| Name: | Provider Insurance Group Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 14 Apr 2005 (20 years ago) |
| Date of Dissolution: | 14 Sep 2012 (12 years ago) |
| Date of Status Change: | 14 Sep 2012 (12 years ago) |
| Identification Number: | 000147565 |
| Place of Formation: | MASSACHUSETTS |
| Principal Address: | 160 GOULD STREET SUITE 160, NEEDHAM HEIGHTS, MA, 02494, USA |
| Purpose: | GENERAL INSURANCE AGENCY, BROKERAGE BUSINESS |
| Name | Role | Address |
|---|---|---|
| PATRICK J. DARCEY | Agent | 800 CLINTON PLACE, WOONSOCKET, RI, 02895-, USA |
| Name | Role | Address |
|---|---|---|
| RICHARD J HILLBERG | TREASURER | 26 FOX HILL ROAD WESTWOOD, MA 02090 USA |
| Name | Role | Address |
|---|---|---|
| WILLIAM M DARCEY | CEO | 188 GROVE STREET WELLESLEY, MA 02481 USA |
| Name | Role | Address |
|---|---|---|
| RAYMOND J HART | DIRECTOR | 179 ROLLING MEADOW DRIVE HOLLISTON, MA 01746 USA |
| ANDREW D BONEE | DIRECTOR | 42 SHIRLEY ROAD WELLESLEY, MA 02482 USA |
| GLEN E DAVIS | DIRECTOR | 358 SUTTON STREET NORTH ANDOVER, MA 01845 USA |
| STEPHEN G. DAVIS | DIRECTOR | 224 GORWIN DRIVE HOLLISTON, MA 01746 |
| Number | Name | File Date |
|---|---|---|
| 201297895610 | Revocation Certificate For Failure to File the Annual Report for the Year | 2012-09-14 |
| 201293150100 | Revocation Notice For Failure to File An Annual Report | 2012-05-23 |
| 201177134220 | Annual Report | 2011-03-31 |
| 201059512780 | Annual Report | 2010-02-26 |
| 200943164810 | Annual Report | 2009-02-27 |
| 200807221350 | Annual Report | 2008-02-25 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
