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  5. SALVE REGINA UNIVERSITY

SALVE REGINA UNIVERSITY

Company Details

Name: SALVE REGINA UNIVERSITY
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 01 Jan 1934 (91 years ago)
Identification Number: 000030918
ZIP code: 02840
County: Newport County
Principal Address: 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840, USA
Purpose: ENACTED BY THE GENERAL ASSEMBLY DURING THE JANUARY SESSION OF 1934. EDUCATIONAL JANUARY SESSION 1934
NAICS: 611310 - Colleges, Universities, and Professional Schools
Historical names: SALVE REGINA COLLEGE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881112027 2017-09-08 2021-12-17 15305 DALLAS PKWY STE 800, ADDISON, TX, 750016415, US 100 OCHRE POINT AVE, NEWPORT, RI, 028404149, US

Contacts
Phone +1 972-367-4845

Authorized person
Name MOUZON BASS III
Role AGENT
Phone 9723674845

Taxonomy
Taxonomy Code 207QS0010X - Sports Medicine (Family Medicine) Physician
License Number 15220
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SALVE REGINA UNIVERSITY GROUP TERM LIFE PLAN 2023 050259080 2024-04-08 SALVE REGINA UNIVERSITY 389
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1976-05-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 404

Signature of
Role Plan administrator
Date 2024-04-05
Name of individual signing MICHAEL GRANDCHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-05
Name of individual signing MICHAEL GRANDCHAMP
Valid signature Filed with authorized/valid electronic signature
SALVE REGINA UNIVERSITY GROUP TOTAL DISABILITY BENEFITS PLAN 2023 050259080 2024-04-08 SALVE REGINA UNIVERSITY 355
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1976-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 355

Signature of
Role Plan administrator
Date 2024-04-05
Name of individual signing MICHAEL GRANDCHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-05
Name of individual signing MICHAEL GRANDCHAMP
Valid signature Filed with authorized/valid electronic signature
SALVE REGINA UNIVERSITY HEALTHCARE BENEFITS PLAN 2023 050259080 2024-04-08 SALVE REGINA UNIVERSITY 411
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 411
Retired or separated participants receiving benefits 5

Signature of
Role Plan administrator
Date 2024-04-05
Name of individual signing MICHAEL GRANDCHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-05
Name of individual signing MICHAEL GRANDCHAMP
Valid signature Filed with authorized/valid electronic signature
SALVE REGINA UNIVERSITY HEALTHCARE BENEFITS PLAN 2023 050259080 2024-07-08 SALVE REGINA UNIVERSITY 411
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 411
Retired or separated participants receiving benefits 5

Signature of
Role Plan administrator
Date 2024-07-08
Name of individual signing MICHAEL GRANDCHAMP
Valid signature Filed with authorized/valid electronic signature
SALVE REGINA UNIVERSITY GROUP TERM LIFE PLAN 2022 050259080 2023-04-19 SALVE REGINA UNIVERSITY 385
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1976-05-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 389

Signature of
Role Plan administrator
Date 2023-04-18
Name of individual signing MICHAEL GRANDCHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-18
Name of individual signing MICHAEL GRANDCHAMP
Valid signature Filed with authorized/valid electronic signature
SALVE REGINA UNIVERSITY GROUP TOTAL DISABILITY BENEFITS PLAN 2022 050259080 2023-04-19 SALVE REGINA UNIVERSITY 353
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1976-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 355

Signature of
Role Plan administrator
Date 2023-04-18
Name of individual signing MICHAEL GRANDCHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-18
Name of individual signing MICHAEL GRANDCHAMP
Valid signature Filed with authorized/valid electronic signature
SALVE REGINA UNIVERSITY HEALTHCARE BENEFITS PLAN 2022 050259080 2023-04-19 SALVE REGINA UNIVERSITY 385
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 405
Retired or separated participants receiving benefits 6

Signature of
Role Plan administrator
Date 2023-04-18
Name of individual signing MICHAEL GRANDCHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-18
Name of individual signing MICHAEL GRANDCHAMP
Valid signature Filed with authorized/valid electronic signature
SALVE REGINA UNIVERSITY HEALTHCARE BENEFITS PLAN 2021 050259080 2022-04-07 SALVE REGINA UNIVERSITY 385
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 379
Retired or separated participants receiving benefits 6

Signature of
Role Plan administrator
Date 2022-04-07
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-07
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
SALVE REGINA UNIVERSITY GROUP TOTAL DISABILITY BENEFITS PLAN 2021 050259080 2022-04-07 SALVE REGINA UNIVERSITY 375
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1976-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 352
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2022-04-07
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-07
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
SALVE REGINA UNIVERSITY GROUP TERM LIFE PLAN 2021 050259080 2022-04-07 SALVE REGINA UNIVERSITY 401
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1976-05-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 385

