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Community Care Alliance

Company Details

Name: Community Care Alliance
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Name Reservation only
Date of Organization in Rhode Island: 18 Apr 2014 (11 years ago)
Identification Number: 000920604

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2022 2022 050312278 2023-05-05 COMMUNITY CARE ALLIANCE 236
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2022-01-01
Business code 621420
Sponsor’s telephone number 4012357000
Plan sponsor’s mailing address PO BOX 1700, WOONSOCKET, RI, 028950856
Plan sponsor’s address 800 CLINTON STREET, WOONSOCKET, RI, 02895

Number of participants as of the end of the plan year

Active participants 223

Signature of

Role Plan administrator
Date 2023-05-05
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-05
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2021 2021 050312278 2022-03-28 COMMUNITY CARE ALLIANCE 272
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2021-01-01
Business code 621420
Sponsor’s telephone number 4012357000
Plan sponsor’s mailing address PO BOX 1700, WOONSOCKET, RI, 028950856
Plan sponsor’s address 800 CLINTON STREET, WOONSOCKET, RI, 02895

Number of participants as of the end of the plan year

Active participants 240

Signature of

Role Plan administrator
Date 2022-03-28
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-28
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2021 2021 050312278 2022-03-17 COMMUNITY CARE ALLIANCE 272
Three-digit plan number (PN) 502
Effective date of plan 2021-01-01
Business code 621420
Sponsor’s telephone number 4012357000
Plan sponsor’s mailing address PO BOX 1700, WOONSOCKET, RI, 028950856
Plan sponsor’s address 800 CLINTON STREET, WOONSOCKET, RI, 02895

Number of participants as of the end of the plan year

Active participants 240

Signature of

Role Plan administrator
Date 2022-03-17
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-17
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2020 2020 050312278 2021-07-19 COMMUNITY CARE ALLIANCE 290
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2020-01-01
Business code 621420
Sponsor’s telephone number 4012357000
Plan sponsor’s mailing address PO BOX 1700, WOONSOCKET, RI, 028950856
Plan sponsor’s address 800 CLINTON STREET, WOONSOCKET, RI, 02895

Number of participants as of the end of the plan year

Active participants 268

Signature of

Role Plan administrator
Date 2021-07-19
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2019 050312278 2020-07-27 COMMUNITY CARE ALLIANCE 299
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2019-01-01
Business code 621420
Sponsor’s telephone number 4012357000
Plan sponsor’s mailing address PO BOX 1700, WOONSOCKET, RI, 028950856
Plan sponsor’s address 800 CLINTON STREET, WOONSOCKET, RI, 02895

Plan administrator’s name and address

Administrator’s EIN 050312278
Plan administrator’s name COMMUNITY CARE ALLIANCE
Plan administrator’s address PO BOX 1700, WOONSOCKET, RI, 028950856
Administrator’s telephone number 4012357000

Number of participants as of the end of the plan year

Active participants 289

Signature of

Role Plan administrator
Date 2020-07-27
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-27
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2018 050312278 2019-07-31 COMMUNITY CARE ALLIANCE 278
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2018-01-01
Business code 621420
Sponsor’s telephone number 4012357000
Plan sponsor’s mailing address PO BOX 1700, WOONSOCKET, RI, 028950856
Plan sponsor’s address 800 CLINTON STREET, WOONSOCKET, RI, 02895

Plan administrator’s name and address

Administrator’s EIN 050312278
Plan administrator’s name COMMUNITY CARE ALLIANCE
Plan administrator’s address PO BOX 1700, WOONSOCKET, RI, 028950856
Administrator’s telephone number 4012357000

Number of participants as of the end of the plan year

Active participants 305

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-31
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2017 050312278 2018-07-05 COMMUNITY CARE ALLIANCE 222
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2017-01-01
Business code 621420
Sponsor’s telephone number 4012357000
Plan sponsor’s mailing address PO BOX 1700, WOONSOCKET, RI, 028950856
Plan sponsor’s address 800 CLINTON STREET, WOONSOCKET, RI, 02895

Number of participants as of the end of the plan year

Active participants 301

Signature of

Role Plan administrator
Date 2018-07-05
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2016 050312278 2017-06-27 COMMUNITY CARE ALLIANCE 299
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2016-01-01
Business code 621420
Sponsor’s telephone number 4012357000
Plan sponsor’s mailing address PO BOX 1700, WOONSOCKET, RI, 028950856
Plan sponsor’s address 800 CLINTON STREET, WOONSOCKET, RI, 02895

Number of participants as of the end of the plan year

Active participants 258

Signature of

Role Plan administrator
Date 2017-06-27
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-27
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2015 050312278 2016-07-19 COMMUNITY CARE ALLIANCE 316
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2015-01-01
Business code 621420
Sponsor’s telephone number 4012357000
Plan sponsor’s mailing address PO BOX 1700, WOONSOCKET, RI, 028950856
Plan sponsor’s address 800 CLINTON STREET, WOONSOCKET, RI, 02895

Number of participants as of the end of the plan year

Active participants 379

Signature of

Role Plan administrator
Date 2016-07-19
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-19
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE ALLIANCE WELFARE BENEFITS PLAN 2014 050312278 2015-07-31 COMMUNITY CARE ALLIANCE 301
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2014-01-01
Business code 621420
Sponsor’s telephone number 4012357000
Plan sponsor’s mailing address P.O. BOX 1700, WOONSOCKET, RI, 02895
Plan sponsor’s address 800 CLINTON STREET, WOONSOCKET, RI, 02895

Number of participants as of the end of the plan year

Active participants 281

Signature of

Role Plan administrator
Date 2015-07-31
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-31
Name of individual signing RITA GANDHI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NRI COMMUNITY SERVICES, INC. Agent 800 CLINTON STREET P.O. BOX 1700, WOONSOCKET, RI, 02895, USA

Filings

Number Name File Date
201438322760 Reservation of Entity Name 2014-04-18

Date of last update: 18 Oct 2024

Sources: Rhode Island Department of State