Westerly Medical Foundation

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Company Details

Name:	Westerly Medical Foundation
Jurisdiction:	Rhode Island
Entity type:	Domestic Non-Profit Corporation
Status:	Revoked Entity
Date of Organization in Rhode Island:	03 Oct 2013 (12 years ago)
Date of Dissolution:	06 May 2021 (4 years ago)
Date of Status Change:	06 May 2021 (4 years ago)
Identification Number:	000842530
ZIP code:	02891
City:	Westerly
County:	Washington County
Purpose:	TO SUPPORT AND ADVANCE PROFESSIONALISM AT THE WESTERLY HOSPITAL, TO SUPPORT SYSTEMS FOR PATIENT CARE SERVICES AND ENHANCE PROFESSIONAL AND ETHICAL CONDUCT AT THE WESTERLY HOSPITAL AND/OR TO PROMOTE MEDICAL CARE IN THE WESTERLY AREA.
Principal Address:	TWO ELM STREET, WESTERLY, RI, 02891, USA

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
CHARLES SOLOVEITZIK	Agent	TWO ELM STREET, WESTERLY, RI, 02891, USA

PRESIDENT

Name	Role	Address
DAVID CAMERON MD	PRESIDENT	2 SEQUAN RD WESTERLY, RI 02891 USA

VICE-PRESIDENT

Name	Role	Address
RACHEL MCCORMICK MD	VICE-PRESIDENT	98 WAMPAHASSUC RD STONINGTON, CT 06378 USA

DIRECTOR

Name	Role	Address
GEORGE BOURGANOS MD	DIRECTOR	4 JUNIPER LANE STONINGTON, CT 06378 USA
PAMELA CONNORS MD	DIRECTOR	14 SEABURY DRIVE WESTERLY, RI 02891 USA
JOB SANDOVAL MD	DIRECTOR	8 LANCASTER ROAD WESTERLY, RI 02891 USA

SECRETAR/TREASURER

Name	Role	Address
TIMOTHY OLSON MD	SECRETAR/TREASURER	3 HIGH RIDGE DRIVE PAWCATUCK, CT 06379 USA

Filings

Number	Name	File Date
202196271080	Revocation Certificate For Failure to File the Annual Report for the Year	2021-05-06
202191742530	Revocation Notice For Failure to File An Annual Report	2021-02-17
201908683630	Annual Report	2019-07-31
201874666970	Annual Report	2018-08-16
201748102690	Annual Report	2017-07-31

Tax Exempt

Employer Identification Number (EIN) :

46-3951063

In Care Of Name:

% DR KEVIN TORRES

Classification:

Literary Organization, Social Welfare Organization, Labor Organization, Chamber of Commerce, Mutual Cooperative Telephone Co.

Ruling Date:

2014-06

National Taxonomy Of Exempt Entities:

Philanthropy, Voluntarism and Grantmaking Foundations: Private Operating Foundations

Determination Letters

Link:

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Date of last update: 14 Jul 2025

Sources: Rhode Island Department of State