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  5. Aquidneck Pediatrics LLC

Aquidneck Pediatrics LLC

Company Details

Name: Aquidneck Pediatrics LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 16 Jun 2016 (9 years ago)
Identification Number: 001664196
ZIP code: 02842
County: Newport County
Principal Address: 1272 WEST MAIN ROAD, MIDDLETOWN, RI, 02842, USA
Purpose: TO ENGAGE IN THE BUSINESS OF PROVIDING PEDIATRIC MEDICAL CARE AND 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)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245681626 2016-06-27 2019-08-15 50 MEMORIAL BLVD, NEWPORT, RI, 028403636, US 1272 W MAIN RD, MIDDLETOWN, RI, 028426405, US

Contacts
Phone +1 401-847-2290
Fax 4018498446

Authorized person
Name DR. CASEY ELDERT
Role MD
Phone 4018472290

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Other Provider Identifiers
Issuer GROUP II NPI
Number 1245681626

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AQUIDNECK PEDIATRICS, LLC RETIREMENT SAVINGS PLAN 2023 812962235 2024-04-12 AQUIDNECK PEDIATRICS, LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621111
Sponsor’s telephone number 4018472290
Plan sponsor’s address 1272 WEST MAIN STREET, BLDG #3, MIDDLETOWN, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVENUE, SUITE D201, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920

Signature of
Role Plan administrator
Date 2024-04-12
Name of individual signing SETH LARNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-12
Name of individual signing SETH LARNER
Valid signature Filed with authorized/valid electronic signature
AQUIDNECK PEDIATRICS, LLC RETIREMENT SAVINGS PLAN 2022 812962235 2023-06-02 AQUIDNECK PEDIATRICS, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621111
Sponsor’s telephone number 4018472290
Plan sponsor’s address 1272 WEST MAIN STREET, MIDDLETOWN, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVENUE, SUITE D201, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920

Signature of
Role Plan administrator
Date 2023-06-02
Name of individual signing SETH LARNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-02
Name of individual signing SETH LARNER
Valid signature Filed with authorized/valid electronic signature
AQUIDNECK PEDIATRICS, LLC RETIREMENT SAVINGS PLAN 2021 812962235 2022-08-16 AQUIDNECK PEDIATRICS, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621111
Sponsor’s telephone number 4018472290
Plan sponsor’s address 1272 WEST MAIN STREET, MIDDLETOWN, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVENUE, SUITE D201, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920

Signature of
Role Plan administrator
Date 2022-08-16
Name of individual signing SETH LARNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-16
Name of individual signing SETH LARNER
Valid signature Filed with authorized/valid electronic signature
AQUIDNECK PEDIATRICS, LLC RETIREMENT SAVINGS PLAN 2020 812962235 2021-09-15 AQUIDNECK PEDIATRICS, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621111
Sponsor’s telephone number 4018472290
Plan sponsor’s address 1272 WEST MAIN STREET, MIDDLETOWN, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVENUE, SUITE A2, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920
AQUIDNECK PEDIATRICS, LLC RETIREMENT SAVINGS PLAN 2019 812962235 2020-07-21 AQUIDNECK PEDIATRICS, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621111
Sponsor’s telephone number 4018472290
Plan sponsor’s address 1272 WEST MAIN STREET, MIDDLETOWN, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVENUE, SUITE A2, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920
AQUIDNECK PEDIATRICS, LLC RETIREMENT SAVINGS PLAN 2018 812962235 2019-05-30 AQUIDNECK PEDIATRICS, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621111
Sponsor’s telephone number 4018472290
Plan sponsor’s address 1272 WEST MAIN STREET, MIDDLETOWN, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 811939215
Plan administrator’s name COMPASS 360, LLC
Plan administrator’s address 118 PORTSMOUTH AVENUE, SUITE A2, STRATHAM, NH, 03885
Administrator’s telephone number 6037789920
AQUIDNECK PEDIATRICS, LLC RETIREMENT SAVINGS PLAN 2017 812962235 2018-06-11 AQUIDNECK PEDIATRICS, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-06-01
Business code 621111
Sponsor’s telephone number 4018472290
Plan sponsor’s address 1272 WEST MAIN ROAD, MIDDLETOWN, RI, 02842

Signature of
Role Plan administrator
Date 2018-06-11
Name of individual signing KATHY PUGATCH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN W. WOLFE, ESQ. Agent 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

Filings

Number Name File Date
202446460710 Annual Report 2024-02-15
202329026190 Annual Report 2023-02-22
202215033240 Annual Report 2022-04-18
202207766220 Statement of Change of Registered/Resident Agent 2022-01-10
202102895340 Annual Report 2021-10-07
202069618990 Annual Report 2020-10-26
201915934200 Annual Report 2019-08-28
201877859810 Annual Report 2018-09-20
201877842470 Statement of Change of Registered/Resident Agent 2018-09-20
201750722370 Annual Report 2017-09-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3620148405 2021-02-05 0165 PPS 1272 W Main Rd, Middletown, RI, 02842-6405
Loan Status Date 2021-11-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 309485.83
Loan Approval Amount (current) 309485.83
Undisbursed Amount 0
Franchise Name -
Lender Location ID 65657
Servicing Lender Name BankNewport
Servicing Lender Address 10 Washington Sq, NEWPORT, RI, 02840-2948
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Middletown, NEWPORT, RI, 02842-6405
Project Congressional District RI-01
Number of Employees 27
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 65657
Originating Lender Name BankNewport
Originating Lender Address NEWPORT, RI
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 311631.03
Forgiveness Paid Date 2021-10-21
4602577007 2020-04-04 0165 PPP 1272 West Main Rd, MIDDLETOWN, RI, 02842-6300
Loan Status Date 2021-03-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 309400
Loan Approval Amount (current) 309400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 65657
Servicing Lender Name BankNewport
Servicing Lender Address 10 Washington Sq, NEWPORT, RI, 02840-2948
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MIDDLETOWN, NEWPORT, RI, 02842-6300
Project Congressional District RI-01
Number of Employees 27
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 65657
Originating Lender Name BankNewport
Originating Lender Address NEWPORT, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 312121.02
Forgiveness Paid Date 2021-03-08

Related by officers

JOHN W. WOLFE, ESQ.

GTS FLEXIBLE MATERIALS, INC. RIDE, Inc. LIGHTNING BAY, INC. BROWN NEUROLOGY DIAGNOSTIC INFORMATION SYSTEM, INC. Frank J. Jehle, Jr., M.D., Inc. AAD, LLC C.D.2.I, INC. AMERICAN FRIENDS OF THE HAKLUYT SOCIETY SEASCAPE LAWN CARE INC.

Related by address

1272 WEST MAIN ROAD, MIDDLETOWN, RI, 02842, USA

PURVIS SERVICES INCORPORATED Pharmetics Incorporated ATV, Inc. EAST BAY ENVIRONMENTAL LTD. SANDY POINT VILLAGE, LLC Wild Things USA Inc

Date of last update: 26 Oct 2024

Sources: Rhode Island Department of State

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