| Name: | Sharon Philbin Family Nurse Practitioner LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 04 Mar 2016 (9 years ago) |
| Identification Number: | 001661054 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 100 LAFAYETTE STREET #302, PAWTUCKET, RI, 02860, USA |
| Purpose: | NURSE PRACTITIONER |
| NAICS: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124778345 | 2022-03-29 | 2023-05-11 | 100 LAFAYETTE ST # 302, PAWTUCKET, RI, 028606008, US | 100 LAFAYETTE ST # 302, PAWTUCKET, RI, 028606008, US | |||||||||||||||||
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| Phone | +1 401-632-6555 |
| Fax | 4014754112 |
| Phone | +1 401-475-4212 |
Authorized person
| Name | SHARON PHILBIN |
| Role | OWNER |
| Phone | 4014744212 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHARON PHILBIN FAMILY NURSE PRACTITIONER 401K PLAN | 2023 | 811696208 | 2024-12-18 | SHARON PHILBIN FAMILY NURSE PRACTITIONER | 2 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-12-18 |
| Name of individual signing | SHARON PHILBIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 4016326555 |
| Plan sponsor’s address | 100 LAFAYETTE STREET #302, PAWTUCKET, RI, 02861 |
Signature of
| Role | Plan administrator |
| Date | 2024-04-30 |
| Name of individual signing | SHARON PHILBIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 4016326555 |
| Plan sponsor’s address | 100 LAFAYETTE STREET #302, PAWTUCKET, RI, 02861 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-24 |
| Name of individual signing | SHARON PHILBIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JOSEPH B FARMER, CPA, MST | Agent | SIX STATE STREET, WARREN, RI, 02885, USA |
| Number | Name | File Date |
|---|---|---|
| 202447666030 | Annual Report | 2024-03-01 |
| 202342172870 | Articles of Amendment | 2023-10-12 |
| 202329344500 | Annual Report | 2023-02-25 |
| 202211694030 | Annual Report | 2022-02-27 |
| 202107286260 | Statement of Change of Registered/Resident Agent | 2021-12-20 |
| 202103691860 | Annual Report | 2021-10-21 |
| 202073333300 | Annual Report | 2020-11-04 |
| 201920142490 | Annual Report | 2019-09-17 |
| 201877792090 | Annual Report | 2018-09-19 |
| 201750947250 | Annual Report | 2017-10-04 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
