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  5. FACIAL & ORAL SURGERY, LLC

FACIAL & ORAL SURGERY, LLC

Company Details

Name: FACIAL & ORAL SURGERY, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 31 Jan 2012 (13 years ago)
Identification Number: 000786363
ZIP code: 02888
County: Kent County
Principal Address: 243 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA
Mailing Address: 243 JEFFERSON BLVD, WARWICK, RI, 02888, USA
Purpose: FACIAL AND ORAL SURGERY

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This 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 general or specialized medicine (except psychiatry or psychoanalysis) or surgery. 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

Companies doing Offices of physicians (except mental health specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881950509 2012-04-06 2012-04-06 243 JEFFERSON BLVD, WARWICK, RI, 028883818, US 243 JEFFERSON BLVD, WARWICK, RI, 028883818, US

Contacts
Phone +1 401-739-5500
Fax 4017381550

Authorized person
Name MS. CATHY ALMONTE
Role BILLING MANAGER
Phone 4017395500

Taxonomy
Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
License Number 2741
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MSL CASH BALANCE PLAN 2023 454444223 2024-09-24 FACIAL & ORAL SURGERY, LLC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 4017395500
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL 401(K) PROFIT SHARING PLAN 2023 454444223 2024-07-07 FACIAL & ORAL SURGERY, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 4017373637
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL CASH BALANCE PLAN 2022 454444223 2023-10-10 FACIAL & ORAL SURGERY, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 4017395500
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL 401(K) PROFIT SHARING PLAN 2022 454444223 2023-05-04 FACIAL & ORAL SURGERY, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 4017373637
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL 401(K) PROFIT SHARING PLAN 2021 454444223 2022-04-18 FACIAL & ORAL SURGERY, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 4017373637
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL CASH BALANCE PLAN 2021 454444223 2022-04-12 FACIAL & ORAL SURGERY, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 4017395500
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL 401(K) PROFIT SHARING PLAN 2020 454444223 2021-04-15 FACIAL & ORAL SURGERY, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 4017373637
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL CASH BALANCE PLAN 2020 454444223 2021-05-12 FACIAL & ORAL SURGERY, LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 4017395500
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818
MSL CASH BALANCE PLAN 2020 454444223 2021-04-05 FACIAL & ORAL SURGERY, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621210
Sponsor’s telephone number 4017395500
Plan sponsor’s address 243 JEFFERSON BLVD., WARWICK, RI, 028883818

Agent

Name Role Address
JENNIFER R. CERVENKA, ESQ. Agent 225 DYER STREET 2ND FLOOR, PROVIDENCE, RI, 02903, USA

Filings

Number Name File Date
202445866720 Annual Report 2024-02-07
202327473860 Annual Report 2023-02-03
202222131540 Statement of Change of Registered/Resident Agent Office 2022-08-14
202209878110 Annual Report 2022-02-09
202101011660 Annual Report 2021-09-07
202059533340 Annual Report 2020-09-30
201929117660 Annual Report 2019-12-03
201876014850 Annual Report 2018-08-27
201752288810 Statement of Change of Registered/Resident Agent 2017-10-26
201749386170 Annual Report 2017-09-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9352197108 2020-04-15 0165 PPP 243 JEFFERSON BOULEVARD, WARWICK, RI, 02888
Loan Status Date 2021-09-29
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 300000
Loan Approval Amount (current) 300000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 29805
Servicing Lender Name TD Bank, National Association
Servicing Lender Address 2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WARWICK, KENT, RI, 02888-0074
Project Congressional District RI-02
Number of Employees 19
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 29805
Originating Lender Name TD Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 304058.33
Forgiveness Paid Date 2021-08-25
4430558610 2021-03-18 0165 PPS 243 Jefferson Blvd, Warwick, RI, 02888-3818
Loan Status Date 2021-11-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 267212
Loan Approval Amount (current) 267212
Undisbursed Amount 0
Franchise Name -
Lender Location ID 29805
Servicing Lender Name TD Bank, National Association
Servicing Lender Address 2035 Limestone Rd, WILMINGTON, DE, 19808-5529
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Warwick, KENT, RI, 02888-3818
Project Congressional District RI-02
Number of Employees 18
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 29805
Originating Lender Name TD Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 268778.16
Forgiveness Paid Date 2021-10-20

Related by officers

JENNIFER R. CERVENKA, ESQ.

AGM HOLDINGS, LLC Hakobyan, Inc. Cervenka Green & Ducharme LLC

Related by address

243 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA

Maxillofacial Surgeons, Ltd. BANEDAW LLC CLATIHAC, LLC ARTISTIC CONTOURS, LLC Better Body, LLC

243 JEFFERSON BLVD, WARWICK, RI, 02888, USA

AGM HOLDINGS, LLC Better Body, LLC

Date of last update: 17 Oct 2024

Sources: Rhode Island Department of State

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