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GREENWICH PODIATRY GROUP, LLC

Company Details

Name: GREENWICH PODIATRY GROUP, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 09 Dec 2011 (13 years ago)
Identification Number: 000745093
ZIP code: 02818
County: Kent County
Principal Address: 694 MAIN STREET, EAST GREENWICH, RI, 02818, USA
Purpose: PODIATRY SERVICES
NAICS: 621391 - Offices of Podiatrists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285990986 2012-04-06 2024-07-29 694 MAIN ST, EAST GREENWICH, RI, 028183540, US 694 MAIN ST, EAST GREENWICH, RI, 028183540, US

Contacts

Phone +1 401-884-2821
Fax 4018844350

Authorized person

Name DR. DAVID JOHN GOLDEN
Role OWNER
Phone 4018842821

Taxonomy

Taxonomy Code 213E00000X - Podiatrist
License Number DPM00320
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREENWICH PODIATRY 401(K) PROFIT SHARING PLAN 2023 454197693 2024-10-04 GREENWICH PODIATRY GROUP LLC 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818
GREENWICH PODIATRY GROUP CASH BALANCE PLAN 2023 454197693 2024-10-04 GREENWICH PODIATRY GROUP LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818
GREENWICH PODIATRY 401(K) PROFIT SHARING PLAN 2022 454197693 2023-10-16 GREENWICH PODIATRY GROUP LLC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818
GREENWICH PODIATRY GROUP CASH BALANCE PLAN 2022 454197693 2023-10-16 GREENWICH PODIATRY GROUP LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818
GREENWICH PODIATRY 401(K) PROFIT SHARING PLAN 2021 454197693 2022-09-22 GREENWICH PODIATRY GROUP LLC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818
GREENWICH PODIATRY GROUP CASH BALANCE PLAN 2021 454197693 2022-09-22 GREENWICH PODIATRY GROUP LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818
ETF ADVISOR K MEP PLAN 2020 454197693 2021-10-12 GREENWICH PODIATRY GROUP, LLC 5
File View Page
Three-digit plan number (PN) 336
Effective date of plan 2013-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818

Plan administrator’s name and address

Administrator’s EIN 813799174
Plan administrator’s name FIDUCIARY WISE
Plan administrator’s address 2487 S. GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295
Administrator’s telephone number 4808554017

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing KRISTI DALLEY
Valid signature Filed with authorized/valid electronic signature
GREENWICH PODIATRY GROUP CASH BALANCE PLAN 2020 454197693 2021-10-07 GREENWICH PODIATRY GROUP LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818
GREENWICH PODIATRY 401(K) PROFIT SHARING PLAN 2020 454197693 2021-10-07 GREENWICH PODIATRY GROUP LLC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818
ETF ADVISOR K MEP PLAN 2019 454197693 2020-10-08 GREENWICH PODIATRY GROUP, LLC 5
File View Page
Three-digit plan number (PN) 336
Effective date of plan 2013-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818

Plan administrator’s name and address

Administrator’s EIN 813799174
Plan administrator’s name FIDUCIARY WISE
Plan administrator’s address 2487 S. GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295
Administrator’s telephone number 4808554017

Signature of

Role Plan administrator
Date 2020-10-08
Name of individual signing KRISTI DALLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/09/10/20200910135131NAL0001998128001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/10/09/20191009073506P030065896279001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/03/20190903111549P030014266535001.pdf
Three-digit plan number (PN) 336
Effective date of plan 2013-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818

Plan administrator’s name and address

Administrator’s EIN 813799174
Plan administrator’s name FIDUCIARY WISE
Plan administrator’s address 2487 S. GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295
Administrator’s telephone number 4808554017

Signature of

Role Plan administrator
Date 2019-09-03
Name of individual signing KRISTI DALLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/23/20180723100521P040002368681001.pdf
Three-digit plan number (PN) 336
Effective date of plan 2013-01-01
Business code 621391
Sponsor’s telephone number 4018842821
Plan sponsor’s address 694 MAIN STREET, EAST GREENWICH, RI, 02818

Plan administrator’s name and address

Administrator’s EIN 813799174
Plan administrator’s name FIDUCIARY WISE
Plan administrator’s address 2487 S. GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295
Administrator’s telephone number 4808554017

Signature of

Role Plan administrator
Date 2018-07-23
Name of individual signing T R BICK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARK D. TOURGEE, ESQ. Agent INMAN TOURGEE & WILLIAMSON 1500 NOOSENECK HILL ROAD, COVENTRY, RI, 02816, USA

Filings

Number Name File Date
202444345190 Annual Report 2024-01-22
202327382270 Annual Report 2023-02-03
202209849660 Annual Report 2022-02-07
202104609260 Annual Report 2021-11-01
202077943550 Annual Report 2020-11-30
201920294090 Annual Report 2019-09-16
201879575600 Annual Report 2018-10-17
201753765220 Annual Report 2017-11-21
201609621120 Annual Report 2016-10-17
201586430920 Annual Report 2015-10-28

Date of last update: 16 Oct 2024

Sources: Rhode Island Department of State