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  5. Episcopal Housing Foundation of Rhode Island

Episcopal Housing Foundation of Rhode Island

Company Details

Name: Episcopal Housing Foundation of Rhode Island
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 06 Jan 1981 (44 years ago)
Identification Number: 000026871
ZIP code: 02860
County: Providence County
Principal Address: 111 BREWSTER STREET, PAWTUCKET, RI, 02860, USA
Purpose: HOUSING AND SERVICES FOR THE ELDERLY
NAICS: 623110 - Nursing Care Facilities (Skilled Nursing Facilities)
Fictitious names: Hallworth Outpatient Rehabilitation Center (trading name, 2014-06-13 - )
The Edwards Homes (trading name, 2003-03-31 - )
Hallworth House (trading name, 2003-03-31 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033597299 2015-05-08 2015-05-08 66 BENEFIT ST, PROVIDENCE, RI, 029042742, US 66 BENEFIT ST, PROVIDENCE, RI, 029042742, US

Contacts
Phone +1 401-274-4505

Authorized person
Name KATHLEEN LAVALLEE
Role ADMINISTRATOR
Phone 4012744505

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number MD04021
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HALLWORTH HOUSE RETIREMENT PLAN 2020 050395439 2021-02-23 HALLWORTH HOUSE 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2021-02-23
Name of individual signing STEPHANIE IGOE
Valid signature Filed with authorized/valid electronic signature
HALLWORTH HOUSE RETIREMENT PLAN 2020 050395439 2021-02-22 HALLWORTH HOUSE 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2021-02-22
Name of individual signing STEPHANIE IGOE
Valid signature Filed with authorized/valid electronic signature
HALLWORTH HOUSE RETIREMENT PLAN 2019 050395439 2020-06-30 HALLWORTH HOUSE 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing STEPHANIE IGOE
Valid signature Filed with authorized/valid electronic signature
HALLWORTH HOUSE RETIREMENT PLAN 2018 050395439 2019-07-12 HALLWORTH HOUSE 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing STEPHANIE IGOE
Valid signature Filed with authorized/valid electronic signature
HALLWORTH HOUSE RETIREMENT PLAN 2017 050395439 2018-10-01 HALLWORTH HOUSE 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2018-10-01
Name of individual signing STEPHANIE IGOE
Valid signature Filed with authorized/valid electronic signature
HALLWORTH HOUSE RETIREMENT PLAN 2016 050395439 2017-09-14 HALLWORTH HOUSE 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2017-09-14
Name of individual signing STEPHANIE IGOE
Valid signature Filed with authorized/valid electronic signature
HALLWORTH HOUSE RETIREMENT PLAN 2015 050395439 2016-06-29 HALLWORTH HOUSE 115
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2016-06-29
Name of individual signing STEPHANIE IGOE
Valid signature Filed with authorized/valid electronic signature
HALLWORTH HOUSE RETIREMENT PLAN 2014 050395439 2015-07-09 HALLWORTH HOUSE 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2015-07-09
Name of individual signing KATHLEEN M. LAVALLEE
Valid signature Filed with authorized/valid electronic signature
HALLWORTH HOUSE RETIREMENT PLAN 2013 050395439 2014-07-14 HALLWORTH HOUSE 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2014-07-14
Name of individual signing KATHLEEN M. LAVALLEE
Valid signature Filed with authorized/valid electronic signature
HALLWORTH HOUSE RETIREMENT PLAN 2012 050395439 2013-09-17 HALLWORTH HOUSE 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2013-09-17
Name of individual signing KATHLEEN M. LAVALLEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/12/20120612141144P040035679346001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050395439
Plan administrator’s name HALLWORTH HOUSE
Plan administrator’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4012744505

Signature of
Role Plan administrator
Date 2012-06-12
Name of individual signing KATHLEEN M. LAVALLEE
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050395439
Plan administrator’s name HALLWORTH HOUSE
Plan administrator’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4012744505
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/12/20110912075154P030128680497001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050395439
Plan administrator’s name HALLWORTH HOUSE
Plan administrator’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4012744505

Signature of
Role Plan administrator
Date 2011-09-12
Name of individual signing KATHLEEN LAVALLEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-12
Name of individual signing KATHLEEN LAVALLEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/08/20100708130004P030018369620001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-06
Business code 623000
Sponsor’s telephone number 4012744505
Plan sponsor’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050395439
Plan administrator’s name HALLWORTH HOUSE
Plan administrator’s address 66 BENEFIT STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4012744505

Signature of
Role Plan administrator
Date 2010-07-08
Name of individual signing KATHLEEN M. LAVALLEE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
E. COLBY CAMERON, ESQ. Agent 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

PRESIDENT

Name Role Address
BISHOP NICHOLAS KNISELY PRESIDENT 275 NORTH MAIN STREET PROVIDENCE, RI 02903 USA

TREASURER

Name Role Address
ROBERT BATCHELOR TREASURER 275 NORTH MAIN STREET PROVIDENCE, RI 02903 USA

SECRETARY

Name Role Address
REV. PETER TIERNEY SECRETARY 275 NORTH MAIN STREET PROVIDENCE, RI 02903 USA

DIRECTOR

Name Role Address
ROBERT BERGSTRAND DIRECTOR 275 NORTH MAIN STREET PROVIDENCE, RI 02903 USA
ROBERT FYE DIRECTOR 275 NORTH MAIN STREET PROVIDENCE, RI 02903 USA
JAMES SEGOVIS DIRECTOR 275 NORTH MAIN STREET PROVIDENCE, RI 02903 USA

Filings

Number Name File Date
202450342730 Annual Report 2024-04-08
202332386810 Annual Report 2023-04-05
202214922130 Annual Report 2022-04-15
202103436100 Annual Report - Amended 2021-10-19
202100232390 Annual Report 2021-08-19
202043721700 Annual Report 2020-06-29
201995180450 Annual Report 2019-06-03
201864195950 Annual Report 2018-05-08
201745983030 Annual Report 2017-06-22
201698863100 Annual Report 2016-05-12

Related by officers

E. COLBY CAMERON, ESQ.

AC Holdings, Inc. The Chisholm RIP Corp. CHOQUETTE & CO., INC. CHURCH TRAVEL AGENCY, INC. Certified Automotive, Inc. Memorial X-Ray Services, Ltd. Periodontics, Inc. D. L. Thurrott RIP, Inc. Sinel, Wilfand & Vinci, Certified Public Accountants, Inc. O'NEILL MEDICAL, INC.

ROBERT FYE

Church of the Epiphany in Providence, RI The Diocese of Rhode Island Center for Reconciliation ST. COLUMBAS CHAPEL HISTORIC PRESERVATION FUND, INC.

JAMES SEGOVIS

RenewRI

Related by address

111 BREWSTER STREET, PAWTUCKET, RI, 02860, USA

The R. S. Realty Company The Memorial Hospital Primary Care Centers of New England, Inc. THE MEMORIAL PHYSICIAN HOSPITAL ORGANIZATION Boulevard Medical Office Condominium Association Southeastern Healthcare System, Inc. Memorial Health Foundation Memorial Hospital of Rhode Island Physicians, Inc. MHRI ANCILLARY SERVICES, LLC

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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