| 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 (9 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. |
| Fictitious names: |
Pediatric Division of the Short Bowel Syndrome Foundation, Inc. (trading name, 2016-08-19 - ) PDSBSF, Inc. (trading name, 2016-08-19 - ) |
NAICS
624190 Other Individual and Family ServicesThis industry comprises establishments primarily engaged in providing nonresidential individual and family social assistance services (except those specifically directed toward children, the elderly, persons diagnosed with intellectual and developmental disabilities, or persons with disabilities). Learn more at the U.S. Census Bureau
| 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
