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The Memorial Hospital

Company Details

Name: The Memorial Hospital
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 25 May 1901 (124 years ago)
Identification Number: 000028357
ZIP code: 02860
County: Providence County
Purpose: TO ERECT ESTABLISH AND MAINTAIN A HOSPITAL FOR THE MEDICAL AND SURGICAL TREATMENT OF THE SICK 176
Fictitious names: Memorial Hospital of Rhode Island (trading name, 2003-12-10 - )
Principal Address: Google Maps Logo 111 BREWSTER STREET, PAWTUCKET, RI, 02860, USA

Agent

Name Role Address
ASHLEY TAYLOR Agent 4 RICHMOND SQUARE, PROVIDENCE, RI, 02906, USA

DIRECTOR

Name Role Address
CHARLES R. REPPUCCI DIRECTOR 215 SUNNYBROOK FARM ROAD NARRAGANSETT, RI 02882 USA
R. STEPHEN MANTY DIRECTOR 4 MOCKINGBIRD LANE WALPOLE, MA 02081 USA
GARY E. FURTADO DIRECTOR 15 BETH AVE. WARREN, RI 02885 USA
MARIBETH WILLIAMSON DIRECTOR 450 WAKEFIELD ST. WEST WARWICK, RI 02893 USA
JOSEPH J. MCGAIR, ESQ. DIRECTOR 95 SANDY LANE WARWICK, RI 02889 USA
KEVIN BAILL, MD DIRECTOR 345 BLACKSTONE BLVD. PROVIDENCE, RI 02906 USA
SHARON D. CONARD-WELLS DIRECTOR 85 MAJESTIC AVE. WARWICK, RI 02888 USA
EDWARD J. COONEY, JR., MPA DIRECTOR 22 ALLISON COURT NORTH KINGSTOWN, RI 02852 USA
ANA TUYA FULTON, MD DIRECTOR 4 RICHMOND SQUARE, SUITE 400 PROVIDENCE, RI 02906 USA
CAROLYNN MASTERS, PHD, RN DIRECTOR 17 IRONWOOD DRIVE COVENTRY, RI 02816 USA

TREASURER

Name Role Address
R. STEPHEN MANTY TREASURER 4 MOCKINGBIRD LANE WALPOLE, MA 02081 USA

CHAIRPERSON

Name Role Address
GARY E. FURTADO CHAIRPERSON 15 BETH AVE. WARREN, RI 02885 USA

SECRETARY

Name Role Address
JAMES A. BOTVIN SECRETARY 12 BAGY WRINKLE COVE WARREN, RI 02885 USA

ASSISTANT SECRETARY

Name Role Address
ASHLEY M. TAYLOR, ESQ. ASSISTANT SECRETARY 4 RICHMOND SQUARE, SUITE 400 PROVIDENCE, RI 02906 USA

ASSISTANT TREASURER

Name Role Address
TODD A. CONKLIN, CPA, MBA ASSISTANT TREASURER 4 RICHMOND SQUARE, SUITE 400 PROVIDENCE, RI 02906 USA

EX OFFICIO DIRECTOR

Name Role Address
MICHAEL WAGNER, MD EX OFFICIO DIRECTOR 4 RICHMOND SQUARE, SUITE 400 PROVIDENCE, RI 02906 USA

VICE-CHAIRPERSON

Name Role Address
R. STEPHEN MANTY VICE-CHAIRPERSON 4 MOCKINGBIRD LANE WALPOLE, MA 02081 USA

National Provider Identifier

NPI Number:
1548696941

Authorized Person:

Name:
MR. CHRISTOPHER DACEY
Role:
DIRECTOR PHO
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No

Contacts:

Fax:
4012732919
Fax:
4017292721

Form 5500 Series

Employer Identification Number (EIN):
050259004
Plan Year:
2014
Number Of Participants:
2489
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
2606
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
2034
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
2070
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
2108
Sponsors Telephone Number:

Events

Type Date Old Value New Value
Merged 1989-09-29 Notre Dame Hospital on The Memorial Hospital

