’s telephone number 4019215672

Signature of
Role Plan administrator
Date 2011-11-21
Name of individual signing KEITH L CALLAHAN MD PC
Valid signature Filed with authorized/valid electronic signature
KEITH L CALLAHAN MD PC 2009 260387205 2010-07-01 KEITH L CALLAHAN MD PC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 4019215672
Plan sponsor’s address 470 TOLLGATE AVE, STE 103, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 260387205
Plan administrator’s name KEITH L CALLAHAN MD PC
Plan administrator’s address 470 TOLLGATE AVE, STE 103, WARWICK, RI, 02886
Administrator’s telephone number 4019215672

Signature of
Role Plan administrator
Date 2010-07-01
Name of individual signing KEITH L CALLAHAN MD PC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ANTONIO L. TRUBIANO Agent 490 WOODRUFF AVENUE, WAKEFIELD, RI, 02879, USA

PRESIDENT

Name Role Address
KEITH L CALLAHAN MD, PC PRESIDENT 11 TALL PINE DRIVE EAST GREENWICH, RI 02818 USA

Filings

Number Name File Date
202450872110 Annual Report 2024-04-11
202335771550 Annual Report 2023-05-17
202215549840 Annual Report 2022-04-21
202191257250 Annual Report 2021-02-12
202191257520 Statement of Change of Registered/Resident Agent 2021-02-12
202035908580 Annual Report 2020-03-04
201908682110 Annual Report 2019-07-31
201907075580 Revocation Notice For Failure to File An Annual Report 2019-07-24
201869405270 Annual Report 2018-06-12
201734129360 Annual Report 2017-02-15

Related by officers

ANTONIO L. TRUBIANO

Insurance Reconstruction Services, Inc. Tech Builders, Inc. OSPREY BUILDERS, INC. DIAMOND ARTURO CORP. G. D. CONSTRUCTION, ROOFING & SIDING, INC. PIER ICE PLANT, INC. ENVIRO-CLEAN, INC. DOA EXTERMINATION, INC. South County Woodworks, Inc. REALTY 107, LLC

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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