| 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| Status: | Withdrawn |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 (3 years ago) |
| Date of Status Change: | 26 Aug 2021 (3 years ago) |
| Identification Number: | 000791702 |
| Principal Address: | 11400 TOMAHAWK CREEK PKY, LEAWOOD, KS, 66211, USA |
| Purpose: | TO CREATE A COMPREHENSIVE STATE HEALTH PLAN |
| NAICS: | 813920 - Professional Organizations |
| Name | Role | Address |
|---|---|---|
| NATIONAL REGISTERED AGENTS, INC. | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| ADA STEWART MD | PRESIDENT | 1313 ASHLAND DR. COLUMBIA, SC 29229 USA |
| Name | Role | Address |
|---|---|---|
| CHARLOTTE KERNER | TREASURER | 11400 TOMAHAWK CREEK PARKWAY LEAWOOD, KS 66211 USA |
| Name | Role | Address |
|---|---|---|
| ALAN SCHWARTZSTEIN MD | SPEAKER | 753 N MAIN ST. OREGON, WI 53575 US |
| Name | Role | Address |
|---|---|---|
| MICHAEL SMITH | VP/CIO | 11400 TOMAHAWK CREEK PKY LEAWOOD, KS 66211 US |
| Name | Role | Address |
|---|---|---|
| HOLLY MCCOY | CHCO | 11400 TOMAHAWK CREEK PKY LEAWOOD, KS 66211 US |
| Name | Role | Address |
|---|---|---|
| RUSSELL KOHL MD | VICE SPEAKER | 18005 CANTERBURY DR STILWELL, KS 66085 US |
| Name | Role | Address |
|---|---|---|
| DANIEL CARTER MD | NEW PHYSICIAN DIRECTOR | 2627 RIVERSIDE AVE. JACKSONVILLE, FL 32204 USA |
| Name | Role | Address |
|---|---|---|
| GARY LEROY MD | BOARD CHAIR | 3640 COL GLENN HWY, 190 V WHITE HALL DAYTON, OH 45435 USA |
| Name | Role | Address |
|---|---|---|
| ANNA ASKARI MD | RESIDENT DIRECTOR | 39000 BOB HOPE DR. RANCHO MIRAGE, CA 92270 USA |
| Name | Role | Address |
|---|---|---|
| CYNTHIA CICCOTELLI | STUDENT DIRECTOR | 1487 LAURIE LN. YARDLEY, PA 19067 USA |
| 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 |
| Name | Role | Address |
|---|---|---|
| SHANNON SCOTT | AUTHORIZED REPRESENTATIVE | 11400 TOMAHAWK CREEK PARKWAY LEAWOOD, KS 66211 USA |
| Name | Role | Address |
|---|---|---|
| HEATHER LEITH | SVP/GENERAL COUNSEL | 11400 TOMAHAWK CREEK PARKWAY LEAWOOD, KS 66211 USA |
| Name | Role | Address |
|---|---|---|
| STERLING RANSONE MD | PRESIDENT ELECT | 16681 GENERAL PULLER HWY DELTAVILLE, VA 23043 USA |
| Name | Role | Address |
|---|---|---|
| R. SHAWN MARTIN | CEO/EVP | 11400 TOMAHAWK CREEK PKY LEAWOOD, KS 66211 USA |
| 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 |
| 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 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
