Entity Summary
ID Number: 001665816    
Summary for:  SHORT BOWEL SYNDROME FOUNDATION, INC.
The exact name of the Foreign Non-Profit Corporation:   SHORT BOWEL SYNDROME FOUNDATION, INC.
The fictitious name of: Pediatric Division of the Short Bowel Syndrome Foundation, Inc. was filed on 08-19-2016
The fictitious name of: PDSBSF, Inc. was filed on 08-19-2016
Entity type:   Foreign Non-Profit Corporation
Identification Number: 001665816
Date of in Rhode Island:   08-10-2016 Effective Date:   08-10-2016
Date of Revocation Certificate:   04-03-2019  
The location of the Principal Office:
         
Address: 260 LONSDALE AVENUE
City or Town, State, Zip, Country: PAWTUCKET,   RI   02860   USA
Agent Resigned:  N   Address Maintained:  Y  
The name and address of the Registered Agent:
         
Name: EDWARD G. LAWSON, JR., ESQ.
Address: 260 LONSDALE AVENUE
City or Town, State, Zip, Country: PAWTUCKET,   RI   02860   USA
The Officers and Directors of the Corporation:
TitleIndividual NameAddress
PRESIDENTJON A. VANDERHOOF, MD14080 HOSPITAL ROAD, BOYS TOWN MEDICAL CLINIC BOYS TOWN, NE 68016 USA
TREASURERLEO JABLONSKI 4850 QUARRY LEDGE ROAD ROCA, NE 68430 USA
SECRETARYROSEMARY YOUNG 14080 HOSPITAL ROAD, BOYS TOWN MEDICAL CLINIC BOYS TOWN, NE 68016 USA
DIRECTOR OF PATIENT AND PARENT ADVOCACYERWIN M. SIMMONS 11639 WILLOW PARK DR GRETNA,, NE 68028 USA
SURGICAL DIRECTORKAREEM ABU-ELMABD MDCLEVELAND CLINIC MAIN CAMPUS 9500 EUCLID AVENUE CLEVELAND,, OH 44195 USA
DIRECTORLEO JABLONSKI 4850 QUARRY LEDGE ROAD ROCA, NE 68430 USA
DIRECTORANDREW JABLONSKI 6705 MILAN DR LINCOLN, NE 68526 USA
DIRECTORROSEMARY YOUNG 14080 HOSPITAL ROAD, BOYS TOWN MEDICAL CLINIC BOYS TOWN, NE 68016 USA
DIRECTORJON A VANDERHOOF MD14080 HOSPITAL ROAD, BOYS TOWN MEDICAL CLINIC BOYS TOWN,, NE 68016 USA
DIRECTOR KAREEM ABU-ELMABD MD CLEVELAND CLINIC MAIN CAMPUS 9500 EUCLID AVENUE CLEVELAND, , OH 44195 USA
DIRECTORDONALD KIRBY MD CLEVELAND CLINIC MAIN CAMPUS MAIL CODE A51 9500 E CLEVELAND, OH 44195 USA
Purpose:
North American Industry Classification System Code(NAICS):
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