| 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 (11 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 |
| County: | Washington County |
| Principal Address: | TWO ELM STREET, WESTERLY, RI, 02891, USA |
| 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. |
| NAICS: | 813920 - Professional Organizations |
| Name | Role | Address |
|---|---|---|
| CHARLES SOLOVEITZIK | Agent | TWO ELM STREET, WESTERLY, RI, 02891, USA |
| Name | Role | Address |
|---|---|---|
| TIMOTHY OLSON MD | SECRETAR/TREASURER | 3 HIGH RIDGE DRIVE PAWCATUCK, CT 06379 USA |
| Name | Role | Address |
|---|---|---|
| DAVID CAMERON MD | PRESIDENT | 2 SEQUAN RD WESTERLY, RI 02891 USA |
| Name | Role | Address |
|---|---|---|
| RACHEL MCCORMICK MD | VICE-PRESIDENT | 98 WAMPAHASSUC RD STONINGTON, CT 06378 USA |
| 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 |
| 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 |
| 201602351970 | Annual Report | 2016-07-19 |
| 201562393360 | Annual Report | 2015-06-02 |
| 201441309800 | Annual Report | 2014-06-17 |
| 201329116650 | Articles of Incorporation | 2013-10-03 |
Date of last update: 18 Oct 2024
Sources: Rhode Island Department of State
