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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

Industry & Business Activity

NAICS

813319 Other Social Advocacy Organizations

This U.S. industry comprises establishments primarily engaged in social advocacy (except human rights and environmental protection, conservation, and wildlife preservation). Establishments in this industry address issues, such as peace and international understanding; community action (excluding civic organizations); or advancing social causes, such as firearms safety, drunk driving prevention, or drug abuse awareness. These organizations may solicit contributions and offer memberships to support these causes. Learn more at the U.S. Census Bureau

Companies doing 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

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
B10SPRI0010 Department of Housing and Urban Development 14.251 - ECONOMIC DEVELOPMENT INITIATIVE-SPECIAL PROJECT, NEIGHBORHOOD INITIATIVE AND MISCELLANEOUS GRANTS 2011-04-26 No data EDI SPECIAL PROJECTS
Recipient AMOS HOUSE
Recipient Name Raw AMOS HOUSE
Recipient UEI DKHXV43KKLU3
Recipient DUNS 861351575
Recipient Address 415 FRIENDSHIP ST, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 02907-1110, UNITED STATES
Obligated Amount 730500.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
05-0387218 Corporation Unconditional Exemption 460 PINE ST, PROVIDENCE, RI, 02907-1358 1980-06
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
Deductibility Contributions are deductible.
Foundation Governmental unit 170(b)(1)(A)(v)
Tax Period 2023-09
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 23608822
Income Amount 18581280
Form 990 Revenue Amount 18429963
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name AMOS HOUSE
EIN 05-0387218
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name AMOS HOUSE
EIN 05-0387218
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name AMOS HOUSE
EIN 05-0387218
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name AMOS HOUSE
EIN 05-0387218
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name AMOS HOUSE
EIN 05-0387218
Tax Period 201609
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9873367106 2020-04-15 0165 PPP 460 PINE STREET, PROVIDENCE, RI, 02907
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 626000
Loan Approval Amount (current) 626000
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 Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PROVIDENCE, PROVIDENCE, RI, 02907-0546
Project Congressional District RI-02
Number of Employees 78
NAICS code 813410
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 633289.04
Forgiveness Paid Date 2021-06-24

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 Apr 2025

Sources: Rhode Island Department of State

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