Signature of
Role Plan administrator
Date 2022-04-07
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-07
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/03/30/20210330102959NAL0009778531001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 378
Retired or separated participants receiving benefits 7

Signature of
Role Plan administrator
Date 2021-03-30
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-30
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/03/30/20210330095702NAL0017839104001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1976-05-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 401

Signature of
Role Plan administrator
Date 2021-03-30
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-30
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/03/30/20210330093128NAL0017788304001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1976-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 374
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2021-03-30
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-30
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/04/24/20200424080609NAL0005996336001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1976-05-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 384
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-04-24
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-24
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/04/24/20200424093803NAL0004089761001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 380
Retired or separated participants receiving benefits 7

Signature of
Role Plan administrator
Date 2020-04-24
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-24
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/05/05/20200505134724NAL0005858307001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1976-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 349
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-05-05
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-05
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/04/03/20190403093745P030140140327001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1976-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 355
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2019-04-03
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-03
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/04/03/20190403091655P030140131511001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1976-05-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 378
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2019-04-03
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-03
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/04/16/20190416093354P040131751869001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 386
Retired or separated participants receiving benefits 9

Signature of
Role Plan administrator
Date 2019-04-16
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-16
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/04/24/20180424132844P040015501085001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 385
Retired or separated participants receiving benefits 10

Signature of
Role Plan administrator
Date 2018-04-24
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-24
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/04/17/20180417145556P040008640999001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1976-05-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 384
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2018-04-17
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-17
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/04/17/20180417151327P030009278961001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1976-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 375

Signature of
Role Plan administrator
Date 2018-04-17
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-17
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/05/09/20170509080657P040019162535001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 382
Retired or separated participants receiving benefits 11

Signature of
Role Plan administrator
Date 2017-05-09
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-09
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/04/18/20170418090821P040080737613001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1976-05-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 373
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2017-04-18
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-18
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/04/18/20170418090756P040080736845001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1976-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 361
Retired or separated participants receiving benefits 0

Signature of
Role Plan administrator
Date 2017-04-18
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-18
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/06/13/20160613105532P040002184009001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1976-05-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 393
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2016-06-13
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-13
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/06/13/20160613105503P030104225447001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1976-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 356
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2016-06-13
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-13
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/06/13/20160613133635P030097354845001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149
Plan sponsor’s address 100 OCHRE POINT AVE, NEWPORT, RI, 028404149

Number of participants as of the end of the plan year
Active participants 383
Retired or separated participants receiving benefits 15

Signature of
Role Plan administrator
Date 2016-06-13
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-13
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/11/03/20151103070855P030075845601001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Plan sponsor’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840

Number of participants as of the end of the plan year
Active participants 385
Retired or separated participants receiving benefits 10

Signature of
Role Plan administrator
Date 2015-11-02
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-11-02
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/11/03/20151103070840P040067898215001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1976-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Plan sponsor’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840

Number of participants as of the end of the plan year
Active participants 358
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2015-11-02
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-11-02
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/11/03/20151103070825P030075844465001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1976-05-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Plan sponsor’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840

Number of participants as of the end of the plan year
Active participants 393
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2015-11-02
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-11-02
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/11/06/20141106085059P030032310461001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Plan sponsor’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840

Number of participants as of the end of the plan year
Active participants 383
Retired or separated participants receiving benefits 6

Signature of
Role Plan administrator
Date 2014-11-06
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-11-06
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/11/03/20141103144138P030028946623001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1976-05-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Plan sponsor’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840

Number of participants as of the end of the plan year
Active participants 388
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

Signature of
Role Plan administrator
Date 2014-11-03
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-11-03
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/11/04/20141104073004P030029165455001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1976-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Plan sponsor’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840

Number of participants as of the end of the plan year
Active participants 343

Signature of
Role Plan administrator
Date 2014-11-04
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-11-04
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/28/20131028120920P040068697793001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Plan sponsor’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840

Number of participants as of the end of the plan year
Active participants 364
Retired or separated participants receiving benefits 9
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2013-10-28
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-28
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/28/20131028114235P040010220183001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1976-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Plan sponsor’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840

Number of participants as of the end of the plan year
Active participants 346
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2013-10-28
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-28
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/28/20131028114221P030068516337001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1976-05-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Plan sponsor’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840

Number of participants as of the end of the plan year
Active participants 380
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

Signature of
Role Plan administrator
Date 2013-10-28
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-28
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/17/20121017141043P040001272469001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1976-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Plan sponsor’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 050259080
Plan administrator’s name SALVE REGINA UNIVERSITY
Plan administrator’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Administrator’s telephone number 4018476650

Number of participants as of the end of the plan year
Active participants 355
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2012-10-17
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/11/05/20121105102501P040002111349001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Plan sponsor’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 050259080
Plan administrator’s name SALVE REGINA UNIVERSITY
Plan administrator’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Administrator’s telephone number 4018476650

