| Name: | MICHAEL R. HERU, MD, LTD. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 20 Sep 2016 (8 years ago) |
| Date of Dissolution: | 20 Mar 2023 (2 years ago) |
| Date of Status Change: | 20 Mar 2023 (2 years ago) |
| Identification Number: | 001666868 |
| ZIP code: | 02896 |
| County: | Providence County |
| Principal Address: | 594 GREAT ROAD SUITE 105, NORTH SMITHFIELD, RI, 02896, USA |
| Purpose: | HEALTH CARE Title: 7-1.2-1701 |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629501705 | 2017-04-06 | 2017-04-06 | 594 GREAT RD STE 102A, SUITE 105, NORTH SMITHFIELD, RI, 028966810, US | 594 GREAT RD STE 102A, SUITE 105, NORTH SMITHFIELD, RI, 028966810, US | |||||||||||||
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| Phone | +1 401-597-0088 |
Authorized person
| Name | MICHAEL R HEU |
| Role | OWNER |
| Phone | 4015970088 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL R HERU MD LTD 401(K) PROFIT SHARING PLAN & TRUST | 2021 | 814028911 | 2022-05-10 | MICHAEL R HERU MD LTD | 2 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-05-10 |
| Name of individual signing | CLARE IRWIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4018553760 |
| Plan sponsor’s address | 594 GREAT RD, NORTH SMITHFIELD, RI, 02896 |
Signature of
| Role | Plan administrator |
| Date | 2022-08-08 |
| Name of individual signing | CLARE IRWIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4018553760 |
| Plan sponsor’s address | 594 GREAT RD, NORTH SMITHFIELD, RI, 02896 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-13 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4018553760 |
| Plan sponsor’s address | 594 GREAT RD STE 105, NORTH SMITHFIELD, RI, 02896 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-28 |
| Name of individual signing | CLARE IRWIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 4018553760 |
| Plan sponsor’s address | 594 GREAT RD, NORTH SMITHFIELD, RI, 02896 |
Plan administrator’s name and address
| Administrator’s EIN | 264477125 |
| Plan administrator’s name | 401K GENERATION |
| Plan administrator’s address | 195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746 |
| Administrator’s telephone number | 8669985879 |
Signature of
| Role | Plan administrator |
| Date | 2019-05-30 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 4018553760 |
| Plan sponsor’s address | 594 GREAT RD, NORTH SMITHFIELD, RI, 02896 |
Signature of
| Role | Plan administrator |
| Date | 2018-03-21 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JOHN J. BEVILACQUA, ESQ. | Agent | 145 PHENIX AVENUE, CRANSTON, RI, 02920, USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL R. HERU | PRESIDENT | 594 GREAT ROAD, SUITE 105 NORTH SMITHFIELD, RI 02896 USA |
| Number | Name | File Date |
|---|---|---|
| 202331157240 | Articles of Dissolution | 2023-03-20 |
| 202213063230 | Annual Report | 2022-03-18 |
| 202193675070 | Annual Report | 2021-03-04 |
| 202033145770 | Annual Report | 2020-01-21 |
| 201984664530 | Annual Report | 2019-01-17 |
| 201859354940 | Annual Report | 2018-02-28 |
| 201738463460 | Statement of Change of Registered/Resident Agent Office | 2017-03-23 |
| 201734383500 | Annual Report | 2017-02-17 |
| 201609061890 | Articles of Incorporation | 2016-09-20 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
