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Jewish Collaborative Services

Company Details

Name: Jewish Collaborative Services
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 13 Jul 2017 (8 years ago)
Identification Number: 001675502
ZIP code: 02904
County: Providence County
Principal Address: 1165 NORTH MAIN STREET, PROVIDENCE, RI, 02904, USA
Purpose: TO SUSTAIN NUTURE AND STRENGTHEN THE WELL BEING OF SENIORS ADULTS CHILDREN AND FAMILIES
NAICS: 624190 - Other Individual and Family Services
Fictitious names: Jewish Home for the Aged of RI (trading name, 2019-07-26 - )
Jewish Home for the Aged of Rhode Island (trading name, 2019-07-26 - )
Jewish Home for the Aged (trading name, 2019-07-26 - )
Adoption Options (trading name, 2019-07-26 - )
Lifeline RI (trading name, 2019-07-26 - )
Home Care Solutions & Moes Chitim (trading name, 2019-07-26 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073162202 2019-09-10 2019-09-30 1165 N MAIN ST, PROVIDENCE, RI, 029045740, US 1165 N MAIN ST, PROVIDENCE, RI, 029045740, US

Contacts

Phone +1 401-331-1244

Authorized person

Name MERELISE A HITTE
Role CFO
Phone 4013311244

Taxonomy

Taxonomy Code 101Y00000X - Counselor
Is Primary No
Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No
Taxonomy Code 333300000X - Emergency Response System Companies
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEWISH COLLABORATIVE SERVICES 401(K) PLAN 2023 822962600 2024-12-10 JEWISH COLLABORATIVE SERVICES 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-07-01
Business code 813000
Sponsor’s telephone number 4013311244
Plan sponsor’s address 1165 NORTH MAIN STREET, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2024-12-10
Name of individual signing RENEE ST JOHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-12-10
Name of individual signing RENEE ST JOHN
Valid signature Filed with authorized/valid electronic signature
JEWISH COLLABORATIVE SERVICES 401(K) PLAN 2022 822962600 2024-04-02 JEWISH COLLABORATIVE SERVICES 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-07-01
Business code 813000
Sponsor’s telephone number 4013311244
Plan sponsor’s address 1165 NORTH MAIN STREET, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2024-04-02
Name of individual signing RENEE ST JOHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-02
Name of individual signing RENEE ST JOHN
Valid signature Filed with authorized/valid electronic signature
JEWISH COLLABORATIVE SERVICES 401(K) PLAN 2021 822962600 2023-01-31 JEWISH COLLABORATIVE SERVICES 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-07-01
Business code 813000
Sponsor’s telephone number 4013311244
Plan sponsor’s address 1165 NORTH MAIN STREET, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2023-01-31
Name of individual signing RENEE ST. JOHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-01-31
Name of individual signing RENEE ST. JOHN
Valid signature Filed with authorized/valid electronic signature
JEWISH COLLABORATIVE SERVICES 401(K) PLAN 2020 822962600 2022-02-28 JEWISH COLLABORATIVE SERVICES 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-07-01
Business code 813000
Sponsor’s telephone number 4013311244
Plan sponsor’s address 1165 NORTH MAIN STREET, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2022-02-28
Name of individual signing RENEE ST. JOHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-02-28
Name of individual signing RENEE ST. JOHN
Valid signature Filed with authorized/valid electronic signature
JEWISH COLLABORATIVE SERVICES 401(K) PLAN 2019 822962600 2021-03-30 JEWISH COLLABORATIVE SERVICES 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-07-01
Business code 813000
Sponsor’s telephone number 4013311244
Plan sponsor’s address 1165 NORTH MAIN STREET, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2021-03-30
Name of individual signing RENEE ST. JOHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-30
Name of individual signing RENEE ST. JOHN
Valid signature Filed with authorized/valid electronic signature
JEWISH COLLABORATIVE SERVICES 401(K) PLAN 2018 822962600 2020-04-07 JEWISH COLLABORATIVE SERVICES 86
Three-digit plan number (PN) 001
Effective date of plan 2018-07-01
Business code 813000
Sponsor’s telephone number 4013311244
Plan sponsor’s address 1165 NORTH MAIN STREET, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2020-04-07
Name of individual signing RENEE ST. JOHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-07
Name of individual signing RENEE ST. JOHN
Valid signature Filed with authorized/valid electronic signature
JEWISH COLLABORATIVE SERVICES 401(K) PLAN 2018 822962600 2020-09-03 JEWISH COLLABORATIVE SERVICES 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-07-01
Business code 813000
Sponsor’s telephone number 4013311244
Plan sponsor’s address 1165 NORTH MAIN STREET, PROVIDENCE, RI, 02906

Signature of

Role Plan administrator
Date 2020-09-03
Name of individual signing RENEE ST. JOHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-03
Name of individual signing RENEE ST. JOHN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PAMELA MORRIS Agent 1165 NORTH MAIN STREET, PROVIDENCE, RI, 02904, USA

PRESIDENT

Name Role Address
MINDY STONE PRESIDENT 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA

TREASURER

Name Role Address
CHRISTINE CANNATA TREASURER 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA

SECRETARY

Name Role Address
KAYLA ROSEN SECRETARY 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA

DIRECTOR

Name Role Address
MARILYN KATZ DIRECTOR 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA
FELICE FARBER DIRECTOR 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA
KELLEY BERKEREY DIRECTOR 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA
BONNIE RYVICKER DIRECTOR 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA
NIECIE WEINER DIRECTOR 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA
DOUG EMANUEL DIRECTOR 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA
JAMES GALKIN DIRECTOR 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA
MATTHEW BLANK DIRECTOR 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA
ROBIN ENGLE DIRECTOR 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA
MARISSA GARBER DIRECTOR 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA

VICE PRESIDENT

Name Role Address
MINNA ELLISON VICE PRESIDENT 1165 NORTH MAIN STREET PROVIDENCE, RI 02904 USA

Events

Type Date Old Value New Value
Merged 2019-06-24 Jewish Seniors Agency of Rhode Island on Jewish Collaborative Services
Merged 2019-04-01 Jewish Family Service, Inc. on Jewish Collaborative Services

Filings

Number Name File Date
202447844230 Statement of Change of Registered/Resident Agent 2024-03-05
202447832750 Annual Report 2024-03-05
202334285580 Annual Report 2023-04-27
202217787790 Annual Report 2022-05-24
202198768740 Annual Report 2021-06-29
202043885600 Annual Report 2020-06-30
201907747180 Fictitious Business Name Statement 2019-07-26
201907747270 Fictitious Business Name Statement 2019-07-26
201907747540 Fictitious Business Name Statement 2019-07-26
201907747720 Fictitious Business Name Statement 2019-07-26

Date of last update: 26 Oct 2024

Sources: Rhode Island Department of State