Number of participants as of the end of the plan year
Active participants 371
Retired or separated participants receiving benefits 7
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2012-11-05
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/11/02/20111102145055P040054394503001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Plan sponsor’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 050259080
Plan administrator’s name SALVE REGINA UNIVERSITY
Plan administrator’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Administrator’s telephone number 4018476650

Number of participants as of the end of the plan year
Active participants 374
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2011-11-02
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/01/13/20110113122002P040062043584001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1957-09-01
Business code 611000
Sponsor’s telephone number 4018476650
Plan sponsor’s mailing address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Plan sponsor’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840

Plan administrator’s name and address
Administrator’s EIN 050259080
Plan administrator’s name SALVE REGINA UNIVERSITY
Plan administrator’s address 100 OCHRE POINT AVENUE, NEWPORT, RI, 02840
Administrator’s telephone number 4018476650

Number of participants as of the end of the plan year
Active participants 371
Retired or separated participants receiving benefits 5
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2011-01-13
Name of individual signing WILLIAM HALL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JEREMIAH C. LYNCH, III Agent AQUIDNECK CORPORATE PARK 97 JOHN CLARKE ROAD, MIDDLETOWN, RI, 02842, USA

PRESIDENT

Name Role Address
KELLI J ARMSTRONG PRESIDENT 100 OCHRE POINT AVE NEWPORT, RI 02840 USA

TREASURER

Name Role Address
MARYPATRICIA MURPHY TREASURER 780 ACADEMY AVE NEWPORT, RI 02840 USA

SECRETARY

Name Role Address
MARYPATRICIA MURPHY SECRETARY 780 ACADEMY AVE NEWPORT, RI 02840 USA

DIRECTOR

Name Role Address
CHERYL MROZOWSKI DIRECTOR 25 SPOUTING ROCK RD. NEWPORT, RI 02840 USA
SARAH RODGERS MCNEILL DIRECTOR P.O. BOX 206 NEWPORT, RI 02840 USA
WANDA BLAKE DIRECTOR 3 LINDA AVENUE ANDOVER, MA 01810 USA
ANNE JUGE DIRECTOR 29 LAUDER LANE GREENWICH, CT 06831 USA
DAVID G BAZARSKY DIRECTOR 678 AQUIDNECK AVE MIDDLETOWN, RI 02842 USA
MARY ANN DILLON DIRECTOR 228 EAST EAGLE RD HAVERTOWN, PA 19083 USA
WILLIAM F LUCEY DIRECTOR 230 TROUT DRIVE MIDDLETOWN, RI 02842 USA
PAUL A. PERRAULT DIRECTOR 131 CLARNDON ST. BOSTON, MA 02116 USA
BERNARD F MCKAY DIRECTOR 1015 BANKS ROSE STREET CELEBRATION, FL 34747 USA
NANCY C CARDOZA DIRECTOR 14 FLORENCE AVE NEWPORT, RI 02840 USA

Events

Type Date Old Value New Value
Name Change 1991-06-01 SALVE REGINA COLLEGE SALVE REGINA UNIVERSITY

Filings

Number Name File Date
202446256070 Annual Report 2024-02-13
202334132370 Annual Report 2023-04-26
202209761520 Annual Report 2022-02-08
202101062590 Articles of Amendment 2021-09-08
202199472150 Annual Report 2021-07-22
202041516560 Annual Report 2020-06-05
202041515770 Statement of Change of Registered/Resident Agent 2020-06-05
201908465830 Annual Report 2019-07-30
201872604640 Annual Report 2018-07-19
201747215120 Annual Report 2017-07-10

Related by officers

JEREMIAH C. LYNCH, III

B and B, Inc. COAST CANNING AND PROCESSING FISH CO., INC. Moore, Virgadamo & Lynch, Ltd. HAZARD'S BEACH, INC. Portsmouth Evangelical Friends Church Specs Eyecare, Inc. David J. Lawrence Real Estate Assoc., Inc. Ocean Harvest, Inc. Newport Excavation, Inc. TIFFANY JAMES INC.

CHERYL MROZOWSKI

The Stanford White Casino Theatre

DAVID G BAZARSKY

SAMUEL'S REALTY CO., INC. NEW ENGLAND POULTRY CO., INC.

TIMOTHY P BURNS

BioHoldings, Ltd. Burns Properties (PE-RI) LLC Burns Management (PE-RI) Inc.

DENNIS L ALGIERE

THE OLD TOWN HALL MUSEUM CORPORATION, INCORPORATED

Related by address

100 OCHRE POINT AVENUE, NEWPORT, RI, 02840, USA

Northeast Business & Economic Association, Inc.

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State

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