| Name: | NCMIC Insurance Services, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 20 Oct 2003 (21 years ago) |
| Identification Number: | 000135505 |
| Place of Formation: | IOWA |
| Principal Address: | 14001 UNIVERSITY AVE, CLIVE, IA, 50325, USA |
| Purpose: | TO MARKET INSURANCE AND PRODUCTS FOR NCMIC GROUP, INC. AND ITS AFFILIATES |
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 |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| DAVID SIEBERT | PRESIDENT | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| Name | Role | Address |
|---|---|---|
| MATT GUSTAFSON | TREASURER | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| Name | Role | Address |
|---|---|---|
| MATT GUSTAFSON | SECRETARY | 14001 UNIVERSITY AVE, CLIVE, IA 50325 USA |
| Name | Role | Address |
|---|---|---|
| AJ SIMPSON | VICE PRESIDENT | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| Name | Role | Address |
|---|---|---|
| SABRINA COX | CAO | 14001 UNIVERSITY AVENUE CLIVE, IA 50325 USA |
| Name | Role | Address |
|---|---|---|
| DAVID SIEBERT | DIRECTOR | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| SCOTT GOJKOVICH | DIRECTOR | 14001 UNIVERSITY AVE. CLIVE, IA 50325 USA |
| MELISSA KNUTSON | DIRECTOR | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| MATT GUSTAFSON | DIRECTOR | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| ANTHONY DICKINSON | DIRECTOR | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| MIKE MCCOY | DIRECTOR | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| TRACI GALLIGAN | DIRECTOR | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| KEITH HENAMAN | DIRECTOR | 14001 UNIVERSITY AVE. CLIVE, IA 50325 USA |
| CHICK HERBERT | DIRECTOR | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| DAVID BACCILE | DIRECTOR | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| Number | Name | File Date |
|---|---|---|
| 202444108100 | Annual Report | 2024-01-17 |
| 202328136250 | Annual Report | 2023-02-10 |
| 202207791150 | Annual Report | 2022-01-10 |
| 202187284190 | Annual Report | 2021-01-19 |
| 202033515500 | Annual Report | 2020-01-31 |
| 201912541690 | Statement of Change of Registered/Resident Agent | 2019-08-16 |
| 201983540330 | Annual Report | 2019-01-02 |
| 201855532180 | Annual Report | 2018-01-02 |
| 201729399220 | Annual Report | 2017-01-03 |
| 201689972200 | Annual Report | 2016-01-04 |
Date of last update: 11 Apr 2025
Sources: Rhode Island Department of State
