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RHODE ISLAND FAMILY CARE, INC.

Company Details

Name: RHODE ISLAND FAMILY CARE, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 24 Jan 2000 (25 years ago)
Date of Dissolution: 28 Aug 2013 (11 years ago)
Date of Status Change: 28 Aug 2013 (11 years ago)
Identification Number: 000110433
ZIP code: 02818
County: Kent County
Principal Address: 33 HYLAND AVENUE, EAST GREENWICH, RI, 02818, USA
Purpose: MEDICAL PRACTICE.Currently not conducting business, but considering reopening so keeping business intact for now

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205163599 2009-11-09 2009-11-09 30 MARTIN ST, UNIT #30A, CUMBERLAND, RI, 028645321, US 30 MARTIN ST, UNIT #30A, CUMBERLAND, RI, 028645321, US

Contacts

Phone +1 401-312-0093
Fax 4013120096

Authorized person

Name DR. ELISABETH KNIGHT FARNUM
Role PHYSICIAN
Phone 4013120093

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RHODE ISLAND FAMILY CARE, INC. 401K PLAN 2011 050509241 2012-07-20 RHODE ISLAND FAMILY CARE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4013120093
Plan sponsor’s address 33 HYLAND AVENUE, EAST GREENWICH, RI, 02818

Plan administrator’s name and address

Administrator’s EIN 050509241
Plan administrator’s name RHODE ISLAND FAMILY CARE, INC.
Plan administrator’s address 33 HYLAND AVENUE, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4013120093

Signature of

Role Plan administrator
Date 2012-07-20
Name of individual signing ELISABETH K. FARNUM
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND FAMILY CARE, INC. 401K PLAN 2011 050509241 2012-07-24 RHODE ISLAND FAMILY CARE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4013120093
Plan sponsor’s address 33 HYLAND AVENUE, EAST GREENWICH, RI, 02818

Plan administrator’s name and address

Administrator’s EIN 050509241
Plan administrator’s name RHODE ISLAND FAMILY CARE, INC.
Plan administrator’s address 33 HYLAND AVENUE, EAST GREENWICH, RI, 02818
Administrator’s telephone number 4013120093

Signature of

Role Plan administrator
Date 2012-07-24
Name of individual signing ELISABETH K. FARNUM
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND FAMILY CARE, INC. 401K PLAN 2010 050509241 2011-02-04 RHODE ISLAND FAMILY CARE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4013120093
Plan sponsor’s address 30 MARTIN STREET, UNIT 30A, CUMBERLAND, RI, 02864

Plan administrator’s name and address

Administrator’s EIN 050509241
Plan administrator’s name RHODE ISLAND FAMILY CARE, INC.
Plan administrator’s address 30 MARTIN STREET, UNIT 30A, CUMBERLAND, RI, 02864
Administrator’s telephone number 4013120093

Signature of

Role Plan administrator
Date 2011-02-04
Name of individual signing ELISABETH K. FARNUM
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND FAMILY CARE, INC. 401K PLAN 2009 050509241 2010-11-04 RHODE ISLAND FAMILY CARE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4013120093
Plan sponsor’s address 30 MARTIN STREET, UNIT 30A, CUMBERLAND, RI, 02864

Plan administrator’s name and address

Administrator’s EIN 050509241
Plan administrator’s name RHODE ISLAND FAMILY CARE, INC.
Plan administrator’s address 30 MARTIN STREET, UNIT 30A, CUMBERLAND, RI, 02864
Administrator’s telephone number 4013120093

Signature of

Role Plan administrator
Date 2010-11-04
Name of individual signing ELISABETH K. FARNUM
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND FAMILY CARE, INC. 401K PLAN 2009 050509241 2010-11-01 RHODE ISLAND FAMILY CARE, INC. 4
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 4013120093
Plan sponsor’s address 30 MARTIN STREET, UNIT 30A, CUMBERLAND, RI, 02864

Plan administrator’s name and address

Administrator’s EIN 050509241
Plan administrator’s name RHODE ISLAND FAMILY CARE, INC.
Plan administrator’s address 30 MARTIN STREET, UNIT 30A, CUMBERLAND, RI, 02864
Administrator’s telephone number 4013120093

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing ELISABETH K. FARNUM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ELISABETH K. FARNUM, MD Agent 33 HYLAND AVENUE, EAST GREENWICH, RI, 02818, USA

PRESIDENT

Name Role Address
ELISABETH FARNUM MD PRESIDENT 33 HYLAND AVENUE EAST GREENWICH, RI 02818 USA

Filings

Number Name File Date
201327273940 Revocation Certificate For Failure to File the Annual Report for the Year 2013-08-28
201321868700 Revocation Notice For Failure to File An Annual Report 2013-06-03
201310751420 Statement of Change of Registered/Resident Agent Office 2013-02-04
201308608710 Revocation Notice For Failure to Maintain a Registered Office 2013-01-10
201308596080 Registered Office Not Maintained 2012-12-18
201290670070 Annual Report 2012-03-05
201174801530 Annual Report 2011-02-12
201061107170 Annual Report 2010-04-07
200940492970 Annual Report 2009-01-18
200805900860 Annual Report 2008-01-21

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State