| Name: | RHODE ISLAND CHAPTER, AMERICAN ACADEMY OF FAMILY PHYSICIANS, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 06 Jun 1972 (53 years ago) |
| Date of Dissolution: | 13 Sep 2023 (2 years ago) |
| Date of Status Change: | 13 Sep 2023 (2 years ago) |
| Identification Number: | 000053785 |
| ZIP code: | 02818 |
| County: | Kent County |
| Purpose: | TO PROMOTE EXCELLENCE IN HEALTH CARE AND HEALTH OF AMERICAN PEOPLE |
| Principal Address: |
120 PARTRIDGE RUN, EAST GREENWICH, RI, 02818, USA
|
NAICS
813920 Professional OrganizationsThis industry comprises establishments primarily engaged in promoting the professional interests of their members and the profession as a whole. These establishments may conduct research; develop statistics; sponsor quality and certification standards; lobby public officials; or publish newsletters, books, or periodicals for distribution to their members. Learn more at the U.S. Census Bureau
| Name | Role | Address |
|---|---|---|
| MARC BIALEK | Agent | 120 PARTRIDGE RUN, EAST GREENWICH, RI, 02818, USA |
| Name | Role | Address |
|---|---|---|
| JENNIFER BUCKLEY MD | PRESIDENT | 120 PARTRIDGE RUN EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| DAVID BICA DO | TREASURER | 120 PARTRIDGE RUN EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| GINA LA PROVA MD | VICE PRESIDENT | 120 PARTRIDGE RUN EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| KEITH CALLAHAN MD | BOARD CHAIR | 11 PINE RIDGE ROAD EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| MARC F BIALEK | EXECUTIVE DIRECTOR | 120 PARTRIDGE RUN EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| SARAH FESSLER MD | DIRECTOR | 100 BULLOCKS POINT AVE RIVERSIDE , RI 02915 USA |
| ELIZABETH FARNUM MD | DIRECTOR | 186 PROVIDENCE ST W. WARWICK, RI 02893 USA |
| DAVID ASHLEY | DIRECTOR | 111 BREWSTER STREET PAWTUCKET, RI 02860 USA |
| JEFFREY BORKAN | DIRECTOR | 111 BREWSTER STREET PAWTUCKET, RI 02860 USA |
| ALKETA MEZINI XHUPI MD | DIRECTOR | 1405 SCITUATE AVE CRANSTON, RI 02921-1837 USA |
| CHRISTINE NEVINS-HERBERT MD | DIRECTOR | 120 PARTRIDGE RUN EAST GREENWICH, RI 02818 USA |
| PHILIP SALKO MD | DIRECTOR | 120 PARTRIDGE RUN EAST GREENWICH, RI 02818 USA |
| ANGELICA GIGLIELLO MD | DIRECTOR | 120 PARTRIDGE RUN EAST GREENWICH, RI 02818 USA |
| Number | Name | File Date |
|---|---|---|
| 202341631440 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-13 |
| 202338479200 | Revocation Notice For Failure to File An Annual Report | 2023-06-20 |
| 202213493190 | Annual Report | 2022-03-25 |
| 202213492120 | Statement of Change of Registered/Resident Agent Office | 2022-03-25 |
| 202193557970 | Annual Report | 2021-03-04 |
Date of last update: 18 May 2025
Sources: Rhode Island Department of State
