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  5. Foundry Orthopedics, Inc.

Foundry Orthopedics, Inc.

Company Details

Name: Foundry Orthopedics, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 23 Dec 2009 (15 years ago)
Date of Dissolution: 30 Sep 2021 (3 years ago)
Date of Status Change: 30 Sep 2021 (3 years ago)
Identification Number: 000522126
ZIP code: 02908
County: Providence County
Principal Address: 285 PROMENADE STREET, PROVIDENCE, RI, 02908, USA
Purpose: TO PROVIDE MEDICAL SERVICES
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Fictitious names: Foundry Orthopedics, Inc. (trading name, 2010-01-19 - 2010-01-20)
Historical names: Foundry Acquisition Company, Inc.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOUNDRY RETIREMENT PLAN 2015 271535460 2016-08-19 FOUNDRY ORTHOPEDICS, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 4014594008
Plan sponsor’s address 285 PROMENADE STREET, PROVIDENCE, RI, 02908
FOUNDRY RETIREMENT PLAN 2014 271535460 2016-03-16 FOUNDRY ORTHOPEDICS, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 4014594008
Plan sponsor’s address 285 PROMENADE STREET, PROVIDENCE, RI, 02908
FOUNDRY RETIREMENT PLAN 2013 271535460 2014-12-22 FOUNDRY ORTHOPEDICS, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 4014594008
Plan sponsor’s address 285 PROMENADE STREET, PROVIDENCE, RI, 02908

Plan administrator’s name and address
Administrator’s EIN 271535460
Plan administrator’s name FOUNDRY ORTHOPEDICS, INC.
Plan administrator’s address 285 PROMENADE STREET, PROVIDENCE, RI, 02908
Administrator’s telephone number 4014594008

Signature of
Role Plan administrator
Date 2014-12-22
Name of individual signing PHIL COTE
Valid signature Filed with authorized/valid electronic signature
FOUNDRY RETIREMENT PLAN 2012 271535460 2013-12-20 FOUNDRY ORTHOPEDICS, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 4014594008
Plan sponsor’s address 285 PROMENADE STREET, PROVIDENCE, RI, 02908

Plan administrator’s name and address
Administrator’s EIN 271535460
Plan administrator’s name FOUNDRY ORTHOPEDICS, INC.
Plan administrator’s address 285 PROMENADE STREET, PROVIDENCE, RI, 02908
Administrator’s telephone number 4014594008

Signature of
Role Plan administrator
Date 2013-12-20
Name of individual signing PHIL COTE
Valid signature Filed with authorized/valid electronic signature
FOUNDRY RETIREMENT PLAN 2011 271535460 2012-12-19 FOUNDRY ORTHOPEDICS, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 4014594008
Plan sponsor’s address 285 PROMENADE STREET, PROVIDENCE, RI, 02908

Plan administrator’s name and address
Administrator’s EIN 271535460
Plan administrator’s name FOUNDRY ORTHOPEDICS, INC.
Plan administrator’s address 285 PROMENADE STREET, PROVIDENCE, RI, 02908
Administrator’s telephone number 4014594008

Signature of
Role Plan administrator
Date 2012-12-19
Name of individual signing PHIL COTE
Valid signature Filed with authorized/valid electronic signature
FOUNDRY RETIREMENT PLAN 2010 271535460 2011-06-21 FOUNDRY ORTHOPEDICS, INC. 25
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 4014594008
Plan sponsor’s address 285 PROMENADE STREET, PROVIDENCE, RI, 02908

Plan administrator’s name and address
Administrator’s EIN 271535460
Plan administrator’s name FOUNDRY ORTHOPEDICS, INC.
Plan administrator’s address 285 PROMENADE STREET, PROVIDENCE, RI, 02908
Administrator’s telephone number 4014594008

Signature of
Role Plan administrator
Date 2011-06-21
Name of individual signing PHIL COTE
Valid signature Filed with authorized/valid electronic signature
FOUNDRY SPORTS MEDICINE 401(K) PROFIT SHARING PLA 2010 050497637 2011-12-28 FOUNDRY ORTHOPEDICS, INC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621399
Sponsor’s telephone number 4014594008
Plan sponsor’s address 285 PROMENADE ST, PROVIDENCE, RI, 029085719

