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  5. Pro-Change Behavior Systems, Inc.

Pro-Change Behavior Systems, Inc.

Company Details

Name: Pro-Change Behavior Systems, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 15 Dec 1999 (25 years ago)
Identification Number: 000109796
ZIP code: 02879
County: Washington County
Principal Address: 172 PRESERVATION WAY, SOUTH KINGSTOWN, RI, 02879-8237, USA
Purpose: TO ENGAGE IN THE BUSINESS OF RESEARCH AND CONSULTING ON ORGANIZATIONAL CHANGE SYSTEMS.
Fictitious names: ProChange Behavior Solutions (trading name, 2022-03-01 - )

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRO-CHANGE BEHAVIOR SYSTEMS, INC 401(K) PROFIT SHARING PLAN 2012 050508853 2013-09-13 PRO-CHANGE BEHAVIOR SYSTEMS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-04
Business code 541700
Sponsor’s telephone number 4013602980
Plan sponsor’s mailing address 1174 KINGSTOWN ROAD, UNIT 101, SOUTH KINGSTOWN, RI, 02879
Plan sponsor’s address 1174 KINGSTOWN ROAD, UNIT 101, SOUTH KINGSTOWN, RI, 02879

Plan administrator’s name and address
Administrator’s EIN 050508853
Plan administrator’s name PRO-CHANGE BEHAVIOR SYSTEMS, INC.
Plan administrator’s address 1174 KINGSTOWN ROAD, UNIT 101, SOUTH KINGSTOWN, RI, 02879
Administrator’s telephone number 4013602980

Number of participants as of the end of the plan year
Active participants 18
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
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 24
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 2013-09-13
Name of individual signing JANICE PROCHASKA
Valid signature Filed with authorized/valid electronic signature
PRO-CHANGE BEHAVIOR SYSTEMS, INC 401(K) PROFIT SHARING PLAN 2011 050508853 2012-06-25 PRO-CHANGE BEHAVIOR SYSTEMS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-04
Business code 541700
Sponsor’s telephone number 4018744100
Plan sponsor’s mailing address 2 CHAFEE, KINGSTON, RI, 02881
Plan sponsor’s address 2 CHAFEE, KINGSTON, RI, 02881

Plan administrator’s name and address
Administrator’s EIN 050508853
Plan administrator’s name PRO-CHANGE BEHAVIOR SYSTEMS, INC.
Plan administrator’s address 2 CHAFEE, KINGSTON, RI, 02881
Administrator’s telephone number 4018744100

Number of participants as of the end of the plan year
Active participants 17
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
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 24
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing JANICE PROCHASKA
Valid signature Filed with authorized/valid electronic signature
PRO-CHANGE BEHAVIOR SYSTEMS, INC 401(K) PROFIT SHARING PLAN 2010 050508853 2011-07-26 PRO-CHANGE BEHAVIOR SYSTEMS, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-04
Business code 541700
Sponsor’s telephone number 4018744100
Plan sponsor’s mailing address 2 CHAFEE, KINGSTON, RI, 02881
Plan sponsor’s address 2 CHAFEE, KINGSTON, RI, 02881

Plan administrator’s name and address
Administrator’s EIN 050508853
Plan administrator’s name PRO-CHANGE BEHAVIOR SYSTEMS, INC.
Plan administrator’s address 2 CHAFEE, KINGSTON, RI, 02881
Administrator’s telephone number 4018744100

Number of participants as of the end of the plan year
Active participants 19
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
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 25
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing JANICE PROCHASKA
Valid signature Filed with authorized/valid electronic signature
PRO-CHANGE BEHAVIOR SYSTEMS, INC 401(K) PROFIT SHARING PLAN 2009 050508853 2010-09-07 PRO-CHANGE BEHAVIOR SYSTEMS, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-04
Business code 541700
Sponsor’s telephone number 4018744100
Plan sponsor’s mailing address 2 CHAFEE, KINGSTON, RI, 02881
Plan sponsor’s address 2 CHAFEE, KINGSTON, RI, 02881

Plan administrator’s name and address
Administrator’s EIN 050508853
Plan administrator’s name PRO-CHANGE BEHAVIOR SYSTEMS, INC.
Plan administrator’s address 2 CHAFEE, KINGSTON, RI, 02881
Administrator’s telephone number 4018744100

Number of participants as of the end of the plan year
Active participants 19
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
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 24
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 2010-09-07
Name of individual signing JANICE PROCHASKA
Valid signature Filed with authorized/valid electronic signature
PRO-CHANGE BEHAVIOR SYSTEMS, INC 401(K) PROFIT SHARING PLAN 2009 050508853 2010-08-20 PRO-CHANGE BEHAVIOR SYSTEMS, INC. 25
Three-digit plan number (PN) 001
Effective date of plan 1999-01-04
Business code 541700
Sponsor’s telephone number 4018744100
Plan sponsor’s mailing address 2 CHAFEE, KINGSTON, RI, 02881
Plan sponsor’s address 2 CHAFEE, KINGSTON, RI, 02881

Plan administrator’s name and address
Administrator’s EIN 050508853
Plan administrator’s name PRO-CHANGE BEHAVIOR SYSTEMS, INC.
Plan administrator’s address 2 CHAFEE, KINGSTON, RI, 02881
Administrator’s telephone number 4018744100

Number of participants as of the end of the plan year
Active participants 19
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
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 24
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2010-08-20
Name of individual signing JANICE PROCHASKA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RICHARD J. LAND, ESQ. Agent ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
KERRY EVERS PRESIDENT 91 POINT JUDITH RD, STE 26, UNIT 333 NARRAGANSETT, RI 02882 USA

VICE PRESIDENT

Name Role Address
SARA JOHNSON VICE PRESIDENT 91 POINT JUDITH RD, STE 26, UNIT 333 NARRAGANSETT, RI 02882 USA

DIRECTOR

Name Role Address
KERRY EVERS DIRECTOR 91 POINT JUDITH RD, STE 26, UNIT 333 NARRAGANSETT, RI 02882 USA
SARA JOHNSON DIRECTOR 91 POINT JUDITH RD, STE 26, UNIT 333 NARRAGANSETT, RI 02882 USA

Filings

Number Name File Date
202451634230 Annual Report 2024-04-19
202331354720 Annual Report 2023-03-22
202218464320 Annual Report - Amended 2022-06-13
202214044300 Annual Report 2022-04-06
202211840310 Fictitious Business Name Statement 2022-03-01
202193620890 Annual Report 2021-03-05
202035969130 Annual Report 2020-03-06
201988077110 Annual Report 2019-03-04
201858698540 Annual Report 2018-02-21
201737415190 Annual Report 2017-03-06

Related by officers

RICHARD J. LAND, ESQ.

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Related by address

No related companies by address

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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