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  5. Goodwill Industries of Rhode Island

Goodwill Industries of Rhode Island

Company Details

Name: Goodwill Industries of Rhode Island
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Merged Into An Entity Of Record
Date of Organization in Rhode Island: 16 Jun 1930 (95 years ago)
Date of Dissolution: 01 Jul 2018 (7 years ago)
Date of Status Change: 01 Jul 2018 (7 years ago)
Identification Number: 000029051
ZIP code: 02904
County: Providence County
Principal Address: 100 HOUGHTON STREET, PROVIDENCE, RI, 02904, USA
Purpose: VOCATIONAL REHABILIATION, SPECIAL EDUCATION, WELFARE TO WORK PROGRAM AND HISTORIC PRESERVATION WITH ON SITE TRAINING.
NAICS: 624310 - Vocational Rehabilitation Services
Historical names: Vocational Resources, Incorporated
Vocational Resources/Goodwill Industries of Rhode Island

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861614133 2007-05-03 2017-02-10 100 HOUGHTON STREET, PROVIDENCE, RI, 029041013, US 100 HOUGHTON STREET, PROVIDENCE, RI, 029041013, US

Contacts
Phone +1 401-861-2080
Fax 4014540889

Authorized person
Name MR. DANIEL C. BURGESS
Role FINANCE DIRECTOR
Phone 4018612080

Taxonomy
Taxonomy Code 251300000X - Local Education Agency (LEA)
Is Primary No
Taxonomy Code 251B00000X - Case Management Agency
Is Primary No
Taxonomy Code 251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number GI32135
State RI

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300ZT4V6WC9U5PR88 000029051 US-RI GENERAL ACTIVE No data

Addresses
Legal C/O Jeffrey D. Machado, 100 Houghton Street, Providence, US-RI, US, 02904
Headquarters C/O Jeffrey D. Machado, 100 Houghton Street, Providence, US-RI, US, 02904

Registration details
Registration Date 2013-05-06
Last Update 2023-08-04
Status LAPSED
Next Renewal 2014-05-06
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 000029051

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GOODWILL INDUSTRIES OF RHODE ISLAND RETIREMENT PLAN 2018 050258845 2019-09-27 GOODWILL INDUSTRIES OF RHODE ISL 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 624310
Sponsor’s telephone number 4018612080
Plan sponsor’s address 100 HOUGHTON ST, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2019-09-27
Name of individual signing JEFFREY MACHADO
Valid signature Filed with authorized/valid electronic signature
GOODWILL INDUSTRIES OF RHODE ISLAND RETIREMENT PLAN 2017 050258845 2018-05-18 GOODWILL INDUSTRIES OF RHODE ISL 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 624310
Sponsor’s telephone number 4018612080
Plan sponsor’s address 100 HOUGHTON ST, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2018-05-18
Name of individual signing JEFFREY MACHADO
Valid signature Filed with authorized/valid electronic signature
GOODWILL INDUSTRIES OF RHODE ISLAND RETIREMENT PLAN 2016 050258845 2017-05-18 GOODWILL INDUSTRIES OF RHODE ISL 51
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 624310
Sponsor’s telephone number 4018612080
Plan sponsor’s address 100 HOUGHTON ST, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2017-05-18
Name of individual signing JEFFREY MACHADO
Valid signature Filed with authorized/valid electronic signature
GOODWILL INDUSTRIES OF RHODE ISLAND RETIREMENT PLAN 2015 050258845 2016-06-02 GOODWILL INDUSTRIES OF RHODE ISL 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 624310
Sponsor’s telephone number 4018612080
Plan sponsor’s address 100 HOUGHTON ST, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2016-06-02
Name of individual signing JEFFREY MACHADO
Valid signature Filed with authorized/valid electronic signature
GOODWILL INDUSTRIES OF RHODE ISLAND RETIREMENT PLAN 2014 050258845 2015-06-17 GOODWILL INDUSTRIES OF RHODE ISL 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 624310
Sponsor’s telephone number 4018612080
Plan sponsor’s address 100 HOUGHTON ST, PROVIDENCE, RI, 02904

Signature of
Role Plan administrator
Date 2015-06-17
Name of individual signing JEFFREY MACHADO
Valid signature Filed with authorized/valid electronic signature
GOODWILL INDUSTRIES OF RHODE ISLAND RETIREMENT PLAN 2013 050258845 2014-06-06 GOODWILL INDUSTRIES OF RHODE ISLAND 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 813000
Sponsor’s telephone number 4018612080
Plan sponsor’s address 100 HOUGHTON STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050258845
Plan administrator’s name GOODWILL INDUSTRIES OF RHODE ISLAND
Plan administrator’s address 100 HOUGHTON STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4018612080

Signature of
Role Plan administrator
Date 2014-06-06
Name of individual signing JEFFREY MACHADO
Valid signature Filed with authorized/valid electronic signature
GOODWILL INDUSTRIES OF RHODE ISLAND RETIREMENT PLAN 2012 050258845 2013-08-13 GOODWILL INDUSTRIES OF RHODE ISLAND 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 813000
Sponsor’s telephone number 4018612080
Plan sponsor’s address 100 HOUGHTON STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050258845
Plan administrator’s name GOODWILL INDUSTRIES OF RHODE ISLAND
Plan administrator’s address 100 HOUGHTON STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4018612080

