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  5. CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC

CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC

Company Details

Name: CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Dissolved
Date of Organization in Rhode Island: 14 Apr 2009 (16 years ago)
Date of Dissolution: 27 Dec 2023 (a year ago)
Date of Status Change: 27 Dec 2023 (a year ago)
Identification Number: 000506129
ZIP code: 02920
County: Providence County
Principal Address: 30 CHAPEL VIEW BOULEVARD SUITE 200, CRANSTON, RI, 02920, USA
Mailing Address: 182 COLONEL JOHN GARDNER ROAD, NARRAGANSETT, RI, 02882, USA
Purpose: DENTISTRY
Fictitious names: Chapel View Family and Cosmetic Dentristry (trading name, 2009-04-23 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073836896 2010-03-08 2010-03-09 30 CHAPEL VIEW BOULEVARD, SUITE 200, CRANSTON, RI, 029203062, US 30 CHAPEL VIEW BOULEVARD, SUITE 200, CRANSTON, RI, 029203062, US

Contacts
Phone +1 401-944-8103
Fax 4019441854

Authorized person
Name DR. WILLIAM LORD DEL GIZZO
Role OWNER
Phone 4019448103

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number 2153
State RI
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS DENTAL
Number 8333-9
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLIAM L. DELGIZZO, DMD 401(K) PLAN 2022 264739201 2023-08-08 CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4017897777
Plan sponsor’s address 182 COLONEL JOHN GARNER ROAD, NARRAGANSETT, RI, 02882

Signature of
Role Plan administrator
Date 2023-08-08
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-08
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
WILLIAM L. DELGIZZO, DMD 401(K) PLAN 2022 264739201 2023-03-29 CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4017897777
Plan sponsor’s address 182 COLONEL JOHN GARNER ROAD, NARRAGANSETT, RI, 02882

Signature of
Role Plan administrator
Date 2023-03-29
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-29
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
WILLIAM L. DELGIZZO, DMD 401(K) PLAN 2021 264739201 2022-09-10 CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4019448103
Plan sponsor’s address 30 CHAPEL VIEW BLVD., SUITE 200, CRANSTON, RI, 029205138

Signature of
Role Plan administrator
Date 2022-09-10
Name of individual signing WILLIAM DELGIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-10
Name of individual signing WILLIAM DELGIZZO
Valid signature Filed with authorized/valid electronic signature
WILLIAM L. DELGIZZO, DMD 401(K) PLAN 2020 264739201 2021-05-27 CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4019448103
Plan sponsor’s address 30 CHAPEL VIEW BLVD., SUITE 200, CRANSTON, RI, 029205138

Signature of
Role Plan administrator
Date 2021-05-27
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-27
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
WILLIAM L. DELGIZZO, DMD 401(K) PLAN 2019 264739201 2020-04-21 CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4019448103
Plan sponsor’s address 30 CHAPEL VIEW BLVD., SUITE 200, CRANSTON, RI, 029205138

Signature of
Role Plan administrator
Date 2020-04-21
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-21
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
WILLIAM L. DELGIZZO, DMD 401(K) PLAN 2018 264739201 2019-07-20 CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4019448103
Plan sponsor’s address 30 CHAPEL VIEW BLVD., SUITE 200, CRANSTON, RI, 029205138

Signature of
Role Plan administrator
Date 2019-07-20
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-20
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
WILLIAM L. DELGIZZO, DMD 401(K) PLAN 2017 264739201 2018-05-27 CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4019448103
Plan sponsor’s address 30 CHAPEL VIEW BLVD., SUITE 200, CRANSTON, RI, 029205138

Signature of
Role Plan administrator
Date 2018-05-27
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-27
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
WILLIAM L. DELGIZZO, DMD 401(K) PLAN 2016 264739201 2017-09-16 CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4019448103
Plan sponsor’s address 30 CHAPEL VIEW BLVD., SUITE 200, CRANSTON, RI, 029205138

