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  5. GREENWICH PODIATRY GROUP, LLC

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

Industry & Business Activity

NAICS

621391 Offices of Podiatrists

This 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

Companies doing 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 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
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
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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4596177106 2020-04-13 0165 PPP 694 MAIN ST, EAST GREENWICH, RI, 02818-3500
Loan Status Date 2021-04-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 60800
Loan Approval Amount (current) 60800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 104790
Servicing Lender Name Coastal1 Credit Union
Servicing Lender Address 1200 Central Ave, PAWTUCKET, RI, 02861-2200
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address EAST GREENWICH, KENT, RI, 02818-3500
Project Congressional District RI-02
Number of Employees 5
NAICS code 621391
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 104790
Originating Lender Name Coastal1 Credit Union
Originating Lender Address PAWTUCKET, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 61318.49
Forgiveness Paid Date 2021-03-05

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Related by address

694 MAIN STREET, EAST GREENWICH, RI, 02818, USA

Greenwich Podiatry, Inc. BASLER HEALTH CARE GROUP, INC. DeCubellis Chiropractic, Ltd. Global Equity Advisors, LLC HILL HARBOR GROUP, LLC Paradigm Media Consultants, Inc. Distressed Properties 911, LLC Ennoble Estates X LLC Private Mortgage Options, LLC

Date of last update: 16 Oct 2024

Sources: Rhode Island Department of State

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