Licenses

License No License Type Status Date Issued Expiration Date
HOS00128 Hospital Closed 1987-09-08 2013-12-31

Filings

Number Name File Date
202450610190 Annual Report 2024-04-10
202330871390 Annual Report 2023-03-15
202213666710 Annual Report 2022-03-29
202104492240 Statement of Change of Registered/Resident Agent Office 2021-11-02
202104492150 Statement of Change of Registered/Resident Agent Office 2021-11-02

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-3 AMENDMENT
UCC Filing Number:
Filing Date:
2022-09-26
Action:
DebtorDelete

Parties

Party Name:
The Memorial Hospital
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Name:
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 AMENDMENT
UCC Filing Number:
Filing Date:
2022-09-26
Action:
DebtorDelete

Parties

Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Name:
The Memorial Hospital
Party Role:
Debtor(s)
Party Name:
Party Role:
Debtor(s)
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 AMENDMENT
UCC Filing Number:
Filing Date:
2022-09-26
Action:
DebtorDelete

Parties

Party Role:
Debtor(s)
Party Name:
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Name:
The Memorial Hospital
Party Role:
Debtor(s)
Party Role:
Debtor(s)
Party Role:
Debtor(s)

Trademarks

Serial Number:
78395594
Mark:
HEARTAGE
Status:
Abandoned because the applicant failed to respond or filed a late response to an Office action. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Mark Type:
Trademark, Service Mark
Application Filing Date:
2004-04-02
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
HEARTAGE

Goods And Services

For:
Computer software for use in cardiac risk factor determination and education
First Use:
2003-02-20
International Classes:
009 - Primary Class
Class Status:
ACTIVE
For:
Providing medical information
First Use:
2003-02-20
International Classes:
044 - Primary Class
Class Status:
ACTIVE
Serial Number:
77369692
Mark:
GO TO GOAL
Status:
Registration cancelled because registrant did not file an acceptable declaration under Section 8. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Mark Type:
Trademark, Service Mark
Application Filing Date:
2008-01-11
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
GO TO GOAL

Goods And Services

For:
Computer software for use by medical professionals in cardiac risk factor determination and education
First Use:
2003-02-25
International Classes:
009 - Primary Class
Class Status:
SECTION 8 - CANCELLED
For:
Providing medical information
First Use:
2003-02-25
International Classes:
044 - Primary Class
Class Status:
SECTION 8 - CANCELLED
Serial Number:
77369677
Mark:
HEARTAGE
Status:
Registration cancelled because registrant did not file an acceptable declaration under Section 8. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Mark Type:
Trademark, Service Mark
Application Filing Date:
2008-01-11
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
HEARTAGE

Goods And Services

For:
Computer Software for use in cardiac risk factor determination and education
First Use:
2003-02-25
International Classes:
009 - Primary Class
Class Status:
SECTION 8 - CANCELLED
For:
Providing medical information
First Use:
2003-02-25
International Classes:
044 - Primary Class
Class Status:
SECTION 8 - CANCELLED

OSHA's Inspections within Industry

Inspection Summary

Date:
2010-09-15
Type:
Complaint
Address:
174 ARMISTICE BLVD, PAWTUCKET, RI, 02860
Safety Health:
Safety
Scope:
Partial

Inspection Summary

Date:
1999-02-17
Type:
Complaint
Address:
174 ARMISTICE BLVD, PAWTUCKET, RI, 02860
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
1992-11-01
Type:
Complaint
Address:
PROSPECT STREET, PAWTUCKET, RI, 02860
Safety Health:
Health
Scope:
Partial

Tax Exempt

Employer Identification Number (EIN) :
05-0259004
In Care Of Name:
% KATHY TOPOR
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1932-05
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Court Cases

Court Case Summary

Filing Date:
1989-12-12
Nature Of Judgment:
Missing
Jury Demand:
Missing
Nature Of Suit:
Other Contract Actions

Parties

Party Name:
PATH LAB INC
Party Role:
Plaintiff
Party Name:
The Memorial Hospital
Party Role:
Defendant

Date of last update: 17 May 2025

Sources: Rhode Island Department of State