| Name: | TWH in Mastership |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 17 Jun 1921 (104 years ago) |
| Date of Dissolution: | 06 Aug 2015 (9 years ago) |
| Date of Status Change: | 06 Aug 2015 (9 years ago) |
| Identification Number: | 000030013 |
| ZIP code: | 02891 |
| County: | Washington County |
| Principal Address: | 25 WELLS STREET, WESTERLY, RI, 02891, USA |
| Purpose: | TO RENDER MEDICAL AND SURGICAL AID TO THOSE IN NEED 1925 |
| Historical names: |
The Westerly Hospital |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538275391 | 2006-08-22 | 2013-01-17 | 25 WELLS ST, WESTERLY, RI, 028912922, US | 25 WELLS ST, WESTERLY, RI, 028912922, US | |||||||||||||||||||
|
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| Phone | +1 401-596-6000 |
| Fax | 4013483710 |
Authorized person
| Name | TRACY J. MERRITT |
| Role | EXECUTIVE ASSISTANT |
| Phone | 4013483230 |
Taxonomy
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| License Number | HOS 00112 |
| State | RI |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE WESTERLY HOSPITAL 403 (B) RETIREMENT PLAN | 2012 | 050259100 | 2013-10-15 | THE WESTERLY HOSPITAL | 897 | |||||||||||||||||||||||||||||||||||||
|
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| Active participants | 751 |
| Retired or separated participants receiving benefits | 1 |
| Other retired or separated participants entitled to future benefits | 145 |
| 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 | 581 |
| 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 | 2013-10-15 |
| Name of individual signing | DONNA EPPS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| W. MARK RUSSO, SPECIAL MASTER | Agent | 55 PINE STREET 4TH FLOOR, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| W. MARK RUSSO | SPECIAL MASTER | 55 PINE STREET 4TH FL PROVIDENCE, RI 02903 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2013-05-31 | The Westerly Hospital | TWH in Mastership |
| Number | Name | File Date |
|---|---|---|
| 201582691640 | Articles of Dissolution | 2015-08-06 |
| 201561344390 | Annual Report | 2015-05-01 |
| 201446187610 | Miscellaneous Filing (No Fee) | 2014-09-17 |
| 201444745920 | Miscellaneous Filing (No Fee) | 2014-08-26 |
| 201444061200 | Miscellaneous Filing (No Fee) | 2014-08-12 |
| 201443440330 | Miscellaneous Filing (No Fee) | 2014-07-30 |
| 201442403570 | Miscellaneous Filing (No Fee) | 2014-07-07 |
| 201440848120 | Miscellaneous Filing (No Fee) | 2014-06-10 |
| 201439192100 | Miscellaneous Filing (No Fee) | 2014-05-14 |
| 201438730510 | Annual Report | 2014-05-05 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