Plan administrator’s name and address
Administrator’s EIN 050497637
Plan administrator’s name FOUNDRY ORTHOPEDICS, INC
Plan administrator’s address 285 PROMENADE ST, PROVIDENCE, RI, 029085719
Administrator’s telephone number 4014594008

Signature of
Role Plan administrator
Date 2011-12-28
Name of individual signing DOREEN WIGGINS
Valid signature Filed with authorized/valid electronic signature
FOUNDRY RETIREMENT PLAN 2010 271535460 2012-04-26 FOUNDRY ORTHOPEDICS, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 4014594008
Plan sponsor’s address 285 PROMENADE STREET, PROVIDENCE, RI, 02908

Plan administrator’s name and address
Administrator’s EIN 271535460
Plan administrator’s name FOUNDRY ORTHOPEDICS, INC.
Plan administrator’s address 285 PROMENADE STREET, PROVIDENCE, RI, 02908
Administrator’s telephone number 4014594008

Signature of
Role Plan administrator
Date 2012-04-26
Name of individual signing PHIL COTE
Valid signature Filed with authorized/valid electronic signature
FOUNDRY SPORTS MEDICINE 401(K) PROFIT SHARING PLA 2010 050497637 2011-09-28 FOUNDRY ORTHOPEDICS, INC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621399
Sponsor’s telephone number 4014594008
Plan sponsor’s address 285 PROMENADE ST, PROVIDENCE, RI, 029085719

Plan administrator’s name and address
Administrator’s EIN 050497637
Plan administrator’s name FOUNDRY ORTHOPEDICS, INC
Plan administrator’s address 285 PROMENADE ST, PROVIDENCE, RI, 029085719
Administrator’s telephone number 4014594008

Signature of
Role Plan administrator
Date 2011-09-28
Name of individual signing DOREEN WIGGINS
Valid signature Filed with authorized/valid electronic signature
FOUNDRY SPORTS MEDICINE 401(K) PROFIT SHARING PLA 2009 050497637 2010-10-14 FOUNDRY ORTHOPEDICS, INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621399
Sponsor’s telephone number 4014594008
Plan sponsor’s address 285 PROMENADE ST, PROVIDENCE, RI, 029085719

Plan administrator’s name and address
Administrator’s EIN 050497637
Plan administrator’s name FOUNDRY ORTHOPEDICS, INC
Plan administrator’s address 285 PROMENADE ST, PROVIDENCE, RI, 029085719
Administrator’s telephone number 4014594008

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing CAROL LIPMAN
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
ANTHONY DELUISE M.D. PRESIDENT 285 PROMENADE STREET PROVIDENCE, RI 02908 USA

Events

Type Date Old Value New Value
Name Change 2010-01-20 Foundry Acquisition Company, Inc. Foundry Orthopedics, Inc.

Filings

Number Name File Date
202102386000 Articles of Dissolution 2021-09-30
202193817470 Annual Report 2021-03-09
202035453990 Annual Report 2020-02-26
201988175780 Annual Report 2019-03-04
201859819520 Annual Report 2018-03-05
201735174620 Annual Report 2017-02-27
201692866620 Annual Report 2016-02-22
201557698760 Annual Report 2015-03-16
201436781190 Annual Report 2014-03-04
201312552610 Annual Report 2013-02-22

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.

ANTHONY DELUISE M.D.

Foundry Sports Medicine & Fitness, Inc. ORTHOPEDICS RHODE ISLAND, INC. Crossings Surgery Center, LLC

Related by address

285 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

Wiggins Enterprises Inc. Integrative Center for Health, LLC Philippe Cote, M.D., Inc. Lawrence W. Lee, M.D., Inc. DLW Enterprises Inc. Carpe Diem Cafe, Inc. Foundry Sports Medicine & Fitness, Inc. THE WEYBURN CAFE, LLC

Date of last update: 14 Oct 2024

Sources: Rhode Island Department of State

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