| Entity Name: | WESTERLY RADIOLOGY ASSOCIATES, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Withdrawn |
| Date Formed: | 30 Sep 1996 |
| Branch of: | WESTERLY RADIOLOGY ASSOCIATES, INC., RHODE ISLAND (Company Number 000017348) |
| Business ALEI: | 0545794 |
| Annual report due: | 29 Sep 2014 |
| Mailing address: | 25 Wells Street, Westerly, RI, United States, 02891 |
| Place of Formation: | RHODE ISLAND |
| E-Mail: | laura@wra.comcastbiz.net |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WESTERLY RADIOLOGY ASSOCIATES, INC 401(K) PLAN | 2012 | 050398363 | 2013-05-15 | WESTERLY RADIOLOGY ASSOCIATES, INC | 5 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-05-15 |
| Name of individual signing | LAURA SCHICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-05-15 |
| Name of individual signing | LAURA SCHICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2002-02-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8604159248 |
| Plan sponsor’s address | PO BOX 609, LEDYARD, CT, 06339 |
Plan administrator’s name and address
| Administrator’s EIN | 050398363 |
| Plan administrator’s name | WESTERLY RADIOLOGY ASSOCIATES, INC |
| Plan administrator’s address | PO BOX 609, LEDYARD, CT, 06339 |
| Administrator’s telephone number | 8604159248 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-11 |
| Name of individual signing | LAURA V. SCHICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2002-02-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8604159248 |
| Plan sponsor’s address | PO BOX 609, LEDYARD, CT, 06339 |
Plan administrator’s name and address
| Administrator’s EIN | 050398363 |
| Plan administrator’s name | WESTERLY RADIOLOGY ASSOCIATES, INC |
| Plan administrator’s address | PO BOX 609, LEDYARD, CT, 06339 |
| Administrator’s telephone number | 8604159248 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-20 |
| Name of individual signing | LAURA SCHICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-20 |
| Name of individual signing | LAURA SCHICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address |
|---|---|---|
| Secretary of State | Agent | 165 Capitol Ave., P.O. BOX 150470, Hartford, CT, 06115-0470, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| LAURA V. SCHICK | Officer | RADIOLOGY DEPARTMENT, THE WESTERLY HOSPITAL, 25 WELLS ST, WESTERLY, RI, 02891, United States | 61 LANTERN HILL RD, MYSTIC, CT, 06355, United States |
| JAY M. COLBY | Officer | RADIOLOGY DEPARTMENT, THE WESTERLY HOSPITAL, 25 WELLS ST, WESTERLY, RI, 02891, United States | 61 PEQUOT COURT, PAWCATUCK, CT, 06379, United States |
| DANIEL C. DIFFIN MD | Officer | RADIOLOGY DEPARTMENT, THE WESTERLY HOSPITAL, 25 WELLS ST, WESTERLY, RI, 02891, United States | 18 HISCOX ROAD, WESTERLY, RI, 02891, United States |
| MICHAEL C. NILES | Officer | RADIOLOGY DEPARTMENT, THE WESTERLY HOSPITAL, 25 WELLS ST, WESTERLY, RI, 02891, United States | 7 SPICER AVENUE, NOANK, CT, 06340, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0006293005 | 2018-12-17 | 2018-12-31 | Withdrawal | Certificate of Withdrawal | No data |
| 0004951489 | 2013-09-26 | No data | Annual Report | Annual Report | 2013 |
| 0004699661 | 2012-08-08 | No data | Annual Report | Annual Report | 2012 |
| 0004628200 | 2011-09-29 | No data | Annual Report | Annual Report | 2011 |
| 0004274661 | 2010-09-17 | No data | Annual Report | Annual Report | 2010 |
| 0004028961 | 2009-09-18 | No data | Annual Report | Annual Report | 2009 |
| 0003847423 | 2008-12-05 | No data | Annual Report | Annual Report | 2008 |
| 0003553438 | 2007-10-09 | No data | Annual Report | Annual Report | 2007 |
| 0003307442 | 2006-09-29 | No data | Annual Report | Annual Report | 2006 |
| 0003111749 | 2005-11-01 | No data | Annual Report | Annual Report | 2005 |
Date of last update: 06 Jan 2025
Sources: Connecticut's Official State Website
