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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 (18 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

Industry & Business Activity

NAICS

621210 Offices of Dentists

This industry comprises establishments of health practitioners having the degree of D.M.D. (Doctor of Dental Medicine), D.D.S. (Doctor of Dental Surgery), or D.D.Sc. (Doctor of Dental Science) primarily engaged in the independent practice of general or specialized dentistry or dental surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. They can provide either comprehensive preventive, cosmetic, or emergency care, or specialize in a single field of dentistry. Learn more at the U.S. Census Bureau

Companies doing 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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