PDF document

- 1 -

!
State of Rhode Island This legal document
Department of State - Business Services Division should be typed.
All illegible
documents
Instructions for Filing will be REJECTED.
Annual Report for a Non-Profit Corporation
Section 7-6-90 of the General Laws of Rhode Island, 1956, as amended
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision.
This form and the information provided are not substitutes for the advice and services of an attorney and/or tax specialist.
All filings are public records under RIGL 38-2-1, et seq. This means all information is available to the public by a variety of methods includ-
ing, without limitations, inspections at our office, telephone inquiries and electronically through our online database.

How to complete the form: How to pay the filing fee:
1. List the entity’s ID number. The ID number can be found The filing fee is payable either by mail via check made
by looking up your entity in the Corporate Database. payable to RI Department of State or in person via cash,
Please include this number on your check and refer to it credit card, or check at the Business Services Division, 148
in any future correspondence or filings with the Business W. River Street, Ste. 1, Providence, RI 02904. Contact our
Services Division. office at (401) 222-3040 for further information.
2. List the name of the corporation. The entity name can
be verified through our Corporate Database. If the entity How to confirm your filing:
name has changed an amendment, form 201 or form
251, must be filed with this office. Electronic filing is Entity records are retrievable and viewable through our
available. website. Successful filings will NOT result in a mailed
confirmation. Filings that cannot be processed will be posted
3. List the state or country of incorporation. online and then returned. To confirm your submission and
4. Enter the six digit NAICS code that describes the primary obtain evidence of your filing:
type of business in which the entity engages. Download • Go to our Corporate Database.
our NAICS Code List.
• Enter the name or ID number of your entity and click
5. Provide a brief statement of the character of business in “Search.”
which the entity is actually engaged in this state. If the • Click on the link to your entity record, scroll down,
entity is inactive, this section must still be completed. select “All Filings” and then “View Filing.”
6. List the address of the principal office of the entity. • Identify the desired type of filing and click on “PDF”
7. List the names and respective addresses of the officers under “View PDF” to view and print the record.
of the corporation. Do not leave areas blank. If the
answer is none, write “none.” If additional space is How to maintain your status:
needed, check the box and include the entity ID number
on the attachment. The entity is responsible for filing an annual report each
calendar year, excluding the year of incorporation, between
8. List the names and respective addresses of the directors February 1 and May 1. A courtesy reminder will be mailed
of the corporation. Do not leave areas blank. If the to the registered agent prior to February 1 of each year. Be
answer is none, write “none.” If a domestic corporation, sure to follow up with your registered agent concerning the
the number of directors of the corporation shall NOT BE filing of this report. Failure to file an annual report or maintain
LESS THAN THREE (3). If additional space is needed, a registered agent/office will result in revocation proceedings.
check the box and include the entity ID number on the
attachment. Every entity registered with the RI Department of State -
9. The corporation’s registered agent is of record in this Business Services Division will have filing requirements with
office and can be found on the entity summary screen the Rhode Island Division of Taxation, even if no business
in our Corporate Database. If the registered address is conducted within Rhode Island for a particular year. Your
has changed, a Statement of Change of Registered business may require additional licensing. Please visit our
Agent/Office, form 641 must be filed. Electronic filing is website for further information.
available.
10. An Officer/Authorized Representative MUST sign and
date the form.

FORM 631- Revised: 04/2023

- 2 -

        State of Rhode Island
        Department of State - Business Services Division
                                                                                                                                                                   STAMP
Annual Report for the year:
                                                                                                                                                                   FOR
Non-Profit Corporation                                                                                                                                             SECRETARY OF STATE 
                                                                                                                                                                   USE ONLY
        Filing period: February 1 - May 1  
        Filing Fee:  $20.00             
        Penalty:  Additional $25.00 fee if form is not filed by May 31.
1. Entity ID Number                        2. Exact name of the Corporation

3. State of Incorporation                  5. Brief description of the character of business conducted in Rhode Island

4. NAICS Code

6. Principal Office Address                                                City                                                                              State    Zip

7. List ALL officers (names and addresses)                                                                                        Check the box to indicate an attachment
President Name                                                             Vice-President Name

Street Address                                                             Street Address

City                                       State        Zip                City                                                                              State    Zip

Secretary Name                                                             Treasurer Name

Street Address                                                             Street Address

City                                       State        Zip                City                                                                              State    Zip

8. List ALL directors (names and addresses). RI Corporations MUST list at least THREE directors. 
                                                                                                                                                             Check the box to indicate an attachment
Director Name                                                              Director Name

Street Address                                                             Street Address

City                                       State        Zip                City                                                                              State    Zip

Director Name                                                              Director Name

Street Address                                                             Street Address

City                                       State        Zip                City                                                                              State    Zip

9. The Registered Agent information of record with the RI Department of State is accurate. Changes require filing Form 641.
Under penalty of perjury, I declare and affirm that I have examined this report, including any accompanying schedules and 
statements, and that all statements contained herein are true and correct.
This report must be signed by either the President, Vice-President, Secretary, Assistant Secretary, Treasurer, duly Authorized Representative, Receiver or Trustee.
Name of Officer/Authorized Representative                                                                                                                    Date

Signature of Officer/Authorized Representative

MAIL TO:
Division of Business Services
148 W. River Street, Providence, Rhode Island 02904-2615
Phone: (401) 222-3040 
Website: www.sos.ri.gov 
                                                                                                                                                             FORM 631- Revised: 04/2023

- 3 -

            State of Rhode Island
            Department of State - Business Services Division
The Department of State tracks the number of new business filings on a quarterly and an annual basis. 
We are seeking more information from non-profit corporations and hope these four voluntary questions will help us better 
present useful trends and information on the health of our economy:

Entity ID Number:                 Name of the Non- Profit Corporation:

1. How many full-time employees does the non-profit have:

           0
           1-5
           6-50
           51-200
           201-500
           Over 500

2. How many volunteers does the non-profit have:

           0
           1-5
           6-50
           51-200
           201-500
           Over 500

3. What was the non-profit’s operating budget for the past year:

           $0-$50,000
           $51,000-$250,000
           $251,000-$500,000
           $501,000-$1,000,000
           Over $1,000,000

4. Identify the funding sources that contributed to the non-profit’s operating budget for the past year:

           Federal Grants
           State Grants
           Donations
           Fee-for-service
           Fundraising

Please note that all records maintained by or kept on file by the Department of State shall be public 
records unless exempt from disclosure in accordance with RIGL 38-2 Access to Public Records.

MAIL TO:
Division of Business Services
148 W. River Street, Providence, Rhode Island 02904-2615
Phone: (401) 222-3040 
Website: www.sos.ri.gov 
                                                                                                        FORM 631- Revised: 04/2023

- 4 -

        State of Rhode Island
        Department of State - Business Services Division

Filer Contact Information
        
In the event our office needs more information in order to complete the filing of this document, we ask 
for the filer’s contact information. All fields are REQUIRED.

Name:                                                               Date:

Entity Name:

Street Address:

City:                                                        State: Zip Code:

Email Address:                                                      Phone Number:

If you have any questions, please call us at (401) 222-3040, Monday 
through Friday, between 8:30 a.m. and 4:30 p.m., or email 
corporations@sos.ri.gov.
                                                                         FORM 631- Revised: 04/2023

PDF file checksum: 3995114215

(Plugin #1/9.12/13.0)