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Ocean State Research Institute, Inc.

Company Details

Name: Ocean State Research Institute, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 01 Aug 1988 (36 years ago)
Identification Number: 000047887
ZIP code: 02908
County: Providence County
Principal Address: 830 CHALKSTONE AVENUE, PROVIDENCE, RI, 02908, USA
Purpose: TO FACILITATE MEDICAL RESEARCH & RELATED EDUCATION IN CONJUCTION W/PROVIDENCE VETERANS ADMINISTRATION MEDICAL CENTER

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OCEAN STATE RESEARCH INSTITUTE 401K PROFIT SHARING PLAN AND TRU 2023 050440574 2024-07-05 OCEAN STATE RESEARCH INSTITUTE 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541700
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, BLDG 35, PROVIDENCE, RI, 02908

Signature of

Role Plan administrator
Date 2024-07-05
Name of individual signing MARY FORD
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE RESEARCH INSTITUTE 401K PROFIT SHARING PLAN AND TRU 2022 050440574 2023-06-12 OCEAN STATE RESEARCH INSTITUTE 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541700
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, BLDG 35, PROVIDENCE, RI, 02908

Signature of

Role Plan administrator
Date 2023-06-12
Name of individual signing MARY FORD
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE RESEARCH INSTITUTE 401K PROFIT SHARING PLAN AND TRU 2021 050440574 2022-07-25 OCEAN STATE RESEARCH INSTITUTE 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541700
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, BLDG 35, PROVIDENCE, RI, 02908

Signature of

Role Plan administrator
Date 2022-07-25
Name of individual signing MARY FORD
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE RESEARCH INSTITUTE 401K PROFIT SHARING PLAN AND TRU 2020 050440574 2021-10-07 OCEAN STATE RESEARCH INSTITUTE 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541700
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, BLDG 35, PROVIDENCE, RI, 02908

Signature of

Role Plan administrator
Date 2021-10-07
Name of individual signing MARY FORD
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE RESEARCH INSTITUTE 401K PROFIT SHARING PLAN AND TRU 2019 050440574 2020-06-30 OCEAN STATE RESEARCH INSTITUTE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541700
Sponsor’s telephone number 4012737100
Plan sponsor’s address 830 CHALKSTONE AVE, BLDG 35, PROVIDENCE, RI, 02908

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing MARY FORD
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE RESEARCH INSTITUTE 401K PROFIT SHARING PLAN AND TRU 2019 050440574 2020-06-24 OCEAN STATE RESEARCH INSTITUTE 22
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541700
Sponsor’s telephone number 4012737100
Plan sponsor’s address 830 CHALKSTONE AVE, BLDG 35, PROVIDENCE, RI, 02908

Signature of

Role Plan administrator
Date 2020-06-24
Name of individual signing MFORD0127
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE RESEARCH INSTITUTE 401K PROFIT SHARING PLAN AND TRU 2018 050440574 2019-06-26 OCEAN STATE RESEARCH INSTITUTE 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541700
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, BLDG 35, PROVIDENCE, RI, 02908

Signature of

Role Plan administrator
Date 2019-06-26
Name of individual signing MARY FORD
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE RESEARCH INSTITUTE 401K PROFIT SHARING PLAN AND TRU 2017 050440574 2018-05-21 OCEAN STATE RESEARCH INSTITUTE 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541700
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, BLDG 35, PROVIDENCE, RI, 02908

Signature of

Role Plan administrator
Date 2018-05-21
Name of individual signing MARY FORD
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE RESEARCH INSTITUTE 401K PROFIT SHARING PLAN AND TRU 2016 050440574 2017-05-19 OCEAN STATE RESEARCH INSTITUTE 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541700
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, BLDG 35, PROVIDENCE, RI, 02908

Signature of

Role Plan administrator
Date 2017-05-19
Name of individual signing DAWN CRUSO
Valid signature Filed with authorized/valid electronic signature
OCEAN STATE RESEARCH INSTITUTE 401K PROFIT SHARING PLAN AND TRU 2015 050440574 2016-10-14 OCEAN STATE RESEARCH INSTITUTE 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541700
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, BLDG 35, PROVIDENCE, RI, 02908

