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Leslie Cashel, M.D., Inc.

Company Details

Name: Leslie Cashel, M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 31 Mar 2009 (16 years ago)
Date of Dissolution: 28 Feb 2012 (13 years ago)
Date of Status Change: 28 Feb 2012 (13 years ago)
Identification Number: 000505753
ZIP code: 02905
County: Providence County
Principal Address: 33 STANIFORD STREET, PROVIDENCE, RI, 02905, USA
Purpose: MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104064047 2009-01-30 2009-01-30 33 STANIFORD ST, PROVIDENCE, RI, 029053105, US 33 STANIFORD ST, PROVIDENCE, RI, 029053105, US

Contacts

Phone +1 401-421-8800
Fax 4012736510

Authorized person

Name LESLIE E. CASHEL
Role PHYSICIAN/OWNER
Phone 4014218800

Taxonomy

Taxonomy Code 207RG0100X - Gastroenterology Physician
License Number 4778
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LESLIE CASHEL, M.D., INC. RETIREMENT PLAN 2012 264060022 2013-06-20 LESLIE CASHEL, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address

Administrator’s EIN 264060022
Plan administrator’s name LESLIE CASHEL, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of

Role Plan administrator
Date 2013-06-20
Name of individual signing JAMES W. STAUFFER
Valid signature Filed with authorized/valid electronic signature
LESLIE CASHEL, M.D., INC. RETIREMENT PLAN 2011 264060022 2012-07-11 LESLIE CASHEL, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address

Administrator’s EIN 264060022
Plan administrator’s name LESLIE CASHEL, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of

Role Plan administrator
Date 2012-07-11
Name of individual signing LESLIE CASHEL, M.D.
Valid signature Filed with authorized/valid electronic signature
LESLIE CASHEL, M.D., INC. RETIREMENT PLAN 2010 264060022 2011-06-29 LESLIE CASHEL, M.D., INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 4014218800
Plan sponsor’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905

Plan administrator’s name and address

Administrator’s EIN 264060022
Plan administrator’s name LESLIE CASHEL, M.D., INC.
Plan administrator’s address 33 STANIFORD STREET, 2ND FLOOR, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014218800

Signature of

Role Plan administrator
Date 2011-06-29
Name of individual signing LESLIE CASHEL, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SUSAN LEACH DEBLASIO, ESQ. Agent ADLER POLLOCK & SHEEHAN P.C. ONE CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
LESLIE CASHEL MD PRESIDENT 33 STANIFORD STREET PROVIDENCE, RI 02905 USA

TREASURER

Name Role Address
LESLIE CASHEL MD TREASURER 33 STANIFORD STREET PROVIDENCE, RI 02905 USA

SECRETARY

Name Role Address
LESLIE CASHEL MD SECRETARY 33 STANIFORD STREET PROVIDENCE, RI 02905 USA

DIRECTOR

Name Role Address
LESLIE CASHEL MD DIRECTOR 33 STANIFORD STREET PROVIDENCE, RI 02905 USA

Filings

Number Name File Date
201290323840 Articles of Dissolution 2012-02-28
201174753640 Annual Report 2011-02-10
201058597030 Annual Report 2010-02-18
201057426700 Statement of Change of Registered/Resident Agent 2010-01-26
200944730320 Articles of Incorporation 2009-03-31

Date of last update: 14 Oct 2024

Sources: Rhode Island Department of State