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  5. CODAC, INC.

CODAC, INC.

Company Details

Name: CODAC, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 15 Jul 1971 (54 years ago)
Identification Number: 000029943
ZIP code: 02910
County: Providence County
Principal Address: 1052 PARK AVENUE, CRANSTON, RI, 02910, USA
Purpose: SUBSTANCE ABUSE TREATMENT AND PREVENTION
Fictitious names: Problem Gambling Services of RI (trading name, 2023-04-03 - )
Tobacco Treatment Services of RI (trading name, 2023-04-03 - )
CODAC Behavioral Healthcare (trading name, 2023-04-03 - )
Historical names: CRANSTON COMMUNITY ORGANIZATION FOR DRUG ABUSE CONTROL, INC.
COMMUNITY ORGANIZATION FOR DRUG ABUSE CONTROL, INC.

Industry & Business Activity

NAICS

622210 Psychiatric and Substance Abuse Hospitals

This industry comprises establishments known and licensed as psychiatric and substance abuse hospitals primarily engaged in providing diagnostic, medical treatment, and monitoring services for inpatients who suffer from mental illness or substance abuse disorders. The treatment often requires an extended stay in the hospital. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. They have an organized staff of physicians and other medical staff to provide patient care services. Psychiatric, psychological, and social work services are available at the facility. These hospitals usually provide other services, such as outpatient services, clinical laboratory services, diagnostic X-ray services, and electroencephalograph services. Learn more at the U.S. Census Bureau

Companies doing Psychiatric and substance abuse hospitals

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992530109 2024-09-06 2024-09-06 1052 PARK AVE, CRANSTON, RI, 029103225, US 45 ROYAL LITTLE DR, PROVIDENCE, RI, 029041882, US

Contacts
Phone +1 401-275-5038
Fax 4019423590

Authorized person
Name MS. ALISHA M BOURDEAU
Role CHIEF FINANCIAL OFFICER
Phone 4012755038

Taxonomy
Taxonomy Code 251K00000X - Public Health or Welfare Agency
Is Primary No
Taxonomy Code 261QM2800X - Methadone Clinic
Is Primary Yes
Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CODAC, INC. 403(B) PLAN 2023 050414696 2024-09-26 CODAC, INC. 184
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
CODAC, INC. EMPLOYEE BENEFITS PLAN 2020 050414696 2022-01-20 CODAC, INC. 161
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-05-01
Business code 621420
Sponsor’s telephone number 4014615056
Plan sponsor’s mailing address 1052 PARK AVENUE, CRANSTON, RI, 02910
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Number of participants as of the end of the plan year
Active participants 166
CODAC, INC. EMPLOYEE BENEFITS PLAN 2019 050414696 2021-01-25 CODAC, INC. 155
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-05-01
Business code 621420
Sponsor’s telephone number 4014615056
Plan sponsor’s mailing address 1052 PARK AVENUE, CRANSTON, RI, 02910
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Number of participants as of the end of the plan year
Active participants 161
CODAC, INC. RETIREMENT PLAN 2014 050414696 2016-03-23 CODAC, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038
CODAC, INC. RETIREMENT PLAN 2013 050414696 2015-01-07 CODAC, INC. 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038

Signature of
Role Plan administrator
Date 2015-01-07
Name of individual signing MICHAEL RIZZI
Valid signature Filed with authorized/valid electronic signature
CODAC, INC. RETIREMENT PLAN 2012 050414696 2014-03-19 CODAC, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038

Signature of
Role Plan administrator
Date 2014-03-19
Name of individual signing MICHAEL RIZZI
Valid signature Filed with authorized/valid electronic signature
CODAC, INC. RETIREMENT PLAN 2011 050414696 2014-02-13 CODAC, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038

Signature of
Role Plan administrator
Date 2014-02-13
Name of individual signing MICHAEL RIZZI
Valid signature Filed with authorized/valid electronic signature
CODAC, INC. RETIREMENT PLAN 2011 050414696 2013-02-20 CODAC, INC. 87
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038

Signature of
Role Plan administrator
Date 2013-02-20
Name of individual signing MICHAEL RIZZI
Valid signature Filed with authorized/valid electronic signature
CODAC, INC. RETIREMENT PLAN 2010 050414696 2012-01-06 CODAC, INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038

Signature of
Role Plan administrator
Date 2012-01-06
Name of individual signing MICHAEL RIZZI
Valid signature Filed with authorized/valid electronic signature
CODAC, INC. RETIREMENT PLAN 2009 050414696 2011-03-14 CODAC, INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-07-01
Business code 621420
Sponsor’s telephone number 4012755038
Plan sponsor’s address 1052 PARK AVENUE, CRANSTON, RI, 02910

Plan administrator’s name and address
Administrator’s EIN 050414696
Plan administrator’s name CODAC, INC.
Plan administrator’s address 1052 PARK AVENUE, CRANSTON, RI, 02910
Administrator’s telephone number 4012755038

Signature of
Role Plan administrator
Date 2011-03-14
Name of individual signing MICHAEL RIZZI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN F. DEL SESTO, ESQ. Agent ONE CITIZENS PLAZA 10TH FLOOR, PROVIDENCE, RI, 02903, USA

TREASURER

Name Role Address
JOSEPH KETTELLE TREASURER 1052 PARK AVENUE CRANSTON, RI 02910 USA

SECRETARY

Name Role Address
NOAH BENEDICT SECRETARY 1052 PARK AVENUE CRANSTON, RI 02910 USA

