| Name: | KELLEY GEMMA LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 21 Oct 2010 (14 years ago) |
| Date of Dissolution: | 17 Jan 2023 (2 years ago) |
| Date of Status Change: | 17 Jan 2023 (2 years ago) |
| Identification Number: | 000555388 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 130 TOWER HILL ROAD, NORTH KINGSTOWN, RI, 02852, USA |
| Mailing Address: | 235 OLD FLAT RIVER ROAD, COVENTRY, RI, 02816, USA |
| Purpose: | SOCIAL WORK IN HEALTH CARE |
| Fictitious names: |
Ocean State Psychotherapy (trading name, 2011-12-13 - ) |
NAICS
621112 Offices of Physicians, Mental Health SpecialistsThis U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of psychiatry or psychoanalysis. These practitioners 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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487922407 | 2011-12-05 | 2011-12-05 | 1130 TEN ROD RD, NORTH KINGSTOWN, RI, 028524161, US | 1130 TEN ROD RD, NORTH KINGSTOWN, RI, 028524161, US | |||||||||||||||||
|
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| Phone | +1 401-268-3886 |
Authorized person
| Name | MRS. KELLEY ELIZABETH GEMMA |
| Role | CLINICAL DIRECTOR |
| Phone | 4012683886 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | ISW01777 |
| State | RI |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KELLEY GEMMA LLC 401 K PROFIT SHARING PLAN TRUST | 2013 | 273732712 | 2014-06-10 | KELLEY GEMMA LLC | 1 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-06-10 |
| Name of individual signing | JOSEPH GEMMA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 812190 |
| Sponsor’s telephone number | 4019548454 |
| Plan sponsor’s address | 1130 TEN ROD RD. UNIT F203, NORTH KINGSTOWN, RI, 02852 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-22 |
| Name of individual signing | KELLEY GEMMA LLC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JENNIFER L. MASSEUR, CPA | Agent | 1050 MAIN STREET UNIT 24, EAST GREENWICH, RI, 02818, USA |
| Number | Name | File Date |
|---|---|---|
| 202326056550 | Annual Report | 2023-01-17 |
| 202326056640 | Articles of Dissolution | 2023-01-17 |
| 202326056280 | Annual Report | 2023-01-17 |
| 202326054510 | Reinstatement | 2023-01-17 |
| 202210250480 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-02-14 |
| 202106683600 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202070126770 | Annual Report | 2020-10-30 |
| 202070124910 | Annual Report | 2020-10-30 |
| 202045652390 | Revocation Notice For Failure to File An Annual Report | 2020-07-20 |
| 201880120590 | Statement of Change of Registered/Resident Agent | 2018-10-25 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
