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Delta Dental Plan of Michigan, Inc.

Company Details

Name: Delta Dental Plan of Michigan, Inc.
Jurisdiction: Rhode Island
Entity type: Foreign Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 11 Jun 2003 (22 years ago)
Identification Number: 000132506
Principal Address: 4100 OKEMOS RD, OKEMOS, MI, 48864, USA
Purpose: TO ADMINISTER DENTAL CARE BENEFITS
Fictitious names: Renaissance Benefit Administrators (trading name, 2003-06-11 - )

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

PRESIDENT

Name Role Address
GORAN JURKOVIC PRESIDENT 4100 OKEMOS RD OKEMOS, MI 48864 USA

VICE PRESIDENT

Name Role Address
SUE JENKINS VICE PRESIDENT 4100 OKEMOS RD OKEMOS , MI 48864 USA
JEFF BOTKIN VICE PRESIDENT 4100 OKEMOS RD OKEMOS , MI 48864 USA
AMY LYN BASEL VICE PRESIDENT 4100 OKEMOS RD. OKEMOS, MI 48864 US
JEFFERY W. JOHNSTON VICE PRESIDENT 4100 OKEMOS RD. OKEMOS, MI 48864 USA
MARK EDWARD BAUGHMAN VICE PRESIDENT 4100 OKEMOS ROAD OKEMOS, MI 48864 USA

SENIOR VICE PRESIDENT & CHIEF MARKETING OFFICER

Name Role Address
ANTHONY DARRELL ROBINSON SENIOR VICE PRESIDENT & CHIEF MARKETING OFFICER 4100 OKEMOS RD. OKEMOS, MI 48864 USA

CHAIR

Name Role Address
SARA MARIE DOLAN CHAIR 4100 OKEMOS ROAD OKEMOS, MI 48864 USA

DIRECTOR

Name Role Address
SARA MARIE DOLAN DIRECTOR 4100 OKEMOS ROAD OKEMOS, MI 48864 USA
LAURA DICKERSON DIRECTOR 4100 OKEMOS RD OKEMOS, MI 48864 USA
BLAKE LIVINGSTON DIRECTOR 4100 OKEMOS ROAD OKEMOS, MI 48864 USA
MELISSA STOLICKER DIRECTOR 4100 OKEMOS RD OKEMOS , MI 48864 USA
RAYMOND GIST DIRECTOR 4100 OKEMOS RD OKEMOS , MI 48864 USA
LARRY DEGROAT DIRECTOR 4100 OKEMOS RD OKEMOS, MI 48864 USA
PATRICK GILLESPIE DIRECTOR 4100 OKEMOS RD OKEMOS, MI 48864 USA
ANDREW KOTARBA DIRECTOR 4100 OKEMOS RD OKEMOS, MI 48864 USA
CHRISTOPHER T. FISHER DIRECTOR 4100 OKEMOS RD. OKEMOS, MI 48864 USA
STEVEN MICHAEL TACK DIRECTOR 4100 OKEMOS ROAD OKEMOS, MI 48864 USA

Filings

Number Name File Date
202456973640 Annual Report 2024-06-18
202455807540 Revocation Notice For Failure to File An Annual Report 2024-06-17
202336731580 Annual Report 2023-06-12
202213574330 Annual Report 2022-03-28
202197741230 Annual Report 2021-06-03
202044419110 Annual Report 2020-07-09
201997965820 Annual Report 2019-06-20
201870557830 Annual Report 2018-06-25
201744062420 Annual Report 2017-06-02
201699718670 Annual Report 2016-06-02

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State