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  5. UNIVERSITY CONCIERGE MEDICINE, LLC

UNIVERSITY CONCIERGE MEDICINE, LLC

Company Details

Name: UNIVERSITY CONCIERGE MEDICINE, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 17 Nov 2016 (8 years ago)
Identification Number: 001668535
ZIP code: 02842
County: Newport County
Principal Address: 1 CORPORATE PLACE 1ST FLOOR, MIDDLETOWN, RI, 02842, USA
Purpose: CONCIERGE MEDICAL PRACTICE
Fictitious names: Newport Personalized Medicine (trading name, 2016-11-17 - )

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
1992239081 2017-04-14 2017-06-22 1 CORPORATE PL, MIDDLETOWN, RI, 028426406, US 1 CORPORATE PL, MIDDLETOWN, RI, 028426406, US

Contacts
Phone +1 401-619-4884
Fax 4016194886

Authorized person
Name DR. DAVID FRANCIS CUNNINGHAM
Role OWNER
Phone 4016194884

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 7724
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY CONCIERGE MEDICINE, LLC 401(K) PLAN 2023 814940322 2024-05-16 UNIVERSITY CONCIERGE MEDICINE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4018480000
Plan sponsor’s address 1 CORPORATE PLACE, 1ST FLOOR, MIDDLETOWN, RI, 02842

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing DAVID F. CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-16
Name of individual signing DAVID F. CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY CONCIERGE MEDICINE, LLC 401(K) PLAN 2022 814940322 2023-05-02 UNIVERSITY CONCIERGE MEDICINE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4018480000
Plan sponsor’s address 1 CORPORATE PLACE, 1ST FLOOR, MIDDLETOWN, RI, 02842

Signature of
Role Plan administrator
Date 2023-05-02
Name of individual signing DAVID F. CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY CONCIERGE MEDICINE, LLC 401(K) PLAN 2021 814940322 2022-06-28 UNIVERSITY CONCIERGE MEDICINE, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4018480000
Plan sponsor’s address 1 CORPORATE PLACE, 1ST FLOOR, MIDDLETOWN, RI, 02842

Signature of
Role Plan administrator
Date 2022-06-28
Name of individual signing DAVID F. CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-28
Name of individual signing DAVID F. CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY CONCIERGE MEDICINE, LLC 401(K) PL 2020 814940322 2021-05-21 UNIVERSITY CONCIERGE MEDICINE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4018480000
Plan sponsor’s address 1 CORPORATE PLACE, 1ST FLOOR, MIDDLETOWN, RI, 02842

Signature of
Role Plan administrator
Date 2021-05-21
Name of individual signing DAVID F CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-21
Name of individual signing DAVID F CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY CONCIERGE MEDICINE, LLC 401(K) PL 2019 814940322 2020-06-23 UNIVERSITY CONCIERGE MEDICINE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4018480000
Plan sponsor’s address 1 CORPORATE PLACE, 1ST FLOOR, MIDDLETOWN, RI, 02842

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing DAVID CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-23
Name of individual signing DAVID CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY CONCIERGE MEDICINE, LLC 401(K) PL 2018 814940322 2019-06-11 UNIVERSITY CONCIERGE MEDICINE, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 4018480000
Plan sponsor’s address 1 CORPORATE PLACE, 1ST FLOOR, MIDDLETOWN, RI, 02842

Signature of
Role Plan administrator
Date 2019-06-11
Name of individual signing DAVID F. CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-11
Name of individual signing DAVID F. CUNNINGHAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JENNIFER C. CAPODILUPO, CPA Agent 1 CORPORATE PLACE, MIDDLETOWN, RI, 02842, USA

Filings

Number Name File Date
202449054510 Annual Report 2024-03-21
202330781220 Annual Report 2023-03-14
202213097910 Annual Report 2022-03-19
202104008900 Annual Report 2021-10-27
202066682840 Annual Report 2020-10-20
201924735670 Annual Report 2019-10-18
201879537770 Annual Report 2018-10-16
201752052060 Annual Report 2017-10-23
201738169920 Statement of Change of Registered/Resident Agent 2017-03-17
201612199920 Fictitious Business Name Statement 2016-11-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1753237210 2020-04-15 0165 PPP One Corporate Place, MIDDLETOWN, RI, 02842
Loan Status Date 2021-03-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 52097
Loan Approval Amount (current) 52097
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, 02842-0001
Project Congressional District RI-01
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 65657
Originating Lender Name BankNewport
Originating Lender Address NEWPORT, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 52536.61
Forgiveness Paid Date 2021-02-24

Related by officers

JENNIFER C. CAPODILUPO, CPA

Z-EF ENTERPRISES, LLC CORY FARMS PAST & PRESENTS, LLC Red O, LLC

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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