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  5. Kingston Hill Academy

Kingston Hill Academy

Company Details

Name: Kingston Hill Academy
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 05 Nov 2001 (23 years ago)
Identification Number: 000121150
ZIP code: 02874
County: Washington County
Principal Address: 850 STONY FORT ROAD, SAUNDERSTOWN, RI, 02874, USA
Purpose: DEVELOP, ESTABLISH AND OPERATE A CHARTER SCHOOL

Industry & Business Activity

NAICS

611110 Elementary and Secondary Schools

This industry comprises establishments primarily engaged in furnishing academic courses and associated course work that comprise a basic preparatory education. A basic preparatory education ordinarily constitutes kindergarten through 12th grade. This industry includes school boards and school districts. Learn more at the U.S. Census Bureau

Companies doing Elementary and secondary schools

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801911565 2007-03-20 2024-10-10 610 MANTON AVE, PROVIDENCE, RI, 029095633, US 850 STONY FORT RD, SAUNDERSTOWN, RI, 028741003, US

Contacts
Phone +1 401-274-6310
Fax 4014211077

Authorized person
Name MARCELLA TERRANOVA CLARK
Role CHIEF ADMINISTRATOR
Phone 4017838282

Taxonomy
Taxonomy Code 251300000X - Local Education Agency (LEA)
Is Primary Yes
Taxonomy Code 251B00000X - Case Management Agency
Is Primary No
Taxonomy Code 251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number KH46123
State RI

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
2549003HKZOPV8B6J238 000121150 US-RI GENERAL ACTIVE No data

Addresses
Legal 850 Stony Fort Road, Saunderstown, US-RI, US, 02874
Headquarters 850 Stony Fort Road, Saunderstown, US-RI, US, 02874

Registration details
Registration Date 2019-08-05
Last Update 2022-03-11
Status LAPSED
Next Renewal 2020-08-05
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 000121150

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KINGSTON HILL ACADEMY TAX-DEFERRED ANNUITY PLAN 2011 050520887 2012-10-10 KINGSTON HILL ACADEMY 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 611000
Sponsor’s telephone number 4012746310
Plan sponsor’s address 610 MANTON AVENUE, PROVIDENCE, RI, 02909

Plan administrator’s name and address
Administrator’s EIN 050520887
Plan administrator’s name KINGSTON HILL ACADEMY
Plan administrator’s address 610 MANTON AVENUE, PROVIDENCE, RI, 02909
Administrator’s telephone number 4012746310

Signature of
Role Plan administrator
Date 2012-09-28
Name of individual signing HELEN MORCOS
Valid signature Filed with authorized/valid electronic signature
KINGSTON HILL ACADEMY TAX-DEFERRED ANNUITY PLAN 2010 050520887 2011-07-27 KINGSTON HILL ACADEMY 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 611000
Sponsor’s telephone number 4012746310
Plan sponsor’s address 610 MANTON AVENUE, PROVIDENCE, RI, 02909

Plan administrator’s name and address
Administrator’s EIN 050520887
Plan administrator’s name KINGSTON HILL ACADEMY
Plan administrator’s address 610 MANTON AVENUE, PROVIDENCE, RI, 02909
Administrator’s telephone number 4012746310

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing HELEN MORCOS
Valid signature Filed with authorized/valid electronic signature
KINGSTON HILL ACADEMY TAX-DEFERRED ANNUITY PLAN 2009 050520887 2010-09-20 KINGSTON HILL ACADEMY 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 611000
Sponsor’s telephone number 4012746310
Plan sponsor’s address 610 MANTON AVENUE, PROVIDENCE, RI, 02909

Plan administrator’s name and address
Administrator’s EIN 050520887
Plan administrator’s name KINGSTON HILL ACADEMY
Plan administrator’s address 610 MANTON AVENUE, PROVIDENCE, RI, 02909
Administrator’s telephone number 4012746310

Signature of
Role Plan administrator
Date 2010-09-20
Name of individual signing HELEN MORCOS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MATTHEW R. PLAIN, ESQ. Agent ONE FINANCIAL PLAZA 18TH FLOOR, PROVIDENCE, RI, 02903, USA

DIRECTOR

Name Role Address
JOE GARCIA DIRECTOR 100 EAST GREENWICH AVENUE WEST WARWICK, RI 02893 USA
LORI FILIBERTO DIRECTOR 44 SANDS PLAINS TRAIL WAKEFIELD, RI 02879 USA
ALICIA STORY DIRECTOR 22 SONERIC LANE CAROLINA, RI 02812 USA
KERRI DAILY DIRECTOR 6 ESQUIRE AVE. WARWICK, RI 02889 USA
TIFFANY MCCLANAGHAN DIRECTOR 142 WHITFORD STREET WAKEFIELD, RI 02879 USA

