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  5. The Genesis Center

The Genesis Center

Company Details

Name: The Genesis Center
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 25 Oct 1988 (36 years ago)
Identification Number: 000051754
ZIP code: 02907
County: Providence County
Principal Address: 620 POTTERS AVENUE, PROVIDENCE, RI, 02907, USA
Purpose: ENGLISH AS A SECOND LANGUAGE CLASSES FOR REFUGEES AND IMMIGRANTS - CHILD CARE
NAICS: 611519 - Other Technical and Trade Schools

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295028272 2011-05-24 2011-05-24 620 POTTERS AVE, PROVIDENCE, RI, 029072931, US 620 POTTERS AVE, PROVIDENCE, RI, 029072931, US

Contacts
Phone +1 401-781-6110
Fax 4014618788

Authorized person
Name MISS PHEAMO R. WITCHER
Role PRESIDENT/CEO
Phone 4017816110

Taxonomy
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE GENESIS CENTER DEFINED CONTRIBUTION RETIREMENT PLAN 2023 223001721 2024-05-07 THE GENESIS CENTER 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
THE GENESIS CENTER DEFINED CONTRIBUTION RETIREMENT PLAN 2022 223001721 2023-04-17 THE GENESIS CENTER 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110
THE GENESIS CENTER DEFINED CONTRIBUTION RETIREMENT PLAN 2021 223001721 2022-05-09 THE GENESIS CENTER 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110
THE GENESIS CENTER DEFINED CONTRIBUTION RETIREMENT PLAN 2020 223001721 2021-06-01 THE GENESIS CENTER 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110
THE GENESIS CENTER DEFINED CONTRIBUTION RETIREMENT PLAN 2019 223001721 2020-05-12 THE GENESIS CENTER 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110
THE GENESIS CENTER DEFINED CONTRIBUTION RETIREMENT PLAN 2018 223001721 2019-06-26 THE GENESIS CENTER 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110
THE GENESIS CENTER DEFINED CONTRIBUTION RETIREMENT PLAN 2017 223001721 2018-07-31 THE GENESIS CENTER 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110
THE GENESIS CENTER DEFINED CONTRIBUTION RETIREMENT PLAN 2016 223001721 2017-06-21 THE GENESIS CENTER 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110
THE GENESIS CENTER DEFINED CONTRIBUTION RETIREMENT PLAN 2015 223001721 2016-06-20 THE GENESIS CENTER 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110
THE GENESIS CENTER DEFINED CONTRIBUTION RETIREMENT PLAN 2014 223001721 2015-09-04 THE GENESIS CENTER 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110

Signature of
Role Plan administrator
Date 2015-09-04
Name of individual signing SHANNON CARROLL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/30/20140930064554P040025948017001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110

Signature of
Role Plan administrator
Date 2014-09-30
Name of individual signing DON KEEL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/11/20131011141031P030039285649001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing DON KEEL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/04/20121004160645P040000476550001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110

Signature of
Role Plan administrator
Date 2012-10-04
Name of individual signing PHEAMO R. WITCHER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/11/20111011141806P040004618467001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing PHEAMO R WITCHER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/14/20101014222931P070028158273001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 4017816110
Plan sponsor’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907

Plan administrator’s name and address
Administrator’s EIN 223001721
Plan administrator’s name THE GENESIS CENTER
Plan administrator’s address 620 POTTERS AVENUE, PROVIDENCE, RI, 02907
Administrator’s telephone number 4017816110

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing CAROL LIPMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHANNON CARROLL Agent 620 POTTERS AVENUE, PROVIDENCE, RI, 02907, USA

PRESIDENT

Name Role Address
DEAN MARTINS PRESIDENT 69 NARRAGNASETT AVE PORTSMOUTH, RI 02871 USA

TREASURER

Name Role Address
CHYE CHUP CHUA TREASURER 19 LIPPITT AVE. WARWICK, RI 02889 USA

SECRETARY

Name Role Address
RALPH M. KINDER SECRETARY 155 SOUTH MAIN ST. #300 PROVIDENCE, RI 02903 USA

CEO

Name Role Address
SHANNON CARROLL CEO 620 POTTERS AVE. PROVIDENCE, RI 02908 USA

DIRECTOR

Name Role Address
SARA DEMARIS DIRECTOR 38 IVY ST. PROVIDENCE, RI 02906 USA
CAROLINE MCCARTHY DIRECTOR 557 COLUMBUS AVE. BOSTON, MA 02118 USA
GINA VIGLIOTTI DIRECTOR 413 CHATHAM CIRCLE WARWICK, RI 02886 USA
MICHELLE GUERRERO GUERRERO DIRECTOR 30 KENNEDY PLAZA SUITE 101 PROVIDENCE, RI 02903 USA
OMAR REYES DIRECTOR 560 JEFFERSON BLVD WARWICK, RI 02886 USA
JENNIFER GRIFFITHS DIRECTOR 23 THOMAS LANE. MILTON, MA 02186 USA
PATRICIA DIFOLCO DIRECTOR 98 HAWFAX DR. WARWICK, RI 02886 USA
ALEMY MONDESTIN DIRECTOR 85 HENDRICK ST. PROVIDENCE, RI 02903 USA
SR. ANGELA DANIELS DIRECTOR 791 POTTERS AVE PROVIDENCE, RI 02907 USA
DANIEL H HEALY III DIRECTOR ONE COMERCIAL WHARF NEWPORT, RI 02840 USA

Filings

Number Name File Date
202445861220 Annual Report 2024-02-07
202327354970 Annual Report 2023-02-02
202209178850 Annual Report 2022-02-02
202197742200 Annual Report 2021-06-03
202042500630 Annual Report 2020-06-18
201995329390 Annual Report 2019-06-04
201868991530 Annual Report 2018-06-08
201745143560 Annual Report 2017-06-09
201699899720 Annual Report 2016-06-06
201562895440 Annual Report 2015-06-08

Related by officers

DEAN MARTINS

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RALPH M. KINDER

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OMAR REYES

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ALEMY MONDESTIN

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MONSURAT OTTUN

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Related by address

620 POTTERS AVENUE, PROVIDENCE, RI, 02907, USA

Rhode Island Tax Clinic, Inc. Culinary Hub of Providence, LLC

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State

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