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CLEMENT USA, INC.

Branch

Company Details

Name: CLEMENT USA, INC.
Jurisdiction: Rhode Island
Entity type: Foreign Corporation
Status: Activ
Date of Organization in Rhode Island: 03 Apr 2014 (11 years ago)
Branch of: CLEMENT USA, INC., NEW YORK (Company Number 3317191)
Identification Number: 000913491
ZIP code: 02879
County: Washington County
Place of Formation: NEW YORK
Principal Address: 83 ORCHARD AVENUE #1C, WAKEFIELD, RI, 02879, USA
Purpose: SALES & MARKETING SERVICES AGENCY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPIRIBAM 401(K) PLAN 2022 141949482 2023-10-13 CLEMENT USA INC. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 424800
Sponsor’s telephone number 2072326633
Plan sponsor’s address 55 CHERRY LN STE 1C, WAKEFIELD, RI, 02879

Signature of

Role Plan administrator
Date 2023-10-13
Name of individual signing BENJAMIN JONES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-13
Name of individual signing BENJAMIN JONES
Valid signature Filed with authorized/valid electronic signature
SPIRIBAM 401(K) PLAN 2021 141949482 2022-10-12 CLEMENT USA INC. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 424800
Sponsor’s telephone number 2072326633
Plan sponsor’s address 55 CHERRY LN STE 1C, WAKEFIELD, RI, 02879

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing BENJAMIN JONES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing BENJAMIN JONES
Valid signature Filed with authorized/valid electronic signature
SPIRIBAM 401(K) PLAN 2020 141949482 2021-10-14 CLEMENT USA INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 424800
Sponsor’s telephone number 2072326633
Plan sponsor’s address 55 CHERRY LN STE 1C, WAKEFIELD, RI, 02879

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing BENJAMIN JONES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing BENJAMIN JONES
Valid signature Filed with authorized/valid electronic signature
SPIRIBAM 401(K) PLAN 2019 141949482 2020-10-15 CLEMENT USA INC. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 424800
Sponsor’s telephone number 2072326633
Plan sponsor’s address 55 CHERRY LN STE 1C, WAKEFIELD, RI, 02879

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing BENJAMIN JONES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing BENJAMIN JONES
Valid signature Filed with authorized/valid electronic signature
SPIRIBAM 401(K) PLAN 2018 141949482 2019-10-02 CLEMENT USA INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 424800
Sponsor’s telephone number 2072326633
Plan sponsor’s address 55 CHERRY LN STE 1C, WAKEFIELD, RI, 02879

Signature of

Role Plan administrator
Date 2019-10-02
Name of individual signing BENJAMIN JONES
Valid signature Filed with authorized/valid electronic signature
CLEMENT USA INC 2009 141949482 2010-08-27 CLEMENT USA INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 2122326633
Plan sponsor’s address 83 ORCHARD AVENUE, WAKEFIELD, RI, 02879

Plan administrator’s name and address

Administrator’s EIN 141949482
Plan administrator’s name CLEMENT USA INC
Plan administrator’s address 83 ORCHARD AVENUE, WAKEFIELD, RI, 02879
Administrator’s telephone number 2122326633

Signature of

Role Plan administrator
Date 2010-08-27
Name of individual signing CLEMENT USA INC
Valid signature Filed with authorized/valid electronic signature
CLEMENT USA INC 2009 141949482 2010-08-27 CLEMENT USA INC 2
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 2122326633
Plan sponsor’s address 83 ORCHARD AVENUE, WAKEFIELD, RI, 02879

Plan administrator’s name and address

Administrator’s EIN 141949482
Plan administrator’s name CLEMENT USA INC
Plan administrator’s address 83 ORCHARD AVENUE, WAKEFIELD, RI, 02879
Administrator’s telephone number 2122326633

Signature of

Role Plan administrator
Date 2010-08-27
Name of individual signing CLEMENT USA INC
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
BRIAN P. GORMLY, CPA Agent 55 CHERRY LANE SUITE 2A, WAKEFIELD, RI, 02879, USA

VICE PRESIDENT

Name Role Address
BENJAMIN JONES VICE PRESIDENT 83 ORCHARD AVENUE WAKEFIELD, RI 02879 USA

OTHER OFFICER

Name Role Address
BENJAMIN JONES OTHER OFFICER 83 ORCHARD AVENUE WAKEFIELD, RI 02879 UNI

Filings

Number Name File Date
202453625100 Annual Report 2024-05-01
202338875660 Annual Report 2023-06-29
202338133760 Revocation Notice For Failure to File An Annual Report 2023-06-19
202216903920 Annual Report 2022-05-05
202195615920 Annual Report - Amended 2021-04-09
202185064730 Annual Report 2021-01-07
202036979930 Annual Report 2020-03-30
202036979840 Annual Report 2020-03-30
201987537020 Annual Report 2019-02-26
201879439470 Annual Report 2018-10-15

Date of last update: 18 Oct 2024

Sources: Rhode Island Department of State