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South County Foot & Ankle, Inc.

Company Details

Name: South County Foot & Ankle, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 30 Mar 2010 (15 years ago)
Identification Number: 000535062
ZIP code: 02888
County: Kent County
Principal Address: 1087 WARWICK AVE. UNIT #1, WARWICK, RI, 02888, USA
Purpose: PROVIDE PODIATRY SERVICES TO THE GENERAL PUBLIC, AND ANY OTHER RELATED SERVICES NOT INCONSISTANT THEREWITH. Title: 7-1.2-1701
NAICS: 621391 - Offices of Podiatrists
Fictitious names: Kent County Podiatry Associates, Ltd. (trading name, 2012-07-03 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407118177 2012-06-08 2012-06-08 400 MASSASOIT AVE, SUITE 201, EAST PROVIDENCE, RI, 029142012, US 400 MASSASOIT AVE, SUITE 201, EAST PROVIDENCE, RI, 029142012, US

Contacts

Phone +1 401-354-7966

Authorized person

Name DR. ERIC MEEHAN
Role OWNER
Phone 4013547966

Taxonomy

Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number RI-DPM00329
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTH COUNTY FOOT & ANKLE INC 401(K) PROFIT SHARING PLAN AND TRUST 2023 272261516 2024-07-09 SOUTH COUNTY FOOT & ANKLE INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 541600
Sponsor’s telephone number 4013547966
Plan sponsor’s address 1087 WARWICK AVE., WARWICK, RI, 02888

Signature of

Role Plan administrator
Date 2024-07-09
Name of individual signing RAEGAN DIBIASE
Valid signature Filed with authorized/valid electronic signature
SOUTH COUNTY FOOT & ANKLE, INC. RETIREMENT TRUST 2015 272261516 2016-07-05 SOUTH COUNTY FOOT & ANKLE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 541600
Sponsor’s telephone number 4013547966
Plan sponsor’s address 1087 WARWICK AVENUE, WARWICK, RI, 02888

Signature of

Role Plan administrator
Date 2016-07-05
Name of individual signing RAEGAN DIBIASE
Valid signature Filed with authorized/valid electronic signature
SOUTH COUNTY FOOT & ANKLE, INC. RETIREMENT TRUST 2014 272261516 2015-07-27 SOUTH COUNTY FOOT & ANKLE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 541600
Sponsor’s telephone number 4013547966
Plan sponsor’s address 1087 WARWICK AVENUE, WARWICK, RI, 02888

Signature of

Role Plan administrator
Date 2015-07-27
Name of individual signing RAEGAN DIBIASE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-27
Name of individual signing RAEGAN DIBIASE
Valid signature Filed with authorized/valid electronic signature
SOUTH COUNTY FOOT & ANKLE, INC. RETIREMENT TRUST 2013 272261516 2014-07-10 SOUTH COUNTY FOOT & ANKLE, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 541600
Sponsor’s telephone number 4013547966
Plan sponsor’s address 1087 WARWICK AVENUE, WARWICK, RI, 02888

Signature of

Role Plan administrator
Date 2014-07-10
Name of individual signing RAEGAN DIBIASE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-10
Name of individual signing RAEGAN DIBIASE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DANIEL P. CARTER Agent 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA

PRESIDENT

Name Role Address
ERIC DRAKE MEEHAN DPM PRESIDENT PO BOX 812 WYOMING, RI 02898 USA

TREASURER

Name Role Address
JASON P. MALLETTE TREASURER 1087 WARWICK AVE. #1 WARWICK, RI 02888 USA

SECRETARY

Name Role Address
TAMMY L. VAN DINE SECRETARY 65 CREST DR. CRANSTON, RI 02921 USA

VICE PRESIDENT

Name Role Address
TAMMY L VAN DINE DPM VICE PRESIDENT 65 CREST DRIVE CRANSTON, RI 02921 USA

Filings

Number Name File Date
202448038430 Annual Report 2024-03-07
202328715220 Annual Report 2023-02-17
202214638860 Annual Report 2022-04-13
202191980680 Annual Report 2021-02-18
202038892750 Annual Report 2020-04-29
201989446410 Statement of Change of Registered/Resident Agent 2019-03-28
201986746630 Annual Report 2019-02-15
201856052290 Annual Report 2018-01-12
201734448380 Annual Report 2017-02-21
201691247240 Annual Report 2016-01-26

Date of last update: 14 Oct 2024

Sources: Rhode Island Department of State