Signature of
Role Plan administrator
Date 2017-09-16
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-16
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
WILLIAM L. DELGIZZO, DMD 401(K) PLAN 2015 264739201 2016-08-27 CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4019448103
Plan sponsor’s address 30 CHAPEL VIEW BLVD., SUITE 200, CRANSTON, RI, 029205138

Signature of
Role Plan administrator
Date 2016-08-27
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-27
Name of individual signing WILLIAM L DELGIZZO
Valid signature Filed with authorized/valid electronic signature
WILLIAM L. DELGIZZO, DMD 401(K) PLAN 2014 264739201 2015-08-18 CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4019448103
Plan sponsor’s address 30 CHAPEL VIEW BLVD, SUITE 200, CRANSTON, RI, 029205138

Signature of
Role Plan administrator
Date 2015-08-18
Name of individual signing WILLIAM DELGIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-18
Name of individual signing WILLIAM DELGIZZO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/29/20140829042650P040034360607001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4019448103
Plan sponsor’s address 30 CHAPEL VIEW BLVD, SUITE 200, CRANSTON, RI, 029205138

Signature of
Role Plan administrator
Date 2014-08-29
Name of individual signing WILLIAM DELGIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-29
Name of individual signing WILLIAM DELGIZZO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/11/20130911185641P030051674167001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4019448103
Plan sponsor’s address 30 CHAPEL VIEW BLVD, SUITE 200, CRANSTON, RI, 029205138

Signature of
Role Plan administrator
Date 2013-09-11
Name of individual signing WILLIAM DELGIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-11
Name of individual signing WILLIAM DELGIZZO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/23/20120623070550P040002856805001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4019448103
Plan sponsor’s address 30 CHAPEL VIEW BLVD, SUITE 200, CRANSTON, RI, 029205138

Plan administrator’s name and address
Administrator’s EIN 264739201
Plan administrator’s name CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC
Plan administrator’s address 30 CHAPEL VIEW BLVD, SUITE 200, CRANSTON, RI, 029205138
Administrator’s telephone number 4019448103

Signature of
Role Plan administrator
Date 2012-06-23
Name of individual signing WILLIAM DEL GIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-23
Name of individual signing WILLIAM DEL GIZZO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/05/20110905081515P040128033489001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 4019448103
Plan sponsor’s address 30 CHAPEL VIEW BLVD, SUITE 200, CRANSTON, RI, 029205138

Plan administrator’s name and address
Administrator’s EIN 264739201
Plan administrator’s name CHAPEL VIEW FAMILY AND COSMETIC DENTISTRY, LLC
Plan administrator’s address 30 CHAPEL VIEW BLVD, SUITE 200, CRANSTON, RI, 029205138
Administrator’s telephone number 4019448103

Signature of
Role Plan administrator
Date 2011-09-05
Name of individual signing WILLIAM DELGIZZO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-05
Name of individual signing WILLIAM DELGIZZO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WILLIAM DELGIZZO DMD Agent 30 CHAPEL VIEW BOULEVARD, CRANSTON, RI, 02920, USA

Filings

Number Name File Date
202343603490 Articles of Dissolution 2023-12-27
202326794100 Annual Report 2023-01-27
202326794830 Annual Report 2023-01-27
202326793400 Reinstatement 2023-01-27
202223378610 Revocation Certificate For Failure to File the Annual Report for the Year 2022-10-11
202218701740 Revocation Notice For Failure to File An Annual Report 2022-06-22
202100971550 Annual Report 2021-09-07
202059491370 Annual Report 2020-09-30
201918731400 Annual Report 2019-09-10
201878208310 Annual Report 2018-09-26

Related by officers

No related officers

Related by address

182 COLONEL JOHN GARDNER ROAD, NARRAGANSETT, RI, 02882, USA

BONNET SHORES VACATION RENTALS, LLC

Date of last update: 14 Oct 2024

Sources: Rhode Island Department of State

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