| 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 |
| Fictitious names: |
Kent County Podiatry Associates, Ltd. (trading name, 2012-07-03 - ) |
NAICS
621391 Offices of PodiatristsThis U.S. industry comprises establishments of health practitioners having the degree of D.P.M. (Doctor of Podiatric Medicine) primarily engaged in the independent practice of podiatry. These practitioners diagnose and treat diseases and deformities of the foot and operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| 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 | |||||||||||||||||
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| 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 |
| 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 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-09 |
| Name of individual signing | RAEGAN DIBIASE |
| Valid signature | Filed with authorized/valid electronic signature |
| 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 |
| 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 |
| 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 |
| Name | Role | Address |
|---|---|---|
| DANIEL P. CARTER | Agent | 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| ERIC DRAKE MEEHAN DPM | PRESIDENT | PO BOX 812 WYOMING, RI 02898 USA |
| Name | Role | Address |
|---|---|---|
| JASON P. MALLETTE | TREASURER | 1087 WARWICK AVE. #1 WARWICK, RI 02888 USA |
| Name | Role | Address |
|---|---|---|
| TAMMY L. VAN DINE | SECRETARY | 65 CREST DR. CRANSTON, RI 02921 USA |
| Name | Role | Address |
|---|---|---|
| TAMMY L VAN DINE DPM | VICE PRESIDENT | 65 CREST DRIVE CRANSTON, RI 02921 USA |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5809277100 | 2020-04-14 | 0165 | PPP | 1087 WARWICK AVE, WARWICK, RI, 02888-3545 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
