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  5. AMOS HOUSE

AMOS HOUSE

Company Details

Name: AMOS HOUSE
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 20 May 1980 (45 years ago)
Identification Number: 000026423
ZIP code: 02907
County: Providence County
Principal Address: 460 PINE STREET, PROVIDENCE, RI, 02907, USA
Purpose: EMERGENCY FOOD AND SHELTER SERVICE
NAICS: 813319 - Other Social Advocacy Organizations

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255872529 2017-03-20 2024-08-02 460 PINE ST, PROVIDENCE, RI, 029071358, US 460 PINE ST, PROVIDENCE, RI, 029071358, US

Contacts
Phone +1 401-274-9372

Authorized person
Name MS. EILEEN MARY HAYES
Role CEO
Phone 4012749372

Taxonomy
Taxonomy Code 171M00000X - Case Manager/Care Coordinator
Is Primary Yes
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 207RA0401X - Addiction Medicine (Internal Medicine) Physician
Is Primary No
Taxonomy Code 251B00000X - Case Management Agency
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMOS HOUSE 401K PLAN 2023 050387218 2024-06-13 AMOS HOUSE 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 4012720220
Plan sponsor’s address 460 PINE STREET, PROVIDENCE, RI, 02907

Signature of
Role Plan administrator
Date 2024-06-13
Name of individual signing KAREN RAUS
Valid signature Filed with authorized/valid electronic signature
AMOS HOUSE 401K PLAN 2022 050387218 2023-07-13 AMOS HOUSE 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 4012720220
Plan sponsor’s address 460 PINE STREET, PROVIDENCE, RI, 029071110

Signature of
Role Plan administrator
Date 2023-07-13
Name of individual signing KAREN RAUS
Valid signature Filed with authorized/valid electronic signature
AMOS HOUSE 401K PLAN 2021 050387218 2022-09-29 AMOS HOUSE 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 4012720220
Plan sponsor’s address 460 PINE STREET, PROVIDENCE, RI, 029071110
AMOS HOUSE 401K PLAN 2020 050387218 2021-07-15 AMOS HOUSE 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 4012720220
Plan sponsor’s address 460 PINE STREET, PROVIDENCE, RI, 029071110
AMOS HOUSE 401K PLAN 2019 050387218 2020-06-22 AMOS HOUSE 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 4012720220
Plan sponsor’s address 460 PINE STREET, PROVIDENCE, RI, 029071110
AMOS HOUSE 401K PLAN 2018 050387218 2019-09-04 AMOS HOUSE 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 4012720220
Plan sponsor’s address 460 PINE STREET, PROVIDENCE, RI, 029071110
AMOS HOUSE 401K PLAN 2017 050387218 2018-07-25 AMOS HOUSE 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 4012720220
Plan sponsor’s address 460 PINE STREET, PROVIDENCE, RI, 029071110
AMOS HOUSE 401K PLAN 2016 050387218 2017-07-20 AMOS HOUSE 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 4012720220
Plan sponsor’s address 460 PINE STREET, PROVIDENCE, RI, 029071110
AMOS HOUSE 401K PLAN 2015 050387218 2016-07-28 AMOS HOUSE 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 4012720220
Plan sponsor’s address 460 PINE STREET, PROVIDENCE, RI, 029071110
AMOS HOUSE 401K PLAN 2014 050387218 2015-08-31 AMOS HOUSE 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 4012720220
Plan sponsor’s address 415 FRIENDSHIP STREET, PROVIDENCE, RI, 029071110

Signature of
Role Plan administrator
Date 2015-08-31
Name of individual signing EILEEN HAYES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/24/20140324092002P030264989763001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 4012720220
Plan sponsor’s address 415 FRIENDSHIP STREET, PROVIDENCE, RI, 029071110

Signature of
Role Plan administrator
Date 2014-03-24
Name of individual signing WILLIAM K. WRAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
EILEEN HAYES Agent 415 FRIENDSHIP STREET, PROVIDENCE, RI, 02907, USA

PRESIDENT

Name Role Address
EILEEN HAYES PRESIDENT 415 FRIENDSHIP PROVIDENCE, RI 02907 USA

DIRECTOR

Name Role Address
LISA BALLOU DIRECTOR 11 SOUTH ANGELL ST, #368 PROVIDENCE, RI 02906 USA
FLA LEWIS DIRECTOR 72 SOUTH MAIN STREET PROVIDENCE, RI 02906 USA
SUSAN LONEY DIRECTOR 11 SOUTH ANGELL ST. PROVIDENCE, RI 02906 USA
PATRICK QUINN DIRECTOR 56 EXCHANGE TERRACE PROVIDENCE, RI 02903 USA
JOHN FARBER DIRECTOR 105 FREEMAN PARKWAY PROVIDENCE, RI 02906 USA
GUILLAUME BEGAL DIRECTOR 500 EXCHANGE ST. PROVIDENCE, RI 02903 USA
MO LOPEZ DIRECTOR 1 CITIZENS DRIVE RIVERSIDE, RI 02915 USA
KELLEY MCSHANE DIRECTOR PO BOX 732 WESTERLY, RI 02891 USA
ANGELA ANKOMA DIRECTOR 50 VALLEY STREET PROVIDENCE, RI 02909 USA
MEKO LINCOLN DIRECTOR 460 PINE STREET PROVIDENCE, RI 02907 USA

Filings

Number Name File Date
202450138900 Annual Report 2024-04-04
202338907910 Annual Report 2023-06-29
202338408660 Revocation Notice For Failure to File An Annual Report 2023-06-20
202218289400 Annual Report 2022-06-03
202198200330 Annual Report 2021-06-14
202193690460 Annual Report 2021-03-08
202191736610 Revocation Notice For Failure to File An Annual Report 2021-02-17
201908462910 Annual Report 2019-07-30
201873598920 Annual Report 2018-07-30
201747552720 Annual Report 2017-07-21

Related by officers

EILEEN HAYES

Amos House Realty Corporation BUILDING FUTURES

LISA BALLOU

Amos House Realty Corporation

FLA LEWIS

Lewis Research & Management, Inc. Amos House Realty Corporation

SUSAN LONEY

Amos House Realty Corporation

PATRICK QUINN

R. I. INSTITUTE FOR LABOR STUDIES AND RESEARCH Ocean State Action Fund Warwick Livery, Inc. Fair Share Health Care Coalition Fuerza Laboral Amos House Realty Corporation BUILDING FUTURES Told By Fire Media, LLC Patrick Quinn, Inc.

JOHN FARBER

Amos House Realty Corporation

GUILLAUME BEGAL

Amos House Realty Corporation

ANGELA ANKOMA

WEST ELMWOOD HOUSING DEVELOPMENT CORPORATION Hollis Development Corp. SH Development Corp. Rau Development Corporation Hope Renewed Realty Corporation West Elmwood NeighborWorks Home Ownership Center, Inc. Westfield Solar, Inc. FRIENDS OF BUCKLIN PARK Amos House Realty Corporation WEHD Sankofa GP, Inc.

MEKO LINCOLN

Amos House Realty Corporation ReEntry Campus Program Formerly Incarcerated Union of Rhode Island

PAUL CONFORTI

Amos House Realty Corporation

JAMES HAGERTY

Meeting Street MSC Realty, Inc. Citizens Community Development Corporation Divine Mercy Ministries International, Inc.

Related by address

460 PINE STREET, PROVIDENCE, RI, 02907, USA

Amos House Realty Corporation

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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