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  5. ATWILL-CONROY SMITHFIELD, LLC

ATWILL-CONROY SMITHFIELD, LLC

Company Details

Name: ATWILL-CONROY SMITHFIELD, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 30 Apr 2014 (11 years ago)
Identification Number: 000927132
ZIP code: 02917
County: Providence County
Principal Address: 1 THURBER BOULEVARD, SMITHFIELD, RI, 02917, USA
Purpose: PRACTICE OF DENTISTRY
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104236728 2014-05-05 2014-05-05 1 THURBER BLVD, SMITHFIELD, RI, 029171826, US 1 THURBER BLVD, SMITHFIELD, RI, 029171826, US

Contacts
Phone +1 401-231-7390

Authorized person
Name DR. KRISTOFER HAGGARTY
Role MANAGER
Phone 4012317390

Taxonomy
Taxonomy Code 122300000X - Dentist
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ATWILL CONROY SMITHFIELD LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 465528811 2024-08-06 ATWILL CONROY SMITHFIELD LLC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 6179303316
Plan sponsor’s address 1 THURBER BOULEVARD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2024-08-06
Name of individual signing KRISTOFER HAGGARTY
Valid signature Filed with authorized/valid electronic signature
ATWILL CONROY SMITHFIELD LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 465528811 2023-07-25 ATWILL CONROY SMITHFIELD LLC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 6179303316
Plan sponsor’s address 1 THURBER BOULEVARD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2023-07-25
Name of individual signing KRISTOFER HAGGARTY
Valid signature Filed with authorized/valid electronic signature
ATWILL CONROY SMITHFIELD LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 465528811 2022-07-10 ATWILL CONROY SMITHFIELD LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 6179303316
Plan sponsor’s address 1 THURBER BOULEVARD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2022-07-10
Name of individual signing KRISTOFER HAGGARTY
Valid signature Filed with authorized/valid electronic signature
ATWILL CONROY SMITHFIELD LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 465528811 2021-07-21 ATWILL CONROY SMITHFIELD LLC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 6179303316
Plan sponsor’s address 1 THURBER BOULEVARD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2021-07-21
Name of individual signing KRISTOFER HAGGARTY
Valid signature Filed with authorized/valid electronic signature
ATWILL CONROY SMITHFIELD LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 465528811 2020-05-07 ATWILL CONROY SMITHFIELD LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 6179303316
Plan sponsor’s address 1 THURBER BOULEVARD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2020-05-07
Name of individual signing KRISTOFER HAGGARTY
Valid signature Filed with authorized/valid electronic signature
ATWILL CONROY SMITHFIELD LLC 401 K PROFIT SHARING PLAN TRUST 2017 465528811 2018-07-17 ATWILL CONROY SMITHFIELD LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 6179303316
Plan sponsor’s address 1 THURBER BOULEVARD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2018-07-17
Name of individual signing KRISTOFER HAGGARTY
Valid signature Filed with authorized/valid electronic signature
ATWILL CONROY SMITHFIELD LLC 401 K PROFIT SHARING PLAN TRUST 2016 465528811 2017-05-15 ATWILL CONROY SMITHFIELD LLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 6179303316
Plan sponsor’s address 1 THURBER BOULEVARD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing KRISTOFER HAGGARTY
Valid signature Filed with authorized/valid electronic signature
ATWILL CONROY SMITHFIELD LLC 401 K PROFIT SHARING PLAN TRUST 2015 465528811 2016-06-13 ATWILL CONROY SMITHFIELD LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 6179303316
Plan sponsor’s address 1 THURBER BOULEVARD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2016-06-13
Name of individual signing KRISTOFER HAGGARTY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ORSON AND BRUSINI LTD. Agent 211 QUAKER LANE SUITE 201, WEST WARWICK, RI, 02893, USA

MANAGER

Name Role Address
THOMAS J HERNON MANAGER 1 THURBER BOULEVARD SMITHFIELD, RI 02917 US
BAKHOUM M GIRGIS MANAGER 1 THURBER BOULEVARD SMITHFIELD, RI 02917 US
KRISTOFER HAGGARTY MANAGER 1 THURBER BOULEVARD SMITHFIELD, RI 02917 USA
WILLIAM R. CONROY JR. MANAGER 1 THURBER BOULEVARD SMITHFIELD, RI 02917 US

Filings

Number Name File Date
202449406490 Annual Report 2024-03-25
202330296940 Annual Report 2023-03-08
202224362500 Statement of Change of Registered/Resident Agent Office 2022-10-21
202217719610 Annual Report 2022-05-20
202102298060 Annual Report 2021-09-29
202102157330 Annual Report 2021-09-27
202193781500 Annual Report - Amended 2021-03-10
202065385120 Annual Report 2020-10-15
202058755680 Annual Report 2020-09-28
201920859820 Annual Report 2019-09-18

Related by officers

ORSON AND BRUSINI LTD.

Agostini Construction Co., Inc. ABAR COLOR LABS OF NEW ENGLAND, INC. RSM, Inc. ANESTHESIOLOGY, INC. BACON CONSTRUCTION CO., INC. Barone Orthodontics Ltd. Bay Landscaping Co. BUTLER & MESSIER INC. Christiansen Dairy Company Coastal Electric, Inc.

THOMAS J HERNON

ATWILL-CONROY PROVIDENCE, LLC.

BAKHOUM M GIRGIS

BARAKA, LLC ATWILL-CONROY PROVIDENCE, LLC.

KRISTOFER HAGGARTY

SMILE, LLC

Related by address

1 THURBER BOULEVARD, SMITHFIELD, RI, 02917, USA

SMILE, LLC PETER C. BRASCH, MD, LLC

Date of last update: 19 Oct 2024

Sources: Rhode Island Department of State

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