| Name: | SHORT BOWEL SYNDROME FOUNDATION, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Non-Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 10 Aug 2016 (8 years ago) |
| Date of Dissolution: | 03 Apr 2019 (6 years ago) |
| Date of Status Change: | 03 Apr 2019 (6 years ago) |
| Identification Number: | 001665816 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 260 LONSDALE AVENUE, PAWTUCKET, RI, 02860, USA |
| Purpose: | CHARITABLE, RELIGIOUS, EDUCATIONAL, SCIENTIFIC AND LITERARY PURPOSES. |
| NAICS: | 624190 - Other Individual and Family Services |
| Fictitious names: |
Pediatric Division of the Short Bowel Syndrome Foundation, Inc. (trading name, 2016-08-19 - ) PDSBSF, Inc. (trading name, 2016-08-19 - ) |
| Name | Role | Address |
|---|---|---|
| EDWARD G. LAWSON, JR., ESQ. | Agent | 260 LONSDALE AVENUE, PAWTUCKET, RI, 02860, USA |
| Name | Role | Address |
|---|---|---|
| JON A. VANDERHOOF, MD | PRESIDENT | 14080 HOSPITAL ROAD, BOYS TOWN MEDICAL CLINIC BOYS TOWN, NE 68016 USA |
| Name | Role | Address |
|---|---|---|
| LEO JABLONSKI | TREASURER | 4850 QUARRY LEDGE ROAD ROCA, NE 68430 USA |
| Name | Role | Address |
|---|---|---|
| ROSEMARY YOUNG | SECRETARY | 14080 HOSPITAL ROAD, BOYS TOWN MEDICAL CLINIC BOYS TOWN, NE 68016 USA |
| Name | Role | Address |
|---|---|---|
| ERWIN M. SIMMONS | DIRECTOR OF PATIENT AND PARENT ADVOCACY | 11639 WILLOW PARK DR GRETNA,, NE 68028 USA |
| Name | Role | Address |
|---|---|---|
| KAREEM ABU-ELMABD MD | SURGICAL DIRECTOR | CLEVELAND CLINIC MAIN CAMPUS 9500 EUCLID AVENUE CLEVELAND,, OH 44195 USA |
| Name | Role | Address |
|---|---|---|
| LEO JABLONSKI | DIRECTOR | 4850 QUARRY LEDGE ROAD ROCA, NE 68430 USA |
| ANDREW JABLONSKI | DIRECTOR | 6705 MILAN DR LINCOLN, NE 68526 USA |
| ROSEMARY YOUNG | DIRECTOR | 14080 HOSPITAL ROAD, BOYS TOWN MEDICAL CLINIC BOYS TOWN, NE 68016 USA |
| JON A VANDERHOOF MD | DIRECTOR | 14080 HOSPITAL ROAD, BOYS TOWN MEDICAL CLINIC BOYS TOWN,, NE 68016 USA |
| KAREEM ABU-ELMABD MD | DIRECTOR | CLEVELAND CLINIC MAIN CAMPUS 9500 EUCLID AVENUE CLEVELAND, , OH 44195 USA |
| DONALD KIRBY MD | DIRECTOR | CLEVELAND CLINIC MAIN CAMPUS MAIL CODE A51 9500 E CLEVELAND, OH 44195 USA |
| Number | Name | File Date |
|---|---|---|
| 201989769690 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-04-03 |
| 201985526800 | Revocation Notice For Failure to File An Annual Report | 2019-01-30 |
| 201746884390 | Annual Report | 2017-07-01 |
| 201603902360 | Fictitious Business Name Statement | 2016-08-19 |
| 201603902450 | Fictitious Business Name Statement | 2016-08-19 |
| 201603355580 | Application for Certificate of Authority | 2016-08-10 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