CEO

Name Role Address
LINDA HURLEY CEO 1052 PARK AVENUE CRANSTON, RI 02910 USA

CFO

Name Role Address
ALISHA BOURDEAU CFO 1052 PARK AVENUE CRANSTON, RI 02910 USA

CHAIRMAN

Name Role Address
SANDRA DELSESTO CHAIRMAN 1052 PARK AVENUE CRANSTON, RI 02910 USA

VICE CHAIRMAN

Name Role Address
IAN KNOWLES VICE CHAIRMAN 1052 PARK AVENUE CRANSTON, RI 02910 USA

COO

Name Role Address
DUSTIN ALVANAS COO 1052 PARK AVENUE CRANSTON, RI 02910 USA

DIRECTOR

Name Role Address
JACQUELYN BAGINSKI DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA
ALEXANDRA GONZALEZ DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA
KENNETH SEPE DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA
STEPHEN IANNAZZI DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA
OBED PAPP DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA
JOSEPH KETTELLE DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA
JULIA OHALLORAN DIRECTOR 22 ESPLANADE MIDDLETOWN, RI 02842 USA
MICHAEL FARINA DIRECTOR 36 RED BERRY CIRCLE CRANSTON, RI 02821 USA
PETER FRIEDMAN MD DIRECTOR 66 ORIOLE AVE. PROVIDENCE, RI 02906 USA
SANDRA DELSESTO DIRECTOR 1052 PARK AVENUE CRANSTON, RI 02910 USA

Events

Type Date Old Value New Value
Merged 1996-06-07 East Bay Human Resource Corporation CODAC, INC.
Name Change 1993-12-31 COMMUNITY ORGANIZATION FOR DRUG ABUSE CONTROL, INC. CODAC, INC.
Name Change 1976-07-15 CRANSTON COMMUNITY ORGANIZATION FOR DRUG ABUSE CONTROL, INC. COMMUNITY ORGANIZATION FOR DRUG ABUSE CONTROL, INC.

Filings

Number Name File Date
202448042590 Annual Report 2024-03-07
202332199870 Fictitious Business Name Statement 2023-04-03
202332198710 Fictitious Business Name Statement 2023-04-03
202332197290 Fictitious Business Name Statement 2023-04-03
202330386740 Annual Report 2023-03-10
202328243110 Statement of Change of Registered/Resident Agent Office 2023-02-13
202221119990 Statement of Change of Registered/Resident Agent 2022-07-11
202209376850 Annual Report 2022-02-04
202198946850 Annual Report 2021-06-30
202071142120 Statement of Change of Registered/Resident Agent 2020-11-03

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3815266000 Small Business Administration 59.008 - DISASTER ASSISTANCE LOANS No data No data TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF PHYSICAL TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Recipient CODAC INC
Recipient Name Raw CODAC INC.
Recipient UEI DC5AAM5EVJM8
Recipient DUNS 029588753
Recipient Address 1052 PARK AVENUE, CRANSTON, PROVIDENCE, RHODE ISLAND, 29100-0000, UNITED STATES
Obligated Amount 0.00
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
05-0414696 Corporation Unconditional Exemption 1052 PARK AVE, CRANSTON, RI, 02910-3225 1991-05
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 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)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-06
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 Jun
Asset Amount 12606574
Income Amount 20733030
Form 990 Revenue Amount 20674432
National Taxonomy of Exempt Entities Mental Health & Crisis Intervention: Alcohol, Drug Abuse, Treatment Only
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 CODAC INC
EIN 05-0414696
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name CODAC INC
EIN 05-0414696
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name CODAC INC
EIN 05-0414696
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name CODAC INC
EIN 05-0414696
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name CODAC INC
EIN 05-0414696
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name CODAC INC
EIN 05-0414696
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name CODAC INC
EIN 05-0414696
Tax Period 201606
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
4029827104 2020-04-12 0165 PPP 1052 PARK AVE, CRANSTON, RI, 02910-3225
Loan Status Date 2021-08-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1765055
Loan Approval Amount (current) 1765055
Undisbursed Amount 0
Franchise Name -
Lender Location ID 15940
Servicing Lender Name Webster Bank National Association
Servicing Lender Address 137 Bank St, WATERBURY, CT, 06702-2205
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CRANSTON, PROVIDENCE, RI, 02910-3225
Project Congressional District RI-02
Number of Employees 201
NAICS code 622210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 15940
Originating Lender Name Webster Bank National Association
Originating Lender Address WATERBURY, CT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1786138.94
Forgiveness Paid Date 2021-07-02

Related by officers

STEPHEN F. DEL SESTO, ESQ.

Rhode Island Mooring Services, Inc. UNETIXS VASCULAR, INC. ConceptEvolve, LLC Water Treatment Solutions, Inc. MCH REALTY, LLC Beacon Shipping Logistics, Inc. Pytko Brothers, Inc. Stephen & Gregory Realty, Inc. E & F PROPERTY MANAGEMENT, LLC CODAC HEALTHCARE, LLC

NOAH BENEDICT

SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT South County Home Health South County Hospital Healthcare System Rhode Island Primary Care Physicians Corporation The Rhode Island Quality Institute Horizon Healthcare Partners INTEGRA COMMUNITY CARE NETWORK, LLC Rhode Island Primary Care Physicians Corporation

LINDA HURLEY

The Substance Use and Mental Health Leadership Council of RI Horizon Healthcare Partners OPIOID Treatment Association of Rhode Island (OTARI)

IAN KNOWLES

Welcome House of South County

OBED PAPP

Latinos for Empowerment, Advancement & Development of RI

Related by address

1052 PARK AVENUE, CRANSTON, RI, 02910, USA

CODAC HEALTHCARE, LLC

Date of last update: 06 Apr 2025

Sources: Rhode Island Department of State

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