| Name: | USI Insurance Services National, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 21 Aug 2000 (25 years ago) |
| Date of Dissolution: | 18 Oct 2019 (6 years ago) |
| Date of Status Change: | 18 Oct 2019 (6 years ago) |
| Identification Number: | 000114124 |
| Place of Formation: | NORTH CAROLINA |
| Principal Address: | 100 SUMMIT LAKE DRIVE SUITE 400, VALHALLA, NY, 10595, USA |
| Purpose: | INSURANCE BROKERAGE SERVICES |
| Fictitious names: |
AGENCY RESOURCES (trading name, 2003-07-17 - ) DINING CAR AGENCY (trading name, 2003-07-17 - ) |
| Historical names: |
WACHOVIA INSURANCE SERVICES, INC. Wells Fargo Insurance Services USA, Inc. |
NAICS
524210 Insurance Agencies and BrokeragesThis industry comprises establishments primarily engaged in acting as agents (i.e., brokers) in selling annuities and insurance policies. Learn more at the U.S. Census Bureau
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| TIMOTHY PRICHARD | PRESIDENT | 100 SUMMIT LAKE DRIVE VALHALLA, NY 10595 USA |
| Name | Role | Address |
|---|---|---|
| EDWARD BOWLER | TREASURER | 100 SUMMIT LAKE DRIVE VALHALLA, NY 10595 USA |
| Name | Role | Address |
|---|---|---|
| ERNEST J NEWBORN II | SECRETARY | 100 SUMMIT LAKE DRIVE VALHALLA, NY 10595 USA |
| Name | Role | Address |
|---|---|---|
| ERNEST J NEWBORN II | DIRECTOR | 100 SUMMIT LAKE DRIVE VALHALLA, NY 10595 USA |
| TIMOTHY PRICHARD | DIRECTOR | 100 SUMMIT LAKE DRIVE VALHALLA, NY 10595 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2017-12-05 | Wells Fargo Insurance Services USA, Inc. | USI Insurance Services National, Inc. |
| Name Change | 2009-06-22 | WACHOVIA INSURANCE SERVICES, INC. | Wells Fargo Insurance Services USA, Inc. |
| Number | Name | File Date |
|---|---|---|
| 201924572860 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-10-18 |
| 201907025440 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
| 201859108660 | Annual Report | 2018-02-26 |
| 201754654640 | Statement of Change of Registered/Resident Agent | 2017-12-06 |
| 201754566150 | Application for Amended Certificate of Authority | 2017-12-05 |
| 201734391730 | Annual Report | 2017-02-20 |
| 201692875000 | Annual Report | 2016-02-23 |
| 201555781220 | Annual Report | 2015-02-26 |
| 201435457690 | Annual Report | 2014-02-12 |
| 201312124330 | Annual Report | 2013-02-20 |
Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
