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AMERICAN ACADEMY OF FAMILY PHYSICIANS

Company Details

Name: AMERICAN ACADEMY OF FAMILY PHYSICIANS
Jurisdiction: Rhode Island
Entity type: Foreign Non-Profit Corporation
Status: Withdrawn
Date of Organization in Rhode Island: 13 Jul 2012 (13 years ago)
Date of Dissolution: 26 Aug 2021 (4 years ago)
Date of Status Change: 26 Aug 2021 (4 years ago)
Identification Number: 000791702
Principal Address: 11400 TOMAHAWK CREEK PKY, LEAWOOD, KS, 66211, USA
Purpose: TO CREATE A COMPREHENSIVE STATE HEALTH PLAN

Industry & Business Activity

NAICS

813920 Professional Organizations

This industry comprises establishments primarily engaged in promoting the professional interests of their members and the profession as a whole. These establishments may conduct research; develop statistics; sponsor quality and certification standards; lobby public officials; or publish newsletters, books, or periodicals for distribution to their members. Learn more at the U.S. Census Bureau

Agent

Name Role Address
NATIONAL REGISTERED AGENTS, INC. Agent 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA

PRESIDENT

Name Role Address
ADA STEWART MD PRESIDENT 1313 ASHLAND DR. COLUMBIA, SC 29229 USA

TREASURER

Name Role Address
CHARLOTTE KERNER TREASURER 11400 TOMAHAWK CREEK PARKWAY LEAWOOD, KS 66211 USA

SPEAKER

Name Role Address
ALAN SCHWARTZSTEIN MD SPEAKER 753 N MAIN ST. OREGON, WI 53575 US

VP/CIO

Name Role Address
MICHAEL SMITH VP/CIO 11400 TOMAHAWK CREEK PKY LEAWOOD, KS 66211 US

CHCO

Name Role Address
HOLLY MCCOY CHCO 11400 TOMAHAWK CREEK PKY LEAWOOD, KS 66211 US

VICE SPEAKER

Name Role Address
RUSSELL KOHL MD VICE SPEAKER 18005 CANTERBURY DR STILWELL, KS 66085 US

NEW PHYSICIAN DIRECTOR

Name Role Address
DANIEL CARTER MD NEW PHYSICIAN DIRECTOR 2627 RIVERSIDE AVE. JACKSONVILLE, FL 32204 USA

BOARD CHAIR

Name Role Address
GARY LEROY MD BOARD CHAIR 3640 COL GLENN HWY, 190 V WHITE HALL DAYTON, OH 45435 USA

RESIDENT DIRECTOR

Name Role Address
ANNA ASKARI MD RESIDENT DIRECTOR 39000 BOB HOPE DR. RANCHO MIRAGE, CA 92270 USA

STUDENT DIRECTOR

Name Role Address
CYNTHIA CICCOTELLI STUDENT DIRECTOR 1487 LAURIE LN. YARDLEY, PA 19067 USA

SVP

Name Role Address
STEPHANIE QUINN SVP 11400 TOMAHAWK CREEK PKY LEAWOOD, KS 66211 USA
JULIE WOOD MD SVP 11400 TOMAHAWK CREEK PARKWAY LEAWOOD, KS 66211 USA

AUTHORIZED REPRESENTATIVE

Name Role Address
SHANNON SCOTT AUTHORIZED REPRESENTATIVE 11400 TOMAHAWK CREEK PARKWAY LEAWOOD, KS 66211 USA

SVP/GENERAL COUNSEL

Name Role Address
HEATHER LEITH SVP/GENERAL COUNSEL 11400 TOMAHAWK CREEK PARKWAY LEAWOOD, KS 66211 USA

PRESIDENT ELECT

Name Role Address
STERLING RANSONE MD PRESIDENT ELECT 16681 GENERAL PULLER HWY DELTAVILLE, VA 23043 USA

CEO/EVP

Name Role Address
R. SHAWN MARTIN CEO/EVP 11400 TOMAHAWK CREEK PKY LEAWOOD, KS 66211 USA

DIRECTOR

Name Role Address
JENNIFER BRULL MD DIRECTOR 1210 N WASHINGTON ST. SUITE B PLAINVILLE, KS 67663 USA
MARY CAMPAGNOLO MD DIRECTOR 3242 ROUTE 206 BLDG A BORDENTOWN, NJ 08505 USA
TODD SHAFFER MD DIRECTOR 7900 LEE'SUMMIT RD. KANSAS CITY, MO 64139 USA
TOCHI IROKU-MALIZE MD DIRECTOR 17 NORTH MONTGOMERY AVENUE BAY SHORE, NY 11706 US
ANDREW CARROLL DIRECTOR 333 N DOBSON RD STE 15 CHANDLER, AZ 85224 USA
STEVEN FURR DIRECTOR PO BOX 767 JACKSON,, AL 36545 USA
MARGOT SAVOY DIRECTOR 5 OGDEN CT MEDIA, PA 19063 USA
JAMES ELLZY MD DIRECTOR 3214 10ST ST NE WASHINGTON, DC 20017 US
DENNIS GINGRICH MD DIRECTOR 500 UNIVERSITY DR. HERSHEY, PA 17033 US

Filings

Number Name File Date
202100053210 Application for Certificate of Withdrawal 2021-08-26
202197360800 Annual Report 2021-06-02
202040944850 Annual Report 2020-05-27
201995594590 Annual Report 2019-06-06
201872741110 Annual Report 2018-07-23
201745483990 Annual Report 2017-06-12
201698873370 Annual Report 2016-05-12
201561472570 Annual Report 2015-05-06
201438877990 Annual Report 2014-05-13
201325794410 Annual Report 2013-07-10

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
05-6015705 Corporation Unconditional Exemption 225 DYER ST 2ND FL, PROVIDENCE, RI, 02903-3927 1950-02
In Care of Name % MARC BIALEK RIMS
Group Exemption Number 1077
Subsection Board of Trade, Business League, Chamber of Commerce, Real Estate Board
Affiliation Subordinate - This code is used if the organization is a subordinate in a group ruling.
Classification Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
Deductibility Contributions are not deductible.
Foundation All organizations except 501(c)(3)
Tax Period 2023-12
Asset 25,000 to 99,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 85746
Income Amount 111061
Form 990 Revenue Amount 111061
National Taxonomy of Exempt Entities -
Sort Name RHODE ISLAND CHAPTER

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name AMERICAN ACADEMY OF FAMILY PHYSICIANS RI CHAPTER
EIN 05-6015705
Tax Period 202112
Filing Type E
Return Type 990EO
File View File
Organization Name AMERICAN ACADEMY OF FAMILY PHYSICIANS RI CHAPTER
EIN 05-6015705
Tax Period 201912
Filing Type E
Return Type 990EO
File View File
Organization Name AMERICAN ACADEMY OF FAMILY PHYSICIANS RI CHAPTER
EIN 05-6015705
Tax Period 201812
Filing Type E
Return Type 990EO
File View File
Organization Name AMERICAN ACADEMY OF FAMILY PHYSICIANS
EIN 05-6015705
Tax Period 201712
Filing Type E
Return Type 990EO
File View File
Organization Name AMERICAN ACADEMY OF FAMILY PHYSICIANS
EIN 05-6015705
Tax Period 201612
Filing Type E
Return Type 990EO
File View File
Organization Name AMERICAN ACADEMY OF FAMILY PHYSICIANS
EIN 05-6015705
Tax Period 201512
Filing Type E
Return Type 990EO
File View File

Date of last update: 17 Oct 2024

Sources: Rhode Island Department of State