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  5. Jaffe Orthodontics, Inc.

Jaffe Orthodontics, Inc.

Company Details

Name: Jaffe Orthodontics, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 31 Oct 2008 (16 years ago)
Identification Number: 000487037
ZIP code: 02806
County: Bristol County
Principal Address: 147 COUNTY ROAD, BARRINGTON, RI, 02806, USA
Purpose: ORTHODONTIC SERVICES
NAICS: 621210 - Offices of Dentists
Historical names: Jaffe Family Orthodontics, Inc.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAFFE ORTHODONTICS, INC. CASH BALANCE PLAN 2023 263648376 2024-10-08 JAFFE ORTHODONTICS, INC. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806
JAFFE ORTHODONTICS, INC. 401(K) PLAN 2023 263648376 2024-07-31 JAFFE ORTHODONTICS, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature
JAFFE ORTHODONTICS, INC. 401(K) PLAN 2022 263648376 2023-05-09 JAFFE ORTHODONTICS, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Signature of
Role Plan administrator
Date 2023-05-09
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature
JAFFE ORTHODONTICS, INC. 401(K) PLAN 2021 263648376 2022-05-11 JAFFE ORTHODONTICS, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Signature of
Role Plan administrator
Date 2022-05-11
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature
JAFFE ORTHODONTICS, INC. 401(K) PLAN 2020 263648376 2021-05-28 JAFFE ORTHODONTICS, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Signature of
Role Plan administrator
Date 2021-05-28
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature
JAFFE ORTHODONTICS, INC. 401(K) PLAN 2019 263648376 2020-05-14 JAFFE ORTHODONTICS, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Signature of
Role Plan administrator
Date 2020-05-14
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature
JAFFE ORTHODONTICS, INC. 401(K) PLAN 2018 263648376 2019-06-20 JAFFE ORTHODONTICS, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Signature of
Role Plan administrator
Date 2019-06-20
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature
JAFFE ORTHODONTICS, INC. 401(K) PLAN 2017 263648376 2018-04-24 JAFFE ORTHODONTICS, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Signature of
Role Plan administrator
Date 2018-04-24
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature
JAFFE ORTHODONTICS, INC. 401(K) PLAN 2016 263648376 2017-05-02 JAFFE ORTHODONTICS, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Signature of
Role Plan administrator
Date 2017-05-02
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature
JAFFE ORTHODONTICS, INC. 401(K) PLAN 2015 263648376 2016-06-30 JAFFE ORTHODONTICS, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/05/12/20150512102809P030299280481001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Signature of
Role Plan administrator
Date 2015-05-12
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/25/20140325090440P040309345169001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Plan administrator’s name and address
Administrator’s EIN 263648376
Plan administrator’s name JAFFE ORTHODONTICS, INC.
Plan administrator’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806
Administrator’s telephone number 4012452626

Signature of
Role Plan administrator
Date 2014-03-25
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/01/31/20130131143727P040073022243001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Plan administrator’s name and address
Administrator’s EIN 263648376
Plan administrator’s name JAFFE ORTHODONTICS, INC.
Plan administrator’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806
Administrator’s telephone number 4012452626

Signature of
Role Plan administrator
Date 2013-01-31
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/26/20120626082030P040003012309001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Plan administrator’s name and address
Administrator’s EIN 263648376
Plan administrator’s name JAFFE FAMILY ORTHODONTICS, INC.
Plan administrator’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806
Administrator’s telephone number 4012452626

Signature of
Role Plan administrator
Date 2012-06-26
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/01/20110701135536P030404400688001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Plan administrator’s name and address
Administrator’s EIN 263648376
Plan administrator’s name JAFFE FAMILY ORTHODONTICS, INC.
Plan administrator’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806
Administrator’s telephone number 4012452626

Signature of
Role Plan administrator
Date 2011-07-01
Name of individual signing JORDON JAFFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-01
Name of individual signing JORDON JAFFE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/25/20100625094032P030334702065001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 4012452626
Plan sponsor’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806

Plan administrator’s name and address
Administrator’s EIN 263648376
Plan administrator’s name JAFFE FAMILY ORTHODONTICS, INC.
Plan administrator’s address 147 COUNTY ROAD, BARRINGTON, RI, 02806
Administrator’s telephone number 4012452626

Signature of
Role Plan administrator
Date 2010-06-23
Name of individual signing JORDAN JAFFE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN D. ZUBIAGO, ESQ. Agent NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
JORDAN JAFFEE DMD PRESIDENT 147 COUNTY ROAD BARRINGTON, RI 02806

Events

Type Date Old Value New Value
Name Change 2009-09-03 Jaffe Family Orthodontics, Inc. Jaffe Orthodontics, Inc.

Filings

Number Name File Date
202449749380 Annual Report 2024-03-28
202331984260 Annual Report 2023-03-29
202213647520 Annual Report 2022-03-24
202196369020 Annual Report 2021-05-10
202035464590 Annual Report 2020-02-26
201988292090 Annual Report 2019-03-07
201860400940 Annual Report 2018-03-16
201737792200 Annual Report 2017-03-08
201692762030 Annual Report 2016-02-19
201555824080 Annual Report 2015-02-26

Related by officers

STEPHEN D. ZUBIAGO, ESQ.

Nicholas A. Califano, M.D., Inc. CARDIOLOGY ASSOCIATES, INC. MIRIAM IPA, INC. ORTHOPEDIC GROUP, INC. Bayside Endoscopy Group, Inc. Mobile Storage Inc. H & H TRUCKING INC. MIRIAM PHO, INC. Bayside OB-GYN, Inc. West Bay Orthopaedics and Neurosurgery, Inc.

Related by address

147 COUNTY ROAD, BARRINGTON, RI, 02806, USA

THE CAPIZZO PROFESSIONAL BUILDING, LLC

Date of last update: 13 Oct 2024

Sources: Rhode Island Department of State

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