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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

Industry & Business Activity

NAICS

621320 Offices of Optometrists

This industry comprises establishments of health practitioners having the degree of O.D. (Doctor of Optometry) primarily engaged in the independent practice of optometry. These practitioners examine, diagnose, treat, and manage diseases and disorders of the visual system, the eye, and associated structures as well as diagnose related systemic conditions. Offices of optometrists prescribe and/or provide eyeglasses, contact lenses, low vision aids, and vision therapy. They 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, and may also provide the same services as opticians, such as selling and fitting prescription eyeglasses and contact lenses. Learn more at the U.S. Census Bureau

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8196457106 2020-04-15 0165 PPP 1 Thurber Blvd B, Smithfield, RI, 02917
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) 60700
Loan Approval Amount (current) 60700
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 Smithfield, PROVIDENCE, RI, 02917-0700
Project Congressional District RI-01
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 61078.74
Forgiveness Paid Date 2021-02-16
4500118309 2021-01-23 0165 PPS 1 Thurber Blvd, Smithfield, RI, 02917-1826
Loan Status Date 2021-09-29
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 60700
Loan Approval Amount (current) 60700
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 Smithfield, PROVIDENCE, RI, 02917-1826
Project Congressional District RI-01
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 61042.58
Forgiveness Paid Date 2021-08-23

Date of last update: 11 Oct 2024

Sources: Rhode Island Department of State