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  5. MICHAEL R. HERU, MD, LTD.

MICHAEL R. HERU, MD, LTD.

Company Details

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 (9 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

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
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

Contacts
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

form 5500

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
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 2022-05-10
Name of individual signing CLARE IRWIN
Valid signature Filed with authorized/valid electronic signature
MICHAEL R HERU MD LTD 401(K) PROFIT SHARING PLAN & TRUST 2021 814028911 2022-08-08 MICHAEL R HERU MD LTD 4
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
MICHAEL R HERU MD LTD 401(K) PROFIT SHARING PLAN & TRUST 2020 814028911 2021-07-13 MICHAEL R HERU MD LTD 3
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
MICHAEL R HERU MD LTD 401(K) PROFIT SHARING PLAN & TRUST 2019 814028911 2020-07-28 MICHAEL R HERU MD LTD 3
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
MICHAEL R HERU MD LTD 401 K PROFIT SHARING PLAN TRUST 2018 814028911 2019-05-30 MICHAEL R HERU MD LTD 5
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
MICHAEL R HERU MD LTD 401 K PROFIT SHARING PLAN TRUST 2017 814028911 2018-03-21 MICHAEL R HERU MD LTD 4
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

Agent

Name Role Address
JOHN J. BEVILACQUA, ESQ. Agent 145 PHENIX AVENUE, CRANSTON, RI, 02920, USA

PRESIDENT

Name Role Address
MICHAEL R. HERU PRESIDENT 594 GREAT ROAD, SUITE 105 NORTH SMITHFIELD, RI 02896 USA

Filings

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6198108510 2021-03-03 0165 PPP 594 Great Rd Ste 105, North Smithfield, RI, 02896-6810
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 16515
Loan Approval Amount (current) 16515
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address North Smithfield, PROVIDENCE, RI, 02896-6810
Project Congressional District RI-01
Number of Employees 3
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Veteran
Forgiveness Amount 16600.52
Forgiveness Paid Date 2021-09-09

Related by officers

JOHN J. BEVILACQUA, ESQ.

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Related by address

No related companies by address

Date of last update: 26 Oct 2024

Sources: Rhode Island Department of State

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