| Name: | SMITHFIELD PRIMARY CARE LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 19 May 2014 (11 years ago) |
| Date of Dissolution: | 30 Jul 2018 (6 years ago) |
| Date of Status Change: | 30 Jul 2018 (6 years ago) |
| Identification Number: | 000936555 |
| ZIP code: | 02917 |
| County: | Providence County |
| Principal Address: | 41 SANDERSON ROAD SUITE 206, SMITHFIELD, RI, 02917, USA |
| Mailing Address: | 41 SANDERSON RD SUITE 206, SMITHFIELD, RI, 02917, USA |
| Purpose: | PRIMARY CARE PHYSICIAN OFFICE |
| NAICS: | 62 - Health Care and Social Assistance |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558775635 | 2014-06-17 | 2014-07-16 | 41 SANDERSON RD, SUITE 206, SMITHFIELD, RI, 029172602, US | 41 SANDERSON RD, SUITE 206, SMITHFIELD, RI, 029172602, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 401-349-2203 |
| Fax | 4013492408 |
Authorized person
| Name | FRANK FRAIOLI JR. |
| Role | PRESIDENT |
| Phone | 4013492203 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SMITHFIELD PRIMARY CARE PROFIT SHARING PLAN | 2016 | 465607844 | 2017-09-12 | SMITHFIELD PRIMARY CARE, LLC | 6 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2017-09-12 |
| Name of individual signing | BONNIE SISTO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-07-26 |
| Business code | 621111 |
| Sponsor’s telephone number | 4013492203 |
| Plan sponsor’s address | 41 SANDERSON ROAD, SUITE 206, SMITHFIELD, RI, 02917 |
Signature of
| Role | Plan administrator |
| Date | 2017-09-13 |
| Name of individual signing | BONNIE SISTO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-07-26 |
| Business code | 621111 |
| Sponsor’s telephone number | 4013492203 |
| Plan sponsor’s address | 41 SANDERSON ROAD, SUITE 206, SMITHFIELD, RI, 02917 |
Signature of
| Role | Plan administrator |
| Date | 2016-10-06 |
| Name of individual signing | BONNIE SISTO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-07-26 |
| Business code | 621111 |
| Sponsor’s telephone number | 4013492203 |
| Plan sponsor’s address | 41 SANDERSON ROAD, SUITE 206, SMITHFIELD, RI, 02917 |
Signature of
| Role | Plan administrator |
| Date | 2015-10-13 |
| Name of individual signing | BONNIE SISTO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FRANK FRAIOLI, JR. | Agent | 41 SANDERSON ROAD SUITE 206, SMITHFIELD, RI, 02917, USA |
| Number | Name | File Date |
|---|---|---|
| 201873387290 | Revocation Certificate For Failure to File the Annual Report for the Year | 2018-07-30 |
| 201865543020 | Revocation Notice For Failure to File An Annual Report | 2018-05-15 |
| 201608356050 | Annual Report | 2016-09-06 |
| 201579296760 | Annual Report | 2015-10-15 |
| 201439288010 | Articles of Organization | 2014-05-19 |
Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State