Signature of
Role Plan administrator
Date 2013-08-13
Name of individual signing JEFFREY MACHADO
Valid signature Filed with authorized/valid electronic signature
GOODWILL INDUSTRIES OF RHODE ISLAND RETIREMENT PLAN 2011 050258845 2012-08-23 GOODWILL INDUSTRIES OF RHODE ISLAND 55
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 813000
Sponsor’s telephone number 4018612080
Plan sponsor’s address 100 HOUGHTON STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050258845
Plan administrator’s name GOODWILL INDUSTRIES OF RHODE ISLAND
Plan administrator’s address 100 HOUGHTON STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4018612080

Signature of
Role Plan administrator
Date 2012-08-23
Name of individual signing JEFFREY MACHADO
Valid signature Filed with authorized/valid electronic signature
GOODWILL INDUSTRIES OF RHODE ISLAND RETIREMENT PLAN 2010 050258845 2011-08-18 GOODWILL INDUSTRIES OF RHODE ISLAND 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 813000
Sponsor’s telephone number 4018612080
Plan sponsor’s address 100 HOUGHTON STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050258845
Plan administrator’s name GOODWILL INDUSTRIES OF RHODE ISLAND
Plan administrator’s address 100 HOUGHTON STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4018612080

Signature of
Role Plan administrator
Date 2011-08-18
Name of individual signing JEFFREY MACHADO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-18
Name of individual signing JEFFREY MACHADO
Valid signature Filed with authorized/valid electronic signature
GOODWILL INDUSTRIES OF RHODE ISLAND RETIREMENT PLAN 2009 050258845 2010-08-18 GOODWILL INDUSTRIES OF RHODE ISLAND 49
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-02-01
Business code 813000
Sponsor’s telephone number 4018612080
Plan sponsor’s address 100 HOUGHTON STREET, PROVIDENCE, RI, 02904

Plan administrator’s name and address
Administrator’s EIN 050258845
Plan administrator’s name GOODWILL INDUSTRIES OF RHODE ISLAND
Plan administrator’s address 100 HOUGHTON STREET, PROVIDENCE, RI, 02904
Administrator’s telephone number 4018612080

Signature of
Role Plan administrator
Date 2010-08-18
Name of individual signing JEFFREY MACHADO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-18
Name of individual signing JEFFREY MACHADO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JEFFREY D. MACHADO Agent 100 HOUGHTON STREET, PROVIDENCE, RI, 02904, USA

PRESIDENT

Name Role Address
PATRICK MEACHAM PRESIDENT 48 COLLINS AVENUE EAST GREENWICH, RI 02818 USA

TREASURER

Name Role Address
AVERY SEAMAN JR TREASURER 289 FREEBORN STREET PORTSMOUTH, RI 02871 USA

SECRETARY

Name Role Address
CARA SANGERMANO SECRETARY 3 PAUL COURT GREENVILLE, RI 02828 USA

CEO

Name Role Address
JEFFREY DAVID MACHADO CEO 14 SETH STREET EAST PROVIDENCE, RI 02914 USA

VICE PRESIDENT

Name Role Address
STEVEN TAMBURRO VICE PRESIDENT 88 VINCENT WAY CRANSTON, RI 02921 USA

DIRECTOR

Name Role Address
MILLE NICHOLS DIRECTOR 56 FOSDYKE STREET PROVIDENCE, RI 02906 USA
WILLIAM A FEENEY DIRECTOR 55 CIRCUIT DRIVE RIVERSIDE, RI 02915 USA
WILLIAM CHARTIER DIRECTOR 65 PIAVE STREET PAWTUCKET, RI 02860 USA
CHERYL LOPES DIRECTOR 104 WOODBINE STREET PROVIDENCE, RI 02906 USA
JANET RAYMOND DIRECTOR 18 SANDPIPER DRIVE WEST WARWICK, RI 02893 USA
ELIZABETH SEGOVIS DIRECTOR 199 MOUNTAINDALE RD SMITHFIELD, RI 02917 USA
PETER RENDEN DIRECTOR ONE COASTWAY BLVD. WARWICK, RI 02886 USA
JOHN STRAIN III DIRECTOR 25 AMICA WAY LINCOLN, RI 02865 USA

Events

Type Date Old Value New Value
Merged 2018-07-01 Goodwill Industries of Rhode Island Goodwill Industries of Southern New England, Inc. on
Name Change 2000-06-23 Vocational Resources/Goodwill Industries of Rhode Island Goodwill Industries of Rhode Island
Name Change 1997-02-11 Vocational Resources, Incorporated Vocational Resources/Goodwill Industries of Rhode Island

Filings

Number Name File Date
201864187720 Annual Report 2018-05-08
201743502990 Annual Report 2017-05-24
201698790190 Annual Report 2016-05-11
201561183610 Annual Report 2015-04-24
201440297900 Annual Report 2014-06-03
201324134820 Annual Report 2013-06-20
201294139960 Annual Report 2012-06-20
201179147660 Annual Report 2011-05-20
201062331790 Annual Report 2010-05-07
200945645290 Annual Report 2009-05-08

Related by officers

AVERY SEAMAN JR

CORP BROTHERS, INCORPORATED Old Slater Mill Association Oliver Hazard Perry Rhode Island, Inc. HOG ISLAND SOUTH END ASSOCIATION, INC. SOCIETY OF COLONIAL WARS IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS

JANET RAYMOND

Business Development Company of Rhode Island Junior Achievement of Rhode Island, Incorporated

ELIZABETH SEGOVIS

LEAGUE OF WOMEN VOTERS OF RHODE ISLAND EDUCATION FUND

Related by address

100 HOUGHTON STREET, PROVIDENCE, RI, 02904, USA

Goodwill Industries of Southern New England, Inc.

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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