| Name: | Jerald I. Kupperberg, M.D., Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 02 Jan 2008 (17 years ago) |
| Date of Dissolution: | 18 Oct 2019 (5 years ago) |
| Date of Status Change: | 18 Oct 2019 (5 years ago) |
| Identification Number: | 000294724 |
| ZIP code: | 02825 |
| County: | Providence County |
| Principal Address: | 54 HOWARD HILL ROAD, FOSTER, RI, 02825, USA |
| Purpose: | PHYSICIAN |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Name | Role | Address |
|---|---|---|
| JOHN A. PARMELEE, CPA | Agent | 469 CENTERVILLE ROAD SUITE 203, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| JERALD IVAN KUPPERBERG MD | PRESIDENT | 54 HOWARD HILL RD FOSTER, RI 02825 USA |
| Name | Role | Address |
|---|---|---|
| JERALD IVAN KUPPERBERG MD | TREASURER | 54 HOWARD HILL RD FOSTER, RI 02825 USA |
| Name | Role | Address |
|---|---|---|
| JERALD IVAN KUPPERBERG MD | SECRETARY | 54 HOWARDHILL RD FOSTER, RI 02825 USA |
| Name | Role | Address |
|---|---|---|
| JERALD IVAN KUPPERBERG MD | DIRECTOR | 54 HOWARD HILL RD FOSTER, RI 02825 USA |
| Number | Name | File Date |
|---|---|---|
| 201924598220 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-10-18 |
| 201907078220 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
| 201857606410 | Annual Report | 2018-02-05 |
| 201729870170 | Annual Report | 2017-01-10 |
| 201589460690 | Annual Report | 2015-12-19 |
| 201452555690 | Annual Report | 2014-12-31 |
| 201332036970 | Annual Report | 2013-12-23 |
| 201310212660 | Annual Report | 2013-01-24 |
| 201290030090 | Annual Report | 2012-02-21 |
| 201174943500 | Annual Report | 2011-02-15 |
Date of last update: 11 Oct 2024
Sources: Rhode Island Department of State
