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Pratt Family Dentistry, Inc.

Company Details

Name: Pratt Family Dentistry, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 23 May 2016 (9 years ago)
Date of Dissolution: 12 Sep 2023 (a year ago)
Date of Status Change: 12 Sep 2023 (a year ago)
Identification Number: 001663548
ZIP code: 02818
County: Kent County
Principal Address: 4512 POST ROAD, EAST GREENWICH, RI, 02818, USA
Purpose: DENTISTRY
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073963237 2016-06-20 2016-06-20 4512 POST RD, EAST GREENWICH, RI, 028184124, US 4512 POST RD, EAST GREENWICH, RI, 028184124, US

Contacts

Phone +1 401-884-2190
Fax 4018852295

Authorized person

Name DR. JUDITH PRATT
Role OWNER
Phone 4018842190

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRATT FAMILY DENTISTRY 401(K) PLAN 2022 812713987 2023-06-05 PRATT FAMILY DENTISTRY 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621210
Sponsor’s telephone number 4018842190
Plan sponsor’s address 4512 POST ROAD, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2023-06-05
Name of individual signing JUDITH PRATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-05
Name of individual signing JUDITH PRATT
Valid signature Filed with authorized/valid electronic signature
PRATT FAMILY DENTISTRY 401(K) PLAN 2022 812713987 2023-06-05 PRATT FAMILY DENTISTRY 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621210
Sponsor’s telephone number 4018842190
Plan sponsor’s address 4512 POST ROAD, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2023-06-05
Name of individual signing JUDITH A PRATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-05
Name of individual signing JUDITH A PRATT
Valid signature Filed with authorized/valid electronic signature
PRATT FAMILY DENTISTRY 401(K) PLAN 2021 812713987 2022-05-17 PRATT FAMILY DENTISTRY 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621210
Sponsor’s telephone number 4018842190
Plan sponsor’s address 4512 POST ROAD, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2022-05-17
Name of individual signing JUDITH PRATT, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-17
Name of individual signing JUDITH PRATT, DMD
Valid signature Filed with authorized/valid electronic signature
PRATT FAMILY DENTISTRY 401(K) PLAN 2020 812713987 2021-07-21 PRATT FAMILY DENTISTRY 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621210
Sponsor’s telephone number 4018842190
Plan sponsor’s address 4512 POST ROAD, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2021-07-21
Name of individual signing JUDITH PRATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-21
Name of individual signing JUDITH PRATT
Valid signature Filed with authorized/valid electronic signature
PRATT FAMILY DENTISTRY 401(K) PLAN 2019 812713987 2020-06-12 PRATT FAMILY DENTISTRY 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621210
Sponsor’s telephone number 4018842190
Plan sponsor’s address 4512 POST ROAD, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2020-06-12
Name of individual signing JUDITH A PRATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-12
Name of individual signing JUDITH A PRATT
Valid signature Filed with authorized/valid electronic signature
PRATT FAMILY DENTISTRY 401(K) PLAN 2018 812713987 2019-04-30 PRATT FAMILY DENTISTRY 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621210
Sponsor’s telephone number 4018842190
Plan sponsor’s address 4512 POST ROAD, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2019-04-30
Name of individual signing JUDITH PRATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-30
Name of individual signing JUDITH PRATT
Valid signature Filed with authorized/valid electronic signature
PRATT FAMILY DENTISTRY 401(K) PLAN 2017 812713987 2018-05-29 PRATT FAMILY DENTISTRY 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621210
Sponsor’s telephone number 4018842190
Plan sponsor’s address 4512 POST ROAD, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2018-05-29
Name of individual signing JUDITH PRATT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-29
Name of individual signing JUDITH PRATT
Valid signature Filed with authorized/valid electronic signature
PRATT FAMILY DENTISTRY INC 401 K PROFIT SHARING PLAN TRUST 2016 812713987 2017-05-10 PRATT FAMILY DENTISTRY INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621210
Sponsor’s telephone number 4018842190
Plan sponsor’s address 4512 POST ROAD, EAST GREENWICH, RI, 02818

Signature of

Role Plan administrator
Date 2017-05-10
Name of individual signing JUDITH PRATT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN S. DIBONA Agent 78 KENWOOD STREET, CRANSTON, RI, 02907, USA

PRESIDENT

Name Role Address
JUDITH ABOSAMRA PRATT PRESIDENT 4512 POST ROAD EAST GREENWICH, RI 02818 USA

Filings

Number Name File Date
202341510880 Revocation Certificate For Failure to File the Annual Report for the Year 2023-09-12
202338156110 Revocation Notice For Failure to File An Annual Report 2023-06-19
202211001540 Annual Report 2022-02-15
202190145080 Annual Report 2021-02-04
202038558700 Statement of Change of Registered Office by the Registered Agent 2020-04-23
202033398950 Annual Report 2020-01-29
201986024990 Annual Report 2019-02-05
201859025930 Annual Report 2018-02-22
201745032620 Statement of Change of Registered Office by the Registered Agent 2017-06-07
201737229120 Annual Report 2017-03-02

Date of last update: 26 Oct 2024

Sources: Rhode Island Department of State