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  5. Coastal Foot & Ankle, Inc.

Coastal Foot & Ankle, Inc.

Company Details

Name: Coastal Foot & Ankle, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 11 Sep 2017 (8 years ago)
Identification Number: 001677060
ZIP code: 02842
County: Newport County
Principal Address: 850 AQUIDNECK AVENUE SUITE B, MIDDLETOWN, RI, 02842, USA
Purpose: PODIATRY

Industry & Business Activity

NAICS

621391 Offices of Podiatrists

This U.S. industry comprises establishments of health practitioners having the degree of D.P.M. (Doctor of Podiatric Medicine) primarily engaged in the independent practice of podiatry. These practitioners diagnose and treat diseases and deformities of the foot and 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 podiatrists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275052755 2017-09-15 2022-07-21 850 AQUIDNECK AVE, MIDDLETOWN, RI, 028427280, US 850 AQUIDNECK AVE, MIDDLETOWN, RI, 028427280, US

Contacts
Phone +1 401-849-2157
Fax 4018488441

Authorized person
Name JONATHAN SABOURIN
Role OWNER
Phone 5082581717

Taxonomy
Taxonomy Code 213ES0103X - Foot & Ankle Surgery Podiatrist
License Number DPM00316
State RI
Is Primary Yes
Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number 2210
State MA
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number FH00185
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COASTAL FOOT & ANKLE, INC. 401(K) PLAN 2023 822743641 2024-05-29 COASTAL FOOT & ANKLE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018492157
Plan sponsor’s address 850 AQUIDNECK AVE, SUITE B, MIDDLETOWN, RI, 02842
COASTAL FOOT & ANKLE, INC. 401(K) PLAN 2022 822743641 2023-03-16 COASTAL FOOT & ANKLE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018492157
Plan sponsor’s address 850 AQUIDNECK AVE, SUITE B, MIDDLETOWN, RI, 02842
COASTAL FOOT & ANKLE, INC. 401(K) PLAN 2021 822743641 2022-02-22 COASTAL FOOT & ANKLE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018492157
Plan sponsor’s address 850 AQUIDNECK AVE, SUITE B, MIDDLETOWN, RI, 02842
COASTAL FOOT & ANKLE, INC. 401(K) PLAN 2020 822743641 2021-03-30 COASTAL FOOT & ANKLE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018492157
Plan sponsor’s address 850 AQUIDNECK AVE, SUITE B, MIDDLETOWN, RI, 02842
COASTAL FOOT & ANKLE, INC. 401(K) PLAN 2019 822743641 2020-03-26 COASTAL FOOT & ANKLE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018492157
Plan sponsor’s address 850 AQUIDNECK AVE, SUITE B, MIDDLETOWN, RI, 02842
COASTAL FOOT & ANKLE, INC. 401(K) PLAN 2018 822743641 2019-04-19 COASTAL FOOT & ANKLE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621391
Sponsor’s telephone number 4018492157
Plan sponsor’s address 850 AQUIDNECK AVE, SUITE B, MIDDLETOWN, RI, 02842

Agent

Name Role Address
THOMAS J. MOYLAN, ESQ. Agent 55 PINE STREET 5TH FLOOR, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
JONATHAN SABOURIN, DPM PRESIDENT 850 AQUIDNECK AVENUE, SUITE B MIDDLETOWN, RI 02842 USA

Filings

Number Name File Date
202454684070 Annual Report 2024-05-21
202331941920 Statement of Change of Registered/Resident Agent 2023-03-29
202331901690 Annual Report 2023-03-28
202217945550 Annual Report 2022-05-29
202189421890 Annual Report 2021-02-02
202033953410 Annual Report 2020-02-07
201987451920 Annual Report 2019-02-21
201755434430 Annual Report 2017-12-28
201749487570 Articles of Incorporation 2017-09-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3321008409 2021-02-04 0165 PPS 850 Aquidneck Ave, Middletown, RI, 02842-7280
Loan Status Date 2021-09-29
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51400
Loan Approval Amount (current) 51400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Middletown, NEWPORT, RI, 02842-7280
Project Congressional District RI-01
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 51674.6
Forgiveness Paid Date 2021-08-24
8385257104 2020-04-15 0165 PPP 850 Aquidneck Avenue Suite 15, Middletown, RI, 02842
Loan Status Date 2021-06-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51400
Loan Approval Amount (current) 51400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
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 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 51942.16
Forgiveness Paid Date 2021-05-14

Related by officers

THOMAS J. MOYLAN, ESQ.

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Related by address

No related companies by address

Date of last update: 27 Oct 2024

Sources: Rhode Island Department of State

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