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Lakeside Dental, Inc.

Company Details

Name: Lakeside Dental, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 30 Nov 2007 (17 years ago)
Identification Number: 000275631
ZIP code: 02817
County: Kent County
Principal Address: 34 NOOSENECK HILL ROAD UNIT 1, WEST GREENWICH, RI, 02817, USA
Purpose: DENTISTRY
NAICS: 621210 - Offices of Dentists
Fictitious names: Lakeside Dental (trading name, 2008-01-07 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205018033 2007-12-04 2011-08-03 34 NOOSENECK HILL RD, UNIT #1, WEST GREENWICH, RI, 028171509, US 34 NOOSENECK HILL RD, UNIT #1, WEST GREENWICH, RI, 028171509, US

Contacts

Phone +1 401-392-3320
Fax 4013923380

Authorized person

Name DR. PAUL F. CALITRI
Role PRESIDENT
Phone 4013923320

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN 2023 261470953 2024-10-11 LAKESIDE DENTAL, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Signature of

Role Plan administrator
Date 2024-10-11
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN 2022 261470953 2023-07-14 LAKESIDE DENTAL, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Signature of

Role Plan administrator
Date 2023-07-11
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-11
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN 2021 261470953 2022-06-21 LAKESIDE DENTAL, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Signature of

Role Plan administrator
Date 2022-06-20
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-20
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN 2020 261470953 2021-07-23 LAKESIDE DENTAL, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Signature of

Role Plan administrator
Date 2021-07-22
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-22
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN 2019 261470953 2020-07-30 LAKESIDE DENTAL, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Signature of

Role Plan administrator
Date 2020-07-30
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-30
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN 2018 261470953 2019-07-09 LAKESIDE DENTAL, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Signature of

Role Plan administrator
Date 2019-07-02
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-02
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN 2017 261470953 2018-07-25 LAKESIDE DENTAL, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Signature of

Role Plan administrator
Date 2018-07-24
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-24
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN 2016 261470953 2017-07-13 LAKESIDE DENTAL, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Signature of

Role Plan administrator
Date 2017-07-10
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-10
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN 2015 261470953 2016-07-01 LAKESIDE DENTAL, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Signature of

Role Plan administrator
Date 2016-06-30
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-30
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
LAKESIDE DENTAL EMPLOYEE RETIREMENT PLAN 2014 261470953 2015-07-07 LAKESIDE DENTAL, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Signature of

Role Plan administrator
Date 2015-07-02
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/10/20140610093900P040436427137001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Signature of

Role Plan administrator
Date 2014-06-10
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/27/20130627152343P030272107731001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Signature of

Role Plan administrator
Date 2013-06-19
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/17/20120717132205P030007158626001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Plan administrator’s name and address

Administrator’s EIN 261470953
Plan administrator’s name LAKESIDE DENTAL, INC.
Plan administrator’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817
Administrator’s telephone number 4013923320

Signature of

Role Plan administrator
Date 2012-07-16
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/06/20110706141236P040013411058001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Plan administrator’s name and address

Administrator’s EIN 261470953
Plan administrator’s name LAKESIDE DENTAL, INC.
Plan administrator’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817
Administrator’s telephone number 4013923320

Signature of

Role Plan administrator
Date 2011-07-06
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/14/20100714153926P030126239634001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4013923320
Plan sponsor’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817

Plan administrator’s name and address

Administrator’s EIN 261470953
Plan administrator’s name LAKESIDE DENTAL, INC.
Plan administrator’s address 34 NOOSENECK HILL RD, W. GREENWICH, RI, 02817
Administrator’s telephone number 4013923320

Signature of

Role Plan administrator
Date 2010-07-14
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing PAUL CALITRI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ORSON AND BRUSINI LTD. Agent 211 QUAKER LANE SUITE 201, WEST WARWICK, RI, 02893, USA

PRESIDENT

Name Role Address
PAUL F CALITRI DMD PRESIDENT 34 NOOSENECK HILL ROAD UNIT 1 WEST GREENWICH, RI 02817 USA

Filings

Number Name File Date
202447645530 Annual Report 2024-02-27
202328963900 Annual Report 2023-02-21
202224249360 Statement of Change of Registered Office by the Registered Agent 2022-10-21
202209945560 Annual Report 2022-02-08
202189362670 Annual Report 2021-02-01
202033272890 Annual Report 2020-01-24
201989445800 Annual Report 2019-03-28
201856710820 Annual Report 2018-01-24
201731115320 Annual Report 2017-01-30
201692613710 Annual Report 2016-02-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3888848306 2021-01-22 0165 PPS 34 Nooseneck Hill Rd Unit 1, West Greenwich, RI, 02817-1509
Loan Status Date 2021-10-22
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 83000
Loan Approval Amount (current) 83000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address West Greenwich, KENT, RI, 02817-1509
Project Congressional District RI-02
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 83509.37
Forgiveness Paid Date 2021-09-09
8299557104 2020-04-15 0165 PPP 34 Nooseneck Hill Rd. 1, West Greenwich, RI, 02817
Loan Status Date 2021-03-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 83000
Loan Approval Amount (current) 83000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address West Greenwich, KENT, RI, 02817-1500
Project Congressional District RI-02
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 83525.26
Forgiveness Paid Date 2021-02-16

Date of last update: 11 Oct 2024

Sources: Rhode Island Department of State