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  5. PRECISION PAIN TREATMENT CLINIC, LLC

PRECISION PAIN TREATMENT CLINIC, LLC

Company Details

Name: PRECISION PAIN TREATMENT CLINIC, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 06 Jun 2014 (11 years ago)
Identification Number: 000941944
ZIP code: 02917
County: Providence County
Principal Address: 14 CEDAR SWAMP ROAD, SMITHFIELD, RI, 02917, USA
Mailing Address: 14 CEDAR SWAMP RD, SMITHFIELD, RI, 02917-2448, USA
Purpose: TO ENGAGE IN PROFESSIONAL SERVICES PURSUANT TO SECTION 7-16.3.1, WHICH INCLUDE PAIN MANAGEMENT SERVICES.

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)

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRECISION PAIN TREATMENT CLINIC LLC 401(K) PLAN 2023 471040316 2024-06-04 PRECISION PAIN TREATMENT CLINIC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4012310060
Plan sponsor’s address 14 CEDAR SWAMP RD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2024-06-04
Name of individual signing ILANA BURNS
Valid signature Filed with authorized/valid electronic signature
PRECISION PAIN TREATMENT CLINIC LLC 401(K) PLAN 2022 471040316 2023-07-06 PRECISION PAIN TREATMENT CLINIC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4012310060
Plan sponsor’s address 14 CEDAR SWAMP RD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2023-07-06
Name of individual signing ILANA BURNS
Valid signature Filed with authorized/valid electronic signature
PRECISION PAIN TREATMENT CLINIC LLC 401(K) PLAN 2021 471040316 2022-06-16 PRECISION PAIN TREATMENT CLINIC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4012310060
Plan sponsor’s address 14 CEDAR SWAMP RD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2022-06-16
Name of individual signing ILANA BURNS
Valid signature Filed with authorized/valid electronic signature
PRECISION PAIN TREATMENT CLINIC LLC 401(K) PLAN 2020 471040316 2021-07-06 PRECISION PAIN TREATMENT CLINIC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4012310060
Plan sponsor’s address 14 CEDAR SWAMP RD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2021-07-06
Name of individual signing ILANA BURNS
Valid signature Filed with authorized/valid electronic signature
PRECISION PAIN TREATMENT CLINIC LLC 401(K) PLAN 2018 471040316 2019-05-24 PRECISION PAIN TREATMENT CLINIC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4012310060
Plan sponsor’s address 14 CEDAR SWAMP RD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2019-05-24
Name of individual signing ILANA BURNS
Valid signature Filed with authorized/valid electronic signature
PRECISION PAIN TREATMENT CLINIC LLC 401(K) RETIREMENT PLAN 2017 471040316 2018-06-13 PRECISION PAIN TREATMENT CLINIC LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4012310060
Plan sponsor’s address 14 CEDAR SWAMP ROAD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2018-06-13
Name of individual signing KEITH PERRY, M.D.
Valid signature Filed with authorized/valid electronic signature
PRECISION PAIN TREATMENT CLINIC LLC 401(K) RETIREMENT PLAN 2016 471040316 2017-09-28 PRECISION PAIN TREATMENT CLINIC LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 4012310060
Plan sponsor’s address 14 CEDAR SWAMP ROAD, SMITHFIELD, RI, 02917

Signature of
Role Plan administrator
Date 2017-09-28
Name of individual signing KEITH PERRY, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
THEODORE B. HOWELL, ESQ. Agent 225 DYER STREET 2ND FLOOR, PROVIDENCE, RI, 02903, USA

Manager

Name Role Address
KEITH A. PERRY, M.D. Manager 14 CEDAR SWAMP ROAD SMITHFIELD, RI 02917 USA

Filings

Number Name File Date
202457063700 Annual Report 2024-06-24
202456410640 Revocation Notice For Failure to File An Annual Report 2024-06-18
202332017390 Annual Report 2023-03-30
202222067010 Statement of Change of Registered/Resident Agent Office 2022-08-10
202216099290 Annual Report 2022-04-28
202107445900 Annual Report 2021-12-28
202106189760 Revocation Notice For Failure to File An Annual Report 2021-12-03
202059880480 Annual Report 2020-10-01
201921809400 Annual Report 2019-09-30
201993022680 Statement of Change of Registered/Resident Agent Office 2019-05-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1942008609 2021-03-13 0165 PPS 14 Cedar Swamp Rd, Smithfield, RI, 02917-2448
Loan Status Date 2021-11-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 55062
Loan Approval Amount (current) 55062
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Smithfield, PROVIDENCE, RI, 02917-2448
Project Congressional District RI-01
Number of Employees 3
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 55369.74
Forgiveness Paid Date 2021-10-06
1564557910 2020-06-10 0165 PPP 14 CEDAR SWAMP RD, SMITHFIELD, RI, 02917-2404
Loan Status Date 2021-05-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 55060
Loan Approval Amount (current) 55060
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SMITHFIELD, PROVIDENCE, RI, 02917-2404
Project Congressional District RI-01
Number of Employees 3
NAICS code 622310
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 55512.55
Forgiveness Paid Date 2021-04-08

Related by officers

THEODORE B. HOWELL, ESQ.

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Related by address

14 CEDAR SWAMP ROAD, SMITHFIELD, RI, 02917, USA

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Date of last update: 19 Oct 2024

Sources: Rhode Island Department of State

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