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  5. MANSOLILLO MANSOLILLO & MANSOLILLO, LLC

MANSOLILLO MANSOLILLO & MANSOLILLO, LLC

Company Details

Name: MANSOLILLO MANSOLILLO & MANSOLILLO, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Dissolved
Date of Organization in Rhode Island: 17 Sep 2007 (17 years ago)
Date of Dissolution: 15 Apr 2022 (3 years ago)
Date of Status Change: 15 Apr 2022 (3 years ago)
Identification Number: 000238347
ZIP code: 02919
County: Providence County
Principal Address: 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919, USA
Purpose: TO OPERATE A DENTAL PRACTICE IN ALL OF ITS PHASES, TREATING MALES AND FEMALES AND ANY OTHER LEGAL BUSINESS
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659350312 2006-01-11 2020-08-22 1347 HARTFORD AVE, JOHNSTON, RI, 02919, US 1347 HARTFORD AVE, JOHNSTON, RI, 02919, US

Contacts
Phone +1 401-861-1080
Fax 4018615706

Authorized person
Name DR. JOSEPH LEWIS MANSOLILLO
Role PARTNER
Phone 4018611080

Taxonomy
Taxonomy Code 122300000X - Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 401(K) PLAN 2020 050395702 2021-05-18 MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 4018611080
Plan sponsor’s address 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2021-05-18
Name of individual signing JEFFREY MANSOLILLO
Valid signature Filed with authorized/valid electronic signature
MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 401(K) PLAN 2019 050395702 2020-08-31 MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 4018611080
Plan sponsor’s address 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2020-08-31
Name of individual signing JEFFREY MANSOLILLO
Valid signature Filed with authorized/valid electronic signature
MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 401(K) PLAN 2018 050395702 2019-10-08 MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 4018611080
Plan sponsor’s address 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing JOSEPH MANSOLILLO
Valid signature Filed with authorized/valid electronic signature
MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 401(K) PLAN 2017 050395702 2018-09-05 MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 4018611080
Plan sponsor’s address 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2018-09-05
Name of individual signing JOSEPH MANSOLILLO
Valid signature Filed with authorized/valid electronic signature
MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 401(K) PLAN 2016 050395702 2017-08-30 MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 4018611080
Plan sponsor’s address 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2017-08-30
Name of individual signing JOSEPH MANSOLILLO
Valid signature Filed with authorized/valid electronic signature
MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 401(K) PLAN 2015 050395702 2016-10-04 MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 4018611080
Plan sponsor’s address 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing JOSEPH MANSOLILLO
Valid signature Filed with authorized/valid electronic signature
MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 401(K) PLAN 2014 050395702 2015-10-01 MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 4018611080
Plan sponsor’s address 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing JOSEPH MANSOLILLO
Valid signature Filed with authorized/valid electronic signature
MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 401(K) PLAN 2013 050395702 2014-09-08 MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 4018611080
Plan sponsor’s address 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2014-09-08
Name of individual signing JOSEPH MANSOLILLO
Valid signature Filed with authorized/valid electronic signature
MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 401(K) PLAN 2012 050395702 2013-09-10 MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 4018611080
Plan sponsor’s address 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing JOSEPH MANSOLILLO
Valid signature Filed with authorized/valid electronic signature
MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 401(K) PLAN 2011 050395702 2012-10-03 MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 4018611080
Plan sponsor’s address 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 050395702
Plan administrator’s name MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC
Plan administrator’s address 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4018611080

Signature of
Role Plan administrator
Date 2012-10-03
Name of individual signing JOSEPH MANSOLILLO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/12/20111012133433P030147446625001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 4018611080
Plan sponsor’s address 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 050395702
Plan administrator’s name MANSOLILLO, MANSOLILLO & MANSOLILLO, LLC
Plan administrator’s address 1347 HARTFORD AVENUE, JOHNSTON, RI, 02919
Administrator’s telephone number 4018611080

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing JOSEPH MANSOLILLO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ERICKA L. LEVESQUE, ESQ. Agent 311 ANGELL STREET, PROVIDENCE, RI, 02906, USA

Manager

Name Role Address
JOSEPH L MANSOLILLO DDS Manager 1347 HARTFORD AVENUE JOHNSTON, RI 02919 USA

Filings

Number Name File Date
202214988910 Articles of Dissolution 2022-04-15
202208793360 Annual Report 2022-01-28
202106352470 Revocation Notice For Failure to File An Annual Report 2021-12-03
202077905350 Annual Report 2020-11-30
201928494410 Annual Report 2019-11-27
201882152030 Annual Report 2018-11-30
201753760900 Annual Report 2017-11-21
201627530400 Annual Report 2016-11-22
201587842740 Annual Report 2015-11-13
201587842650 Statement of Change of Registered/Resident Agent 2015-11-13

Related by officers

ERICKA L. LEVESQUE, ESQ.

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Related by address

1347 HARTFORD AVENUE, JOHNSTON, RI, 02919, USA

JLM REALTY, LLC

Date of last update: 11 Oct 2024

Sources: Rhode Island Department of State

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