| 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 |
| NAICS: | 621112 - Offices of Physicians, Mental Health Specialists |
| Fictitious names: |
Ocean State Psychotherapy (trading name, 2011-12-13 - ) |
| 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
