| Name: | Serena A. Sposato, MD, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 03 May 2010 (15 years ago) |
| Date of Dissolution: | 17 Dec 2013 (11 years ago) |
| Date of Status Change: | 17 Dec 2013 (11 years ago) |
| Identification Number: | 000538788 |
| ZIP code: | 02905 |
| County: | Providence County |
| Principal Address: | 235 PLAIN STREET UNIT 307, PROVIDENCE, RI, 02905, USA |
| Purpose: | MEDICINE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861613895 | 2007-05-01 | 2011-04-27 | 235 PLAIN ST, SUITE 307, PROVIDENCE, RI, 029053240, US | 235 PLAIN ST, SUITE 307, PROVIDENCE, RI, 029053240, US | |||||||||||||||||||
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| Phone | +1 401-521-1523 |
| Fax | 4014531528 |
Authorized person
| Name | SERENA SPOSATO |
| Role | PRESIDENT |
| Phone | 4015211523 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| License Number | MD07647 |
| State | RI |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SERENA A SPOSATO MD INC 401 K PROFIT SHARING PLAN TRUST | 2013 | 272515046 | 2014-06-16 | SERENA A SPOSATO MD INC | 5 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-06-16 |
| Name of individual signing | SERENA SPOSATO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4012863173 |
| Plan sponsor’s address | 235 PLAIN STREET, STE 307, PROVIDENCE, RI, 02905 |
Signature of
| Role | Plan administrator |
| Date | 2014-09-23 |
| Name of individual signing | SERENA SPOSATO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4015211522 |
| Plan sponsor’s address | 235 PLAIN STREET, SUITE 307, PROVIDENCE, RI, 02905 |
Plan administrator’s name and address
| Administrator’s EIN | 272515046 |
| Plan administrator’s name | SERENA A. SPOSATO, MD, INC. |
| Plan administrator’s address | 235 PLAIN STREET, SUITE 307, PROVIDENCE, RI, 02905 |
| Administrator’s telephone number | 4015211522 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-24 |
| Name of individual signing | SERENA A. SPOSATO M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BRUCE A. WOLPERT, ESQ. | Agent | 10 DORRANCE STREET SUITE 530, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| SERENA A SPOSATO, MD | PRESIDENT | 235 PLAIN STREET, UNIT 307 PROVIDENCE, RI 02905 USA |
| Number | Name | File Date |
|---|---|---|
| 201331901710 | Articles of Dissolution | 2013-12-17 |
| 201311124160 | Annual Report | 2013-02-06 |
| 201289322720 | Annual Report | 2012-02-09 |
| 201173945820 | Annual Report | 2011-01-21 |
| 201062276640 | Articles of Incorporation | 2010-05-03 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
