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  5. BURTON FAMILY DENTAL, LLC

BURTON FAMILY DENTAL, LLC

Company Details

Name: BURTON FAMILY DENTAL, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 07 Sep 2016 (8 years ago)
Identification Number: 001666518
ZIP code: 02904
County: Providence County
Principal Address: 1492 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904, USA
Purpose: DENTIST OFFICE
NAICS: 621210 - Offices of Dentists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043757081 2017-01-29 2017-01-29 1492 MINERAL SPRING AVE, NORTH PROVIDENCE, RI, 029043130, US 1492 MINERAL SPRING AVE, NORTH PROVIDENCE, RI, 029043130, US

Contacts
Phone +1 401-353-4880

Authorized person
Name DANIELLE CASARELLA
Role CONSULTANT
Phone 8602761586

Taxonomy
Taxonomy Code 122300000X - Dentist
License Number 1684
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BURTON FAMILY DENTAL, LLC 401(K) PLAN 2023 813788477 2024-06-02 BURTON FAMILY DENTAL, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 4013534880
Plan sponsor’s address 1492 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2024-06-02
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-02
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature
BURTON FAMILY DENTAL, LLC 401(K) PLAN 2022 813788477 2023-06-13 BURTON FAMILY DENTAL, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 4013534880
Plan sponsor’s address 1492 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2023-06-13
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-13
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature
BURTON FAMILY DENTAL, LLC 401 (K) PLAN 2022 813788477 2023-05-30 BURTON FAMILY DENTAL, LLC No data
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 4013534880
Plan sponsor’s address 1492 MINERAL SPRING AVE, NORTH PROVIDENCE, RI, 029043130

Signature of
Role Plan administrator
Date 2023-05-30
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-30
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature
BURTON FAMILY DENTAL, LLC 401(K) PLAN 2021 813788477 2022-07-12 BURTON FAMILY DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 4013534880
Plan sponsor’s address 1492 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2022-07-07
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-07
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature
BURTON FAMILY DENTAL, LLC 401(K) PLAN 2020 813788477 2021-10-14 BURTON FAMILY DENTAL, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 4013534880
Plan sponsor’s address 1492 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature
BURTON FAMILY DENTAL, LLC 401(K) PLAN 2019 813788477 2020-05-22 BURTON FAMILY DENTAL, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 4013534880
Plan sponsor’s address 1492 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2020-05-22
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-22
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature
BURTON FAMILY DENTAL, LLC 401(K) PLAN 2018 813788477 2019-07-01 BURTON FAMILY DENTAL, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 4013534880
Plan sponsor’s address 1492 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2019-07-01
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-01
Name of individual signing KATHARINE BURTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAMES A. IACOI, ESQ. Agent 171 BROADWAY, PROVIDENCE, RI, 02903, USA

Filings

Number Name File Date
202447138870 Annual Report 2024-02-23
202335474550 Annual Report 2023-05-10
202211807520 Annual Report 2022-02-28
202104777400 Annual Report 2021-11-05
202069941430 Annual Report 2020-10-30
201927508460 Annual Report 2019-11-15
201880865130 Annual Report 2018-11-07
201752579170 Annual Report 2017-10-30
201608451700 Articles of Organization 2016-09-07

Related by officers

JAMES A. IACOI, ESQ.

GERAMCO, INC. R. I. Janitorial, Inc. Melvin Tire & Auto Service Centers, Inc. Dynamic Marketing, Inc. FINE LINE GRAPHICS, INC. R.J. Printing Services, Inc. RW Creations Inc Hope Properties, L.L.C. HAROW, L.L.C. Madison Properties, Inc.

Related by address

1492 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904, USA

Burton Real Estate Holding, LLC

Date of last update: 26 Oct 2024

Sources: Rhode Island Department of State

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