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  5. VNA of Rhode Island

VNA of Rhode Island

Company Details

Name: VNA of Rhode Island
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 12 Jan 1984 (41 years ago)
Date of Dissolution: 16 Apr 2021 (4 years ago)
Date of Status Change: 16 Apr 2021 (4 years ago)
Identification Number: 000028859
ZIP code: 02886
County: Kent County
Principal Address: 475 KILVERT STREET SUITE 400, WARWICK, RI, 02886, USA
Purpose: TO PROVIDE HOME HEALTH SERVICES, PUBLIC HEALTH NURSING SERVICES AND OTHER RELATED HEALTH SERVICES TO PREVENT ILLNESS, PROMOTE HEALTH AND TO CARE FOR THE SICK IN THE HOME.
NAICS: 621610 - Home Health Care Services
Fictitious names: VNA, Inc. (trading name, 2001-11-05 - )
Historical names: VNA, Inc.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942225172 2006-07-12 2008-04-14 475 KILVERT ST, 4TH FLOOR, WARWICK, RI, 028861379, US 475 KILVERT ST, 4TH FLOOR, WARWICK, RI, 028861379, US

Contacts
Phone +1 401-574-4900

Authorized person
Name MS. LYDIA YACINO
Role BUSINESS OPERATIONS MANAGER
Phone 4015744956

Taxonomy
Taxonomy Code 251G00000X - Community Based Hospice Care Agency
License Number HSP01614
State RI
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 4101504
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VNA OF RHODE ISLAND EMPLOYER CONTRIBUTION PLAN 2018 222505801 2019-05-31 VNA OF RHODE ISLAND 74
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621610
Sponsor’s telephone number 4015744949
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2019-05-31
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
VNA OF RHODE ISLAND 403(B) SAVINGS PLAN 2018 222505801 2019-06-24 VNA OF RHODE ISLAND 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621610
Sponsor’s telephone number 4015744949
Plan sponsor’s address 475 KILVERT STREET, SUITE 400, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2019-06-24
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
VNA OF RHODE ISLAND LIFE INSURANCE PLAN 2016 222505801 2017-07-06 VNA OF RHODE ISLAND 79
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2012-11-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT ST STE 400, WARWICK, RI, 028861360
Plan sponsor’s address 475 KILVERT ST STE 400, WARWICK, RI, 028861360

Number of participants as of the end of the plan year
Active participants 70

Signature of
Role Plan administrator
Date 2017-07-06
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
VNA OF RHODE ISLAND GROUP DENTAL PLAN 2015 222505801 2016-06-14 VNA OF RHODE ISLAND 150
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2002-02-01
Business code 621610
Plan sponsor’s mailing address 475 KILVERT ST, WARWICK, RI, 028861379
Plan sponsor’s address 475 KILVERT ST, WARWICK, RI, 028861379

Number of participants as of the end of the plan year
Active participants 160

Signature of
Role Plan administrator
Date 2016-06-14
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
VNA OF RHODE ISLAND LIFE INSURANCE PLAN 2015 222505801 2016-08-05 VNA OF RHODE ISLAND 88
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2012-11-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT ST STE 400, WARWICK, RI, 028861360
Plan sponsor’s address 475 KILVERT ST STE 400, WARWICK, RI, 028861360

Number of participants as of the end of the plan year
Active participants 79

Signature of
Role Plan administrator
Date 2016-08-05
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-05
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
VNA OF RHODE ISLAND GROUP HEALTH PLAN 2015 222505801 2016-09-15 VNA OF RHODE ISLAND 150
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2002-03-12
Business code 621610
Plan sponsor’s mailing address 475 KILVERT ST, WARWICK, RI, 028861379
Plan sponsor’s address 475 KILVERT ST, WARWICK, RI, 028861379

Number of participants as of the end of the plan year
Active participants 129

Signature of
Role Plan administrator
Date 2016-09-15
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
VNA OF RHODE ISLAND LIFE INSURANCE PLAN 2014 222505801 2015-06-09 VNA OF RHODE ISLAND 88
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2012-11-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT STREET, SUITE 400, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, SUITE 400, WARWICK, RI, 02886

Number of participants as of the end of the plan year
Active participants 88

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-09
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
VNA OF RHODE ISLAND GROUP HEALTH PLAN 2014 222505801 2015-06-09 VNA OF RHODE ISLAND 170
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2002-03-12
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Number of participants as of the end of the plan year
Active participants 150

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-09
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
VNA OF RHODE ISLAND GROUP DENTAL PLAN 2014 222505801 2015-06-09 VNA OF RHODE ISLAND 187
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2002-02-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Number of participants as of the end of the plan year
Active participants 172

