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PACE Organization of Rhode Island

Company Details

Name: PACE Organization of Rhode Island
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 27 Aug 2004 (21 years ago)
Identification Number: 000142328
ZIP code: 02915
County: Providence County
Principal Address: 10 TRIPPS LANE, RIVERSIDE, RI, 02915, USA
Purpose: TO PROVIDE CARE AND SERVICES TO THE ELDERLY
Fictitious names: Savory Fare (trading name, 2023-04-26 - 2023-05-02)
PACE-RI (trading name, 2022-06-01 - )
Adult Day Center of Westerly (trading name, 2013-07-01 - )
Pace Organization of Rhode Island (trading name, 2005-04-13 - )
Historical names: CareLink Pace Organization
Pace Organization of Rhode Island

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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083690044 2005-12-21 2024-07-09 10 TRIPPS LANE, RIVERSIDE, RI, 02915, US 10 TRIPPS LANE, RIVERSIDE, RI, 02915, US

Contacts

Phone +1 401-654-4789
Fax 4016544660

Authorized person

Name CRAIG MCANAUGH
Role CFO
Phone 4014341400

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary No
Taxonomy Code 261QA0600X - Adult Day Care Clinic/Center
Is Primary No
Taxonomy Code 302F00000X - Exclusive Provider Organization
License Number 19
State RI
Is Primary Yes

Other Provider Identifiers

Issuer PACE DHS CONTRACT #
Number H4105

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PACE ORGANIZATION OF RI 403(B) PLAN 2023 300297335 2024-05-17 PACE ORGANIZATION OF RHODE ISLAND 174
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524140
Sponsor’s telephone number 4014341400
Plan sponsor’s address 10 TRIPPS LANE, RIVERSIDE, RI, 029153014

Signature of

Role Plan administrator
Date 2024-05-17
Name of individual signing CRAIG MCANAUGH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-17
Name of individual signing CRAIG MCANAUGH
Valid signature Filed with authorized/valid electronic signature
PACE ORGANIZATION OF RHODE ISLAND BENEFITS PLAN 2017 300297335 2018-07-30 PACE ORGANIZATION OF RHODE ISLAND 159
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-01-01
Business code 624100
Sponsor’s telephone number 4014906566
Plan sponsor’s mailing address 225 CHAPMAN ST, PROVIDENCE, RI, 02905
Plan sponsor’s address 225 CHAPMAN ST, PROVIDENCE, RI, 02905

Number of participants as of the end of the plan year

Active participants 172

Signature of

Role Plan administrator
Date 2018-07-30
Name of individual signing LYNDA GILBERT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOAN KWIATKOWSKI Agent 10 TRIPPS LANE, RIVERSIDE, RI, 02915, USA

DIRECTOR

Name Role Address
JAYNE PAWASAUSKAS DIRECTOR 65 PARTRIDGE RUN . EAST GREENWICH, RI 02818 USA
MITCHELL WICE DIRECTOR 128 DORSET ROAD WABAN , MA 02468 USA
ELLEN MCCREEDY DIRECTOR 19 TARIS STREET PAWTUCKET, RI 02860 USA
MARIE GANIM DIRECTOR 14 MITRIS BLVD LINCOLN, RI 02865 USA
YASIN ABUL DIRECTOR 12 TOWNSEND ST BARRINGTON, RI 02806 USA
ELLEN MCGOUGH DIRECTOR 25 W INDEPENDENCE WAY KINGSTON, RI 02881 USA
MEGAN HERNE DIRECTOR 35 MADISON ST. WARWICK , RI 02888 USA
CANDIDUS NWAKASI DIRECTOR 25 PAPER CHASE SOUTH WINDSOR, CT 06074 USA
EDWARD DAREZZO DIRECTOR 72 ASHBURTON DRIVE CRANSTON, RI 02921 USA
WHITNEY MILLS DIRECTOR 1402 PINEWOOD DRIVE SMITHFIELD, RI 02917 USA

SECRETARY OF CLERK

Name Role Address
DAVID DEJESUS SECRETARY OF CLERK 222 EDMOUND DR. NORTH KINGSTOWN, RI 02852 USA

TREASURER

Name Role Address
KIM DENNY TREASURER 4 ST. MICHAELS CT. RUMFORD , RI 02916 USA

VICE PRESIDENT

Name Role Address
DALISSA KELLY VICE PRESIDENT 51 WILLOWTREE LANE MIDDLEBORO, MA 02346 USA

PRESIDENT

Name Role Address
DANIELLE KOPF PRESIDENT 3 LAKESIDE DRIVE NARRAGANSETT, RI 02882 USA

Events

Type Date Old Value New Value
Name Change 2017-01-18 Pace Organization of Rhode Island PACE Organization of Rhode Island
Name Change 2017-01-17 CareLink Pace Organization Pace Organization of Rhode Island
Merged 2013-07-01 Adult Day Center of Westerly Inc. on PACE Organization of Rhode Island

Filings

Number Name File Date
202445532760 Annual Report 2024-02-05
202335141010 Statement of Abandonment of Use of Fictitious Business Name 2023-05-02
202334102760 Fictitious Business Name Statement 2023-04-26
202327080590 Annual Report 2023-02-01
202218070710 Fictitious Business Name Statement 2022-06-01
202213295460 Annual Report 2022-03-23
202107282910 Statement of Change of Registered/Resident Agent Office 2021-12-20
202198071480 Annual Report 2021-06-09
202043212190 Annual Report 2020-06-24
201993872870 Annual Report 2019-05-22

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
30-0297335 Corporation Unconditional Exemption 10 TRIPPS LN, RIVERSIDE, RI, 02915-3014 2005-04
In Care of Name % JOAN KWIATKOWSKI
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 normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-06
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 23595841
Income Amount 42783793
Form 990 Revenue Amount 42783793
National Taxonomy of Exempt Entities Health Care: Nursing, Convalescent Facilities
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 PACE ORGANIZATION OF RHODE ISLAND
EIN 30-0297335
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name PACE ORGANIZATION OF RHODE ISLAND
EIN 30-0297335
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name PACE ORGANIZATION OF RHODE ISLAND
EIN 30-0297335
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name PACE ORGANIZATION OF RHODE ISLAND
EIN 30-0297335
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name PACE ORGANIZATION OF RHODE ISLAND
EIN 30-0297335
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name CARELINK PACE ORGANIZATION
EIN 30-0297335
Tax Period 201606
Filing Type E
Return Type 990
File View File

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State