PRESIDENT

Name Role Address
DMITRY ZAGADSKY PRESIDENT 51 MULBERRY SOUTH KINGSTOWN, RI 02879 USA

TREASURER

Name Role Address
LAUREN NKWOCHA TREASURER 225 SPRING STREET CRANSTON, RI 02910 USA

SECRETARY

Name Role Address
KRISTEN YAGOOBIAN SECRETARY 608 KETTLE POND DR. WAKEFIELD, RI 02879 USA

VICE PRESIDENT

Name Role Address
LAUREN NKWOCHA VICE PRESIDENT 225 SPRING STREET CRANSTON, RI 02910 USA

Filings

Number Name File Date
202452953330 Annual Report 2024-04-29
202327963280 Annual Report 2023-02-09
202225171200 Annual Report 2022-12-13
202225170320 Reinstatement 2022-12-13
202224055060 Revocation Certificate For Failure to File the Annual Report for the Year 2022-10-13
202220472050 Revocation Notice For Failure to File An Annual Report 2022-06-28
202198736640 Annual Report 2021-06-28
202043242160 Annual Report 2020-06-24
202032994540 Statement of Change of Registered/Resident Agent Office 2020-01-24
201999794310 Annual Report - Amended 2019-06-27

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
S358A117358 Department of Education 84.358 - RURAL EDUCATION 2011-07-01 2012-09-30 APPLICATION FOR SMALL, RURAL SCHOOL ACHIEVEMENT PROGRAM
Recipient KINGSTON HILL ACADEMY
Recipient Name Raw KINGSTON HILL ACADEMY
Recipient UEI CWLAZN4R7BE7
Recipient DUNS 119452535
Recipient Address 850 STONY FORT RD, SAUNDERSTOWN, WASHINGTON, RHODE ISLAND, 02874-1003, UNITED STATES
Obligated Amount 21286.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
S358A107358 Department of Education 84.358 - RURAL EDUCATION 2010-07-01 2011-09-30 APPLICATION FOR SMALL RURAL SCHOOL ACHIEVEMENT PROGRAM
Recipient KINGSTON HILL ACADEMY
Recipient Name Raw KINGSTON HILL ACADEMY
Recipient UEI CWLAZN4R7BE7
Recipient DUNS 119452535
Recipient Address 850 STONY FORT RD, SAUNDERSTOWN, WASHINGTON, RHODE ISLAND, 02874-1003, UNITED STATES
Obligated Amount 23660.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
S358A097358 Department of Education 84.358 - RURAL EDUCATION 2009-07-01 2010-09-30 APPLICATION FOR SMALL RURAL SCHOOL ACHIEVEMENT PROGRAM
Recipient KINGSTON HILL ACADEMY
Recipient Name Raw KINGSTON HILL ACADEMY
Recipient UEI CWLAZN4R7BE7
Recipient DUNS 119452535
Recipient Address 850 STONY FORT RD, SAUNDERSTOWN, RHODE ISLAND, 02874-1003, UNITED STATES
Obligated Amount 22645.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
S358A087358 Department of Education 84.358 - RURAL EDUCATION 2008-07-01 2009-09-30 APPLICATION FOR SMALL RURAL SCHOOL ACHIEVEMENT PROGRAM
Recipient KINGSTON HILL ACADEMY
Recipient Name Raw KINGSTON HILL ACADEMY
Recipient UEI CWLAZN4R7BE7
Recipient DUNS 119452535
Recipient Address 850 STONY FORT RD, SAUNDERSTOWN, WASHINGTON, RHODE ISLAND, 02874-1003, UNITED STATES
Obligated Amount 23534.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
05-0520887 Corporation Unconditional Exemption 850 STONY FORT RD, SAUNDERSTOWN, RI, 02874-1003 2003-05
In Care of Name % JUNE GRODEN
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation School 170(b)(1)(A)(ii)
Tax Period 2023-06
Asset 10,000,000 to 49,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 10294693
Income Amount 5373002
Form 990 Revenue Amount 5373002
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name KINGSTON HILL ACADEMY
EIN 05-0520887
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name KINGSTON HILL ACADEMY
EIN 05-0520887
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name KINGSTON HILL ACADEMY
EIN 05-0520887
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name KINGSTON HILL ACADEMY
EIN 05-0520887
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name KINGSTON HILL ACADEMY
EIN 05-0520887
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name KINGSTON HILL ACADEMY
EIN 05-0520887
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name KINGSTON HILL ACADEMY
EIN 05-0520887
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name KINGSTON HILL ACADEMY
EIN 05-0520887
Tax Period 201606
Filing Type E
Return Type 990
File View File
Organization Name KINGSTON HILL ACADEMY
EIN 05-0520887
Tax Period 201606
Filing Type E
Return Type 990
File View File

Related by officers

MATTHEW R. PLAIN, ESQ.

The Highlander Charter School The Compass School Rhode Island League of Charter Schools Rhode Island Nurses Institute Middle College Charter High School Academy for Career Exploration The Engineering Early College Academy YOUTHBUILD PREPARATORY ACADEMY The Wangari Maathai Community School Rhode Island League of Charter Schools Advocacy Fund NursesMC

JOE GARCIA

MEAD PROPERTIES, LLC Utility Associates, Inc.

Related by address

850 STONY FORT ROAD, SAUNDERSTOWN, RI, 02874, USA

Kingston Hill Academy Parent Teacher Organization (KHA PTO)

Date of last update: 10 Apr 2025

Sources: Rhode Island Department of State

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