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PETER C. BRASCH, MD, LLC

Company Details

Name: PETER C. BRASCH, MD, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 01 Feb 2008 (17 years ago)
Identification Number: 000306673
ZIP code: 02917
County: Providence County
Principal Address: 1 THURBER BOULEVARD, SMITHFIELD, RI, 02917, USA
Purpose: EYE PHYSICIAN AND SURGEON
NAICS: 621320 - Offices of Optometrists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093983496 2008-02-19 2008-11-23 1 THURBER BLVD, SMITHFIELD, RI, 029171826, US 1 THURBER BLVD, SMITHFIELD, RI, 029171826, US

Contacts

Phone +1 401-349-5360

Authorized person

Name PETER C. BRASCH
Role OWNER
Phone 4014873963

Taxonomy

Taxonomy Code 332H00000X - Eyewear Supplier
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETER C BRASCH MD LLC 401(K) PROFIT SHARING PLAN 2015 261208219 2016-04-19 PETER C BRASCH MD LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 621111
Sponsor’s telephone number 4013495360
Plan sponsor’s address 1 THURBER BLVD UNIT B, SMITHFIELD, RI, 029171826
PETER C BRASCH MD LLC 401(K) PROFIT SHARING PLAN 2014 261208219 2015-03-24 PETER C BRASCH MD LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 621111
Sponsor’s telephone number 4013495360
Plan sponsor’s address 1 THURBER BOULEVARD, UNIT B, SMITHFIELD, RI, 02917
PETER C BRASCH MD LLC 401(K) PROFIT SHARING PLAN 2013 261208219 2014-06-02 PETER C BRASCH MD LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 621111
Sponsor’s telephone number 4013495360
Plan sponsor’s address 1 THURBER BOULEVARD, UNIT B, SMITHFIELD, RI, 02917
PETER C BRASCH MD LLC 401(K) PROFIT SHARING PLAN 2012 261208219 2013-07-03 PETER C BRASCH MD LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 621111
Sponsor’s telephone number 4013495360
Plan sponsor’s address 1 THURBER BOULEVARD, UNIT B, SMITHFIELD, RI, 02917

Signature of

Role Plan administrator
Date 2013-07-03
Name of individual signing PATRICIA MCGOWAN
Valid signature Filed with authorized/valid electronic signature
PETER C BRASCH MD LLC 401(K) PROFIT SHARING PLAN 2011 261208219 2012-06-27 PETER C BRASCH MD LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 621111
Sponsor’s telephone number 4013495360
Plan sponsor’s address 1 THURBER BOULEVARD, UNIT B, SMITHFIELD, RI, 02917

Plan administrator’s name and address

Administrator’s EIN 261208219
Plan administrator’s name PETER C BRASCH MD LLC
Plan administrator’s address 1 THURBER BOULEVARD, UNIT B, SMITHFIELD, RI, 02917
Administrator’s telephone number 4013495360

Signature of

Role Plan administrator
Date 2012-06-27
Name of individual signing PATRICIA MCGOWAN
Valid signature Filed with authorized/valid electronic signature
PETER C BRASCH MD LLC 401(K) PROFIT SHARING PLAN 2010 261208219 2011-04-14 PETER C BRASCH MD LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-01
Business code 621111
Sponsor’s telephone number 4013495360
Plan sponsor’s address 1 THURBER BOULEVARD, UNIT B, SMITHFIELD, RI, 02917

Plan administrator’s name and address

Administrator’s EIN 261208219
Plan administrator’s name PETER C BRASCH MD LLC
Plan administrator’s address 1 THURBER BOULEVARD, UNIT B, SMITHFIELD, RI, 02917
Administrator’s telephone number 4013495360

Signature of

Role Plan administrator
Date 2011-04-14
Name of individual signing PATRICIA MCGOWAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN W. WOLFE, ESQ. Agent 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

Filings

Number Name File Date
202446563510 Annual Report 2024-02-16
202329032560 Annual Report 2023-02-22
202214430770 Annual Report 2022-04-11
202207879100 Statement of Change of Registered/Resident Agent 2022-01-12
202103270560 Annual Report 2021-10-14
202066348340 Annual Report 2020-10-15
201924714080 Annual Report 2019-10-17
201878967820 Annual Report 2018-10-05
201750713080 Annual Report 2017-09-29
201610028790 Annual Report 2016-10-07

Date of last update: 11 Oct 2024

Sources: Rhode Island Department of State