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  5. The Providence Mutual Fire Insurance Company

The Providence Mutual Fire Insurance Company

Company Details

Name: The Providence Mutual Fire Insurance Company
Jurisdiction: Rhode Island
Entity type: Insurance
Status: Activ
Date of Organization in Rhode Island: 01 Oct 1800 (224 years ago)
Identification Number: 000078703
ZIP code: 02886
County: Kent County
Principal Address: 340 EAST AVENUE THE PROVIDENCE MUTUAL FIRE INSURANCE COMPANY, WARWICK, RI, 02886, USA
Purpose: OCTOBER SESSION 1800

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY PROFIT SHARING & 401(K) SAVINGS PLAN 2019 050204000 2020-05-27 PROVIDENCE MUTUAL FIRE INSURANCE COMPANY 120
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-07-05
Business code 524150
Sponsor’s telephone number 4018271800
Plan sponsor’s address 340 EAST AVENUE, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2020-05-27
Name of individual signing EARL F. COTTAM, JR.
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY PROFIT SHARING & 401(K) SAVINGS PLAN 2018 050204000 2019-06-10 PROVIDENCE MUTUAL FIRE INSURANCE COMPANY 109
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-07-05
Business code 524150
Sponsor’s telephone number 4018271800
Plan sponsor’s address 340 EAST AVENUE, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2019-06-10
Name of individual signing EARL F. COTTAM, JR.
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY PROFIT SHARING & 401(K) SAVINGS PLAN 2017 050204000 2018-06-08 PROVIDENCE MUTUAL FIRE INSURANCE COMPANY 114
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-07-05
Business code 524150
Sponsor’s telephone number 4018271800
Plan sponsor’s address 340 EAST AVENUE, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2018-06-08
Name of individual signing EARL F. COTTAM, JR.
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY PROFIT SHARING & 401(K) SAVINGS PLAN 2016 050204000 2017-04-21 PROVIDENCE MUTUAL FIRE INSURANCE COMPANY 110
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-07-05
Business code 524150
Sponsor’s telephone number 4018271800
Plan sponsor’s address 340 EAST AVENUE, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2017-04-21
Name of individual signing EARL F. COTTAM, JR.
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY PROFIT SHARING & 401(K) SAVINGS PLAN 2015 050204000 2016-06-07 PROVIDENCE MUTUAL FIRE INSURANCE COMPANY 105
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-07-05
Business code 524150
Sponsor’s telephone number 4018271800
Plan sponsor’s address 340 EAST AVENUE, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing EARL F. COTTAM, JR.
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY PROFIT SHARING & 401(K) SAVINGS PLAN 2014 050204000 2015-06-09 PROVIDENCE MUTUAL FIRE INSURANCE COMPANY 107
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-07-05
Business code 524150
Sponsor’s telephone number 4018271800
Plan sponsor’s address 340 EAST AVENUE, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing EARL F. COTTAM, JR.
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY PROFIT SHARING & 401(K) SAVINGS PLAN 2013 050204000 2014-06-03 PROVIDENCE MUTUAL FIRE INSURANCE COMPANY 96
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-07-05
Business code 524150
Sponsor’s telephone number 4018271800
Plan sponsor’s address 340 EAST AVENUE, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050204000
Plan administrator’s name PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
Plan administrator’s address 340 EAST AVENUE, WARWICK, RI, 02886
Administrator’s telephone number 4018271800

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing EARL F. COTTAM, JR.
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY PROFIT SHARING & 401(K) SAVINGS PLAN 2012 050204000 2013-05-30 PROVIDENCE MUTUAL FIRE INSURANCE COMPANY 93
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-07-05
Business code 524150
Sponsor’s telephone number 4018271800
Plan sponsor’s address 340 EAST AVENUE, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050204000
Plan administrator’s name PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
Plan administrator’s address 340 EAST AVENUE, WARWICK, RI, 02886
Administrator’s telephone number 4018271800

Signature of
Role Plan administrator
Date 2013-05-30
Name of individual signing EARL F. COTTAM, JR.
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY PROFIT SHARING & 401(K) SAVINGS PLAN 2011 050204000 2012-07-10 PROVIDENCE MUTUAL FIRE INSURANCE COMPANY 88
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-07-05
Business code 524150
Sponsor’s telephone number 4018271800
Plan sponsor’s address 340 EAST AVENUE, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050204000
Plan administrator’s name PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
Plan administrator’s address 340 EAST AVENUE, WARWICK, RI, 02886
Administrator’s telephone number 4018271800

Signature of
Role Plan administrator
Date 2012-07-10
Name of individual signing EARL F. COTTAM, JR.
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY PROFIT SHARING & 401(K) SAVINGS PLAN 2010 050204000 2011-06-23 PROVIDENCE MUTUAL FIRE INSURANCE COMPANY 84
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-07-05
Business code 524150
Sponsor’s telephone number 4018271800
Plan sponsor’s address 340 EAST AVENUE, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050204000
Plan administrator’s name PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
Plan administrator’s address 340 EAST AVENUE, WARWICK, RI, 02886
Administrator’s telephone number 4018271800

Signature of
Role Plan administrator
Date 2011-06-23
Name of individual signing EARL F. COTTAM, JR.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-23
Name of individual signing EARL F. COTTAM, JR.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/24/20100924090623P030001570935001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1972-07-05
Business code 524150
Sponsor’s telephone number 4018271800
Plan sponsor’s address 340 EAST AVENUE, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 050204000
Plan administrator’s name PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
Plan administrator’s address 340 EAST AVENUE, WARWICK, RI, 02886
Administrator’s telephone number 4018271800

Signature of
Role Plan administrator
Date 2010-09-24
Name of individual signing EARL COTTAM JR
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
MICHELE L. STRETON President 340 EAST AVENUE WARWICK, RI 02886 USA

CFO

Name Role Address
EARL F. COTTAM CFO 340 EAST AVENUE WARWICK, RI 02886 USA

Filings

Number Name File Date
202453814360 Articles of Amendment 2024-05-02
202225563230 Miscellaneous Filing (No Fee) 2022-12-30
202221290860 Miscellaneous Filing (No Fee) 2022-07-14
201743458170 Articles of Amendment 2004-02-18
201743458260 Articles of Merger 2002-12-16
201743458350 Articles of Amendment 1992-07-10
201743458440 Articles of Amendment 1878-07-27
201743458530 Articles of Amendment 1873-04-17

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State

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