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-09
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
VNA OF RHODE ISLAND GROUP HEALTH PLAN 2013 222505801 2014-07-10 VNA OF RHODE ISLAND 187
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2002-03-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222525801
Plan administrator’s name VNA OF RHODE ISLAND
Administrator’s telephone number 4015744900

Number of participants as of the end of the plan year
Active participants 170

Signature of
Role Plan administrator
Date 2014-07-10
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/06/20140606082535P030373159875001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2002-11-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s DBA name VNA OF RHODE ISLAND
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Number of participants as of the end of the plan year
Active participants 88

Signature of
Role Plan administrator
Date 2014-06-05
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/06/20140606085410P040134147973001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2002-03-01
Business code 621610
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Number of participants as of the end of the plan year
Active participants 187

Signature of
Role Plan administrator
Date 2014-06-06
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/14/20130614130049P040090717925001.pdf
Three-digit plan number (PN) 502
Effective date of plan 2002-03-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, WARWICK, RI, 02886
Administrator’s telephone number 4015744900

Number of participants as of the end of the plan year
Active participants 186
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-06-14
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/14/20130614122239P040331164481001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2002-11-01
Business code 621610
Plan sponsor’s mailing address VNA OF RHODE ISLAND, 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address VNA OF RHODE ISLAND, 475 KILVERT STREET, WARWICK, RI, 02886

Number of participants as of the end of the plan year
Active participants 94

Signature of
Role Plan administrator
Date 2013-04-18
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/14/20130614132305P030090863109001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2002-03-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, WARWICK, RI, 02886
Administrator’s telephone number 4015744900

Number of participants as of the end of the plan year
Active participants 194
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-06-14
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/10/20120910143020P040048250338001.pdf
Three-digit plan number (PN) 502
Effective date of plan 2002-03-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, WARWICK, RI, 02886
Administrator’s telephone number 4015744900

Number of participants as of the end of the plan year
Active participants 180
Retired or separated participants receiving benefits 0

Signature of
Role Plan administrator
Date 2012-08-31
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/11/20120611124417P030002963846001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2002-03-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, WARWICK, RI, 02886
Administrator’s telephone number 4015744900

Number of participants as of the end of the plan year
Active participants 185
Retired or separated participants receiving benefits 2

Signature of
Role Plan administrator
Date 2012-06-11
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/30/20120430074904P030003921826001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2002-11-01
Business code 621610
Plan sponsor’s mailing address VNA OF RHODE ISLAND, 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address VNA OF RHODE ISLAND, 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address VNA OF RHODE ISLAND, 475 KILVERT STREET, WARWICK, RI, 02886

Number of participants as of the end of the plan year
Active participants 108

Signature of
Role Plan administrator
Date 2012-04-30
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/17/20110517151855P030284749520001.pdf
Three-digit plan number (PN) 504
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, WARWICK, RI, 02886
Administrator’s telephone number 4015744900

Number of participants as of the end of the plan year
Active participants 96

Signature of
Role Plan administrator
Date 2011-05-17
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/19/20110519083044P040004876949001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2002-03-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, WARWICK, RI, 02886
Administrator’s telephone number 4015744900

Number of participants as of the end of the plan year
Active participants 184
Retired or separated participants receiving benefits 7

Signature of
Role Plan administrator
Date 2011-05-19
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/19/20110519080917P030019013623001.pdf
Three-digit plan number (PN) 502
Effective date of plan 2002-03-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, WARWICK, RI, 02886
Administrator’s telephone number 4015744900

Number of participants as of the end of the plan year
Active participants 175
Retired or separated participants receiving benefits 7

Signature of
Role Plan administrator
Date 2011-05-19
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/18/20110518084806P030010132230001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2002-11-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, WARWICK, RI, 02886
Administrator’s telephone number 4015744900

Number of participants as of the end of the plan year
Active participants 114
Retired or separated participants receiving benefits 114

Signature of
Role Plan administrator
Date 2011-05-18
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/30/20100930122031P030000288162001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s mailing address 475 KILVERT STREET, SUITE 400, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, SUITE 400, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, SUITE 400, WARWICK, RI, 02886
Administrator’s telephone number 4015744900

Number of participants as of the end of the plan year
Active participants 147
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 54
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 145
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-09-30
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/24/20100924150319P030011138017001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621610
Sponsor’s telephone number 4015744949
Plan sponsor’s DBA name VNARI
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, WARWICK, RI, 02886
Administrator’s telephone number 4015744949

Number of participants as of the end of the plan year
Active participants 130
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 91
Number of participants with account balances as of the end of the plan year 204
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-09-24
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/29/20100629103026P070001699331001.pdf
Three-digit plan number (PN) 504
Effective date of plan 2004-01-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s DBA name VNARI
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, WARWICK, RI, 02886
Administrator’s telephone number 4015744900