Signature of

Role Plan administrator
Date 2016-10-14
Name of individual signing DAWN CRUSO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/21/20150721090151P030125732161001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, PROVIDENCE, RI, 029084734

Signature of

Role Plan administrator
Date 2015-07-21
Name of individual signing DAWNMARIE CRUSO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/21/20150721095722P030125809889001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, PROVIDENCE, RI, 029084734

Signature of

Role Plan administrator
Date 2015-07-21
Name of individual signing DAWN MOLLO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/23/20140623134022P040459535681001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, PROVIDENCE, RI, 029084734

Signature of

Role Plan administrator
Date 2014-06-23
Name of individual signing DAWN CRUSO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/22/20130522075618P030028258279001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, PROVIDENCE, RI, 029084734

Signature of

Role Plan administrator
Date 2013-05-22
Name of individual signing OCEAN STATE RESEARCH INSTITUTE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/10/20120510065821P030011136754001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, PROVIDENCE, RI, 029084734

Plan administrator’s name and address

Administrator’s EIN 050440574
Plan administrator’s name OCEAN STATE RESEARCH INSTITUTE
Plan administrator’s address 830 CHALKSTONE AVE, PROVIDENCE, RI, 029084734
Administrator’s telephone number 4014573066

Signature of

Role Plan administrator
Date 2012-05-10
Name of individual signing OCEAN STATE RESEARCH INSTITUTE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/06/20110506075600P040009469094001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, PROVIDENCE, RI, 029080000

Plan administrator’s name and address

Administrator’s EIN 050440574
Plan administrator’s name OCEAN STATE RESEARCH INSTITUTE
Plan administrator’s address 830 CHALKSTONE AVE, PROVIDENCE, RI, 029080000
Administrator’s telephone number 4014573066

Signature of

Role Plan administrator
Date 2011-05-06
Name of individual signing OCEAN STATE RESEARCH INSTITUTE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/16/20100616072822P040077876616001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 4014573066
Plan sponsor’s address 830 CHALKSTONE AVE, PROVIDENCE, RI, 029080000

Plan administrator’s name and address

Administrator’s EIN 050440574
Plan administrator’s name OCEAN STATE RESEARCH INSTITUTE
Plan administrator’s address 830 CHALKSTONE AVE, PROVIDENCE, RI, 029080000
Administrator’s telephone number 4014573066

Signature of

Role Plan administrator
Date 2010-06-16
Name of individual signing OCEAN STATE RESEARCH INSTITUTE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROBERT M. SWIFT, PHD, MD Agent VA MEDICAL CENTER/RESEARCH INST. 830 CHALKSTONE AVENUE, PROVIDENCE, RI, 02908, USA

PRESIDENT

Name Role Address
SATISH SHARMA MD PRESIDENT 830 CHALKSTONE AVE PROVIDENCE, RI 02908 USA

EXECUTIVE DIRECTOR

Name Role Address
MARY T. FORD EXECUTIVE DIRECTOR 830 CHALKSTONE AVE PROVIDENCE, RI 02908 USA

DIRECTOR

Name Role Address
WEN-CHIH WU M.D. DIRECTOR 830 CHALKSTONE AVE PROVIDENCE, RI 02908 USA
SHARON ROUNDS M.D. DIRECTOR 830 CHALKSTONE AVE PROVIDENCE, RI 02908 USA
KENNETH POYTON DIRECTOR 830 CHALKSTONE AVE PROVIDENCE, RI 02908 USA
DANIEL O'HARA DIRECTOR 830 CHALKSTONE AVE PROVIDENCE, RI 02908 USA
DANIEL STACK DIRECTOR 830 CHALKSTONE AVW PROVIDENCE, RI 02908 USA
LAWRENCE B. CONNELL DIRECTOR 830 CHALKSTONE AVE PROVIDENCE, RI 02908 USA

Filings

Number Name File Date
202444879640 Annual Report 2024-01-29
202335195040 Annual Report 2023-05-03
202217821160 Annual Report 2022-05-25
202197341610 Annual Report 2021-06-01
202038743340 Annual Report 2020-04-27
201994480290 Annual Report 2019-05-28
201862455470 Annual Report 2018-04-19
201747092280 Annual Report 2017-07-06
201696143240 Annual Report 2016-04-22
201561757190 Annual Report 2015-05-15

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State