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  5. The Mansion, Inc.

The Mansion, Inc.

Company Details

Name: The Mansion, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 04 Jan 1971 (54 years ago)
Identification Number: 000006970
ZIP code: 02863
County: Providence County
Principal Address: 104 CLAY STREET, CENTRAL FALLS, RI, 02863, USA
Purpose: NURSING FACILITY
NAICS: 623110 - Nursing Care Facilities (Skilled Nursing Facilities)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316064140 2007-03-25 2009-10-14 104 CLAY ST, CENTRAL FALLS, RI, 028633023, US 104 CLAY ST, CENTRAL FALLS, RI, 028633023, US

Contacts
Phone +1 401-726-5020
Fax 4017281814

Authorized person
Name DR. JOHN CHOPOORIAN
Role PRESIDENT
Phone 4017265020

Taxonomy
Taxonomy Code 314000000X - Skilled Nursing Facility
License Number 298
State RI
Is Primary Yes

Other Provider Identifiers
Issuer BLUECHIP FOR MEDICARE
Number 412517
State RI
Issuer MEDICAID
Number 298
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MANSION, INC. 401(K) PLAN 2023 050343400 2024-10-11 MANSION INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY ST, CENTRAL FALLS, RI, 028633046

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing TERESA CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
THE MANSION, INC. 401(K) PLAN 2022 050343400 2023-07-26 MANSION, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Signature of
Role Plan administrator
Date 2023-07-26
Name of individual signing TERESA CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-26
Name of individual signing TERESA CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
THE MANSION, INC. 401(K) PLAN 2021 050343400 2022-06-22 MANSION, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing TERESA CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-22
Name of individual signing TERESA CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
THE MANSION, INC. 401(K) PLAN 2020 050343400 2021-05-17 MANSION, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Signature of
Role Plan administrator
Date 2021-05-17
Name of individual signing TERESA CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-17
Name of individual signing TERESA CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
THE MANSION, INC. 401(K) PLAN 2019 050343400 2020-09-08 MANSION, INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Signature of
Role Plan administrator
Date 2020-09-08
Name of individual signing TERESA CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-08
Name of individual signing TERESA CHOPOORIANA
Valid signature Filed with authorized/valid electronic signature
THE MANSION, INC. 401(K) PLAN 2018 050343400 2019-10-10 MANSION, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-10
Name of individual signing TERESA CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
THE MANSION, INC. 401(K) PLAN 2017 050343400 2018-06-27 MANSION, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Signature of
Role Plan administrator
Date 2018-06-27
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-27
Name of individual signing TERESA CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
THE MANSION, INC. 401(K) PLAN 2016 050343400 2017-07-26 MANSION, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-26
Name of individual signing TERESA CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
THE MANSION, INC. 401(K) PLAN 2015 050343400 2016-07-06 MANSION, INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Signature of
Role Plan administrator
Date 2016-07-06
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-06
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
THE MANSION, INC. 401(K) PLAN 2014 050343400 2015-07-17 MANSION, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Signature of
Role Plan administrator
Date 2015-07-17
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-17
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/14/20141014110952P040018842479001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/10/20130610150917P030247200243001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Signature of
Role Plan administrator
Date 2013-06-10
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-10
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/01/20120601093056P040026998498001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Plan administrator’s name and address
Administrator’s EIN 050343400
Plan administrator’s name MANSION, INC.
Plan administrator’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863
Administrator’s telephone number 4017265020

Signature of
Role Plan administrator
Date 2012-06-01
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Plan administrator’s name and address
Administrator’s EIN 050343400
Plan administrator’s name MANSION, INC.
Plan administrator’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863
Administrator’s telephone number 4017265020

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/11/20110811142251P030003155828001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Plan administrator’s name and address
Administrator’s EIN 050343400
Plan administrator’s name MANSION, INC.
Plan administrator’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863
Administrator’s telephone number 4017265020

Signature of
Role Plan administrator
Date 2011-08-11
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Plan administrator’s name and address
Administrator’s EIN 050343400
Plan administrator’s name MANSION, INC.
Plan administrator’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863
Administrator’s telephone number 4017265020

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with incorrect/unrecognized electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Plan administrator’s name and address
Administrator’s EIN 050343400
Plan administrator’s name MANSION, INC.
Plan administrator’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863
Administrator’s telephone number 4017265020

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/15/20101015101933P040028998561001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 623000
Sponsor’s telephone number 4017265020
Plan sponsor’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863

Plan administrator’s name and address
Administrator’s EIN 050343400
Plan administrator’s name MANSION, INC.
Plan administrator’s address 104 CLAY STREET, CENTRAL FALLS, RI, 02863
Administrator’s telephone number 4017265020

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing TERESA J. CHOPOORIAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ANDREW CHOPOORIAN Agent 104 CLAY STREET, CENTRAL FALLS, RI, 02863, USA

PRESIDENT

Name Role Address
JOHN A CHOPOORIAN PRESIDENT 159 STARR LANE REHOBETH, MA 02769 USA

TREASURER

Name Role Address
JOHN A. CHOPOORIAN TREASURER 59 STARR LANE REHOBETH, MA 02769 USA

SECRETARY

Name Role Address
TERESA J. CHOPOORIAN SECRETARY 1564 LONSDALE AVENUE LINCOLN, RI 02865 USA

VICE PRESIDENT

Name Role Address
TERESA J CHOPOORIAN VICE PRESIDENT 1564 LONSDALE AVENUE LINCOLN, RI 02865 USA

DIRECTOR

Name Role Address
JOHN ANDREW CHOPOORIAN DIRECTOR 104 CLAY STREET CENTRAL FALLS, RI 02863 USA

Filings

Number Name File Date
202447882610 Annual Report 2024-03-05
202327534660 Annual Report 2023-02-04
202327534200 Annual Report 2023-02-04
202216047930 Annual Report 2022-04-28
202190138190 Annual Report 2021-02-05
202035592770 Annual Report 2020-02-28
201990413030 Annual Report 2019-04-15
201859671010 Annual Report 2018-03-04
201734666540 Annual Report 2017-02-24
201694754150 Annual Report 2016-03-16

Related by officers

JOHN A CHOPOORIAN

JAC REALTY, INC.

JOHN A. CHOPOORIAN

103 CLAY STREET, LLC MANSION PROPERTIES, LLC

Related by address

104 CLAY STREET, CENTRAL FALLS, RI, 02863, USA

103 CLAY STREET, LLC MANSION PROPERTIES, LLC

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State

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