Number of participants as of the end of the plan year
Active participants 96
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-06-29
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/29/20100629135825P040084372056001.pdf
Three-digit plan number (PN) 502
Effective date of plan 2002-03-01
Business code 621610
Sponsor’s telephone number 4015744949
Plan sponsor’s DBA name VNARI
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, WARWICK, RI, 02886
Administrator’s telephone number 4015744949

Number of participants as of the end of the plan year
Active participants 168
Retired or separated participants receiving benefits 6
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-06-29
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/29/20100629133013P040111238226001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2002-03-01
Business code 621610
Sponsor’s telephone number 4015744900
Plan sponsor’s DBA name VNARI
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, WARWICK, RI, 02886
Administrator’s telephone number 4015744900

Number of participants as of the end of the plan year
Active participants 183
Retired or separated participants receiving benefits 6
Other retired or separated participants entitled to future benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-06-29
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/05/17/20100517102352P030260907633001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2002-11-01
Business code 621610
Sponsor’s telephone number 4015744949
Plan sponsor’s mailing address 475 KILVERT STREET, WARWICK, RI, 02886
Plan sponsor’s address 475 KILVERT STREET, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 222505801
Plan administrator’s name VNA OF RHODE ISLAND
Plan administrator’s address 475 KILVERT STREET, WARWICK, RI, 02886
Administrator’s telephone number 4015744949

Number of participants as of the end of the plan year
Active participants 112
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-05-17
Name of individual signing JANE CREAMER
Valid signature Filed with authorized/valid electronic signature

Agent

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

CEO

Name Role Address
JANE CREAMER CEO 475 KILVERT STREET WARWICK, RI 02886 USA

DIRECTOR

Name Role Address
PETER SULLIVAN DIRECTOR 475 KILVERT STREET WARWICK, RI 02886 US
SUSAN STONE DIRECTOR 475 KILVERT STREET WARWICK, RI 02886 US
ARNOLD M FRIEDMAN DIRECTOR 475 KILVERT STREET WARWICK, RI 02886 USA
ARTHUR SCHACHT DIRECTOR 475 KILVERT STREET WARWICK, RI 02886 US
MICHAEL TIKOIAN CPA DIRECTOR 475 KILVERT STREET WARWICK, RI 02886 USA
DENMAN SCOTT MD DIRECTOR 475 KILVERT STREET PROVIDENCE, RI 02886 US
STEPHEN CUMMINGS DIRECTOR 475 KILVERT STREET WARWICK, RI 02886 USA

Events

Type Date Old Value New Value
Name Change 1996-01-05 VNA, Inc. VNA of Rhode Island
Merged 1988-12-30 EAST BAY VISITING NURSE ASSOCIATIONrestated articles filed 05/10/88 on VNA of Rhode Island

Filings

Number Name File Date
202198735850 Articles of Dissolution 2021-04-16
201990969410 Order Appointing Temporary Receiver 2017-11-20
201745424380 Annual Report 2017-06-13
201699606760 Annual Report 2016-05-31
201562438160 Annual Report 2015-06-03
201439935220 Statement of Change of Registered/Resident Agent 2014-05-27
201438614450 Annual Report 2014-04-30
201330717790 Annual Report - Amended 2013-11-18
201320219170 Annual Report 2013-05-08
201292852780 Annual Report 2012-05-17

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.

JANE CREAMER

RHODE ISLAND VISITING NURSE NETWORK, INC. VNA Support Services

PETER SULLIVAN

VNA Support Services EngageRI S7 Securities LLC

SUSAN STONE

VNA Support Services Frontier Nursing University, Inc.

ARNOLD M FRIEDMAN

VNA Support Services TEXTRON HOLDCO INC. ADVANTAGE MOLDING AND DECORATING RHODE ISLAND (2001) INC. AERONAUTICAL ACCESSORIES RHODE ISLAND (2001) INC. AERONAUTICAL ROTOR BLADES RHODE ISLAND INC. AVDEL CHERRY RHODE ISLAND INC. DAVID BROWN HYDRAULICS RHODE ISLAND (2001) INC. DAVID BROWN UNION PUMPS RHODE ISLAND INC. BURKLAND RHODE ISLAND INC. CADILLAC GAGE RHODE ISLAND INC.

ARTHUR SCHACHT

VNA Support Services VNA Foundation

MICHAEL TIKOIAN CPA

VNA Support Services

STEPHEN CUMMINGS

VNA Support Services

Related by address

475 KILVERT STREET SUITE 400, WARWICK, RI, 02886, USA

VNA Support Services

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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