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  5. Community Provider Network of Rhode Island

Community Provider Network of Rhode Island

Company Details

Name: Community Provider Network of Rhode Island
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 29 Jun 2004 (21 years ago)
Identification Number: 000141129
ZIP code: 02852
County: Washington County
Principal Address: 1130 TEN ROD ROAD SUITE F101, NORTH KINGSTOWN, RI, 02852, USA
Purpose: TO ORGANIZE INFORMATION AND RESOURCES AND STRENGTHEN COMMUNICATION AND KNOWLEDGE SHARING AMONG THE MEMBER AGENCIES ON ISSUES OF COMMON INTERET AND CONCERN
Fictitious names: PRB (trading name, 2004-06-29 - )
OSARR (trading name, 2004-06-29 - )
Ocean State Association of Residential Resources (trading name, 2004-06-29 - )
Provider Resources & Benefits (trading name, 2004-06-29 - )
Historical names: OSARR/PRB

Industry & Business Activity

NAICS

624120 Services for the Elderly and Persons with Disabilities

This industry comprises establishments primarily engaged in providing nonresidential social assistance services to improve the quality of life for the elderly, persons diagnosed with intellectual and developmental disabilities, or persons with disabilities. These establishments provide for the welfare of these individuals in such areas as day care, non-medical home care or homemaker services, social activities, group support, and companionship. Learn more at the U.S. Census Bureau

Companies doing Services for the elderly and persons with disabilities

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN FOR EMPLOYEES OF COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 2023 050417016 2024-07-29 COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 624100
Sponsor’s telephone number 4017737771
Plan sponsor’s address 110 JEFFERSON BLVD STE A, WARWICK, RI, 028883854

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing TINA SPEARS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 2021 050417016 2022-10-06 COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 624100
Sponsor’s telephone number 4017737771
Plan sponsor’s address 110 JEFFERSON BLVD STE A, WARWICK, RI, 028883854

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing TINA SPEARS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 2020 050417016 2021-07-16 COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 624100
Sponsor’s telephone number 4017737771
Plan sponsor’s address 110 JEFFERSON BLVD STE A, WARWICK, RI, 028883854

Signature of
Role Plan administrator
Date 2021-07-16
Name of individual signing TINA SPEARS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 2019 050417016 2020-07-13 COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 624100
Sponsor’s telephone number 4017737771
Plan sponsor’s address 110 JEFFERSON BLVD STE A, WARWICK, RI, 028883854

Signature of
Role Plan administrator
Date 2020-07-13
Name of individual signing TINA SPEARS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 2018 050417016 2019-08-28 COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 624100
Sponsor’s telephone number 4017737771
Plan sponsor’s address 110 JEFFERSON BLVD STE A, WARWICK, RI, 028883854

Signature of
Role Plan administrator
Date 2019-08-28
Name of individual signing TINA SPEARS
Valid signature Filed with authorized/valid electronic signature
403 B THRIFT PLAN OF COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 2017 050417016 2018-06-15 COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 624100
Sponsor’s telephone number 4017737771
Plan sponsor’s address 110 JEFFERSON BLVD STE A, WARWICK, RI, 028883854

Signature of
Role Plan administrator
Date 2018-06-15
Name of individual signing DONNA MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-15
Name of individual signing DONNA MARTIN
Valid signature Filed with authorized/valid electronic signature
403 B THRIFT PLAN OF COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 2016 050417016 2017-09-05 COMMUNITY PROVIDER NETWORK OF RHODE ISLAND 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 624100
Sponsor’s telephone number 4017737771
Plan sponsor’s address 110 JEFFERSON BLVD STE A, WARWICK, RI, 028883854

Signature of
Role Plan administrator
Date 2017-09-05
Name of individual signing DONNA MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-05
Name of individual signing DONNA MARTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TINA SPEARS Agent 1130 TEN ROD ROAD SUITE F101, NORTH KINGSTOWN, RI, 02852, USA

TREASURER

Name Role Address
CASEY GARTLAND TREASURER 158 KNIGHT STREET WARWICK, RI 02886 USA

PRESIDENT

Name Role Address
LIZ WIEDENHOFER PRESIDENT 490 METACOM AVENUE, UNIT 9 BRISTOL, RI 02809 USA

SECRETARY

Name Role Address
CARRIE MIRANDA SECRETARY 438 E MAIN ROAD MIDDLETOWN, RI 02842 USA

VICE PRESIDENT

Name Role Address
MICHAEL PEARIS VICE PRESIDENT 610 MANTON AVENUE PROVIDENCE, RI 02909 USA

DIRECTOR

Name Role Address
TINA SPEARS DIRECTOR 1130 TEN ROD ROAD NORTH KINGSTOWN, RI 02852 USA
MARISSA RUFF DIRECTOR 1 ALBION ROAD, SUITE 201 LINCOLN, RI 02865 USA
RAY MEMERY DIRECTOR 33 COLLEGE HILL ROAD WARWICK, RI 02886 USA

Events

Type Date Old Value New Value
Name Change 2005-04-27 OSARR/PRB Community Provider Network of Rhode Island

Filings

Number Name File Date
202444926470 Annual Report 2024-01-29
202331069840 Annual Report 2023-03-20
202330850980 Statement of Change of Registered/Resident Agent Office 2023-03-15
202330781040 Statement of Change of Registered/Resident Agent Office 2023-03-14
202211716020 Annual Report 2022-02-23
202101837080 Annual Report 2021-09-21
202101835590 Statement of Change of Registered/Resident Agent Office 2021-09-21
202101834610 Reinstatement 2021-09-21
202100478400 Revocation Certificate For Failure to Maintain a Registered Office 2021-08-30
202198841100 Revocation Notice For Failure to Maintain a Registered Office 2021-06-30

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
05-0417016 Corporation Unconditional Exemption 1130 TEN ROD ROAD, NORTH KINGSTOWN, RI, 02852-4161 1989-01
In Care of Name % RAYMOND ROSS
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, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, 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 Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 500,000 to 999,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 599290
Income Amount 842598
Form 990 Revenue Amount 842598
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 COMMUNITY PROVIDER NETWORK OF RI
EIN 05-0417016
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY PROVIDER NETWORK OF RI
EIN 05-0417016
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY PROVIDER NETWORK OF RI
EIN 05-0417016
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY PROVIDER NETWORK OF RI
EIN 05-0417016
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY PROVIDER NETWORK OF RI
EIN 05-0417016
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY PROVIDER NETWORK OF RI
EIN 05-0417016
Tax Period 201512
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2025648000 2020-06-23 0165 PPP 110 Jefferson Boulevard, WARWICK, RI, 02888-2036
Loan Status Date 2021-02-24
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 19800
Loan Approval Amount (current) 19800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 65795
Servicing Lender Name Centreville Bank
Servicing Lender Address 1218 Main St, WEST WARWICK, RI, 02893-4827
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WARWICK, KENT, RI, 02888-2036
Project Congressional District RI-02
Number of Employees 2
NAICS code 813910
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 65795
Originating Lender Name Centreville Bank
Originating Lender Address WEST WARWICK, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 19910
Forgiveness Paid Date 2021-01-25

Related by officers

CASEY GARTLAND

WEST BAY RESIDENTIAL SERVICES, INC.

CARRIE MIRANDA

CPNRI Benefit Fund Inc.

MICHAEL PEARIS

JDC CORPORATION Rhode Island Coalition For Children & Families, Inc. Rhode Island Coalition For Children & Families Education Fund, Inc.

MARISSA RUFF

YWCA RHODE ISLAND

Related by address

No related companies by address

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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