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Pawtucket Insurance Company

Company Details

Name: Pawtucket Insurance Company
Jurisdiction: Rhode Island
Entity type: Insurance
Status: Activ
Date of Organization in Rhode Island: 01 May 1848 (177 years ago)
Identification Number: 000152185
Purpose: ENACTED BY THE GENERAL ASSEMBLY DURING THE MAY SESSION OF 1848. INSURANCE BUSINESS MAY SESSION 1848
Historical names: Pawucket Mutual Fire Insurance Company
PAWTUCKET MUTUAL INSURANCE COMPANY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST 2017 050197250 2018-10-31 PAWTUCKET INSURANCE COMPANY 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1950-04-01
Business code 524140
Sponsor’s telephone number 4017255600
Plan sponsor’s mailing address P.O. BOX 820, PAWTUCKET, RI, 028620820
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028620820

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2018-10-29
Name of individual signing JACQUELINE NOYES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-31
Name of individual signing KIRKLUSK
Valid signature Filed with authorized/valid electronic signature
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST 2016 050197250 2018-01-01 PAWTUCKET INSURANCE COMPANY 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1950-04-01
Business code 524140
Sponsor’s telephone number 4017255600
Plan sponsor’s mailing address P.O. BOX 820, PAWTUCKET, RI, 028620820
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028620820

Number of participants as of the end of the plan year

Active participants 7
Retired or separated participants receiving benefits 56
Other retired or separated participants entitled to future benefits 24
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2017-12-21
Name of individual signing JACQUELINE NOYES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-12-28
Name of individual signing KIRK LUSK
Valid signature Filed with authorized/valid electronic signature
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST 2015 050197250 2017-01-13 PAWTUCKET INSURANCE COMPANY 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1950-04-01
Business code 524140
Sponsor’s telephone number 4017255600
Plan sponsor’s mailing address P.O. BOX 820, PAWTUCKET, RI, 028620820
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028620820

Number of participants as of the end of the plan year

Active participants 7
Retired or separated participants receiving benefits 55
Other retired or separated participants entitled to future benefits 40
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2017-01-13
Name of individual signing JACQUELLINE NOYES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-01-13
Name of individual signing KIRK LUSK
Valid signature Filed with authorized/valid electronic signature
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST 2014 050197250 2016-01-12 PAWTUCKET INSURANCE COMPANY 144
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1950-04-01
Business code 524140
Sponsor’s telephone number 4017255600
Plan sponsor’s mailing address P.O. BOX 820, PAWTUCKET, RI, 028620820
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028620820

Number of participants as of the end of the plan year

Active participants 7
Retired or separated participants receiving benefits 56
Other retired or separated participants entitled to future benefits 40
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2016-01-12
Name of individual signing BETH MCCARTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-01-12
Name of individual signing KIRK LUSK
Valid signature Filed with authorized/valid electronic signature
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST 2013 050197250 2015-01-15 PAWTUCKET INSURANCE COMPANY 144
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1950-04-01
Business code 524140
Sponsor’s telephone number 4017255600
Plan sponsor’s mailing address P.O. BOX 820, PAWTUCKET, RI, 028620820
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028620820

Number of participants as of the end of the plan year

Active participants 7
Retired or separated participants receiving benefits 54
Other retired or separated participants entitled to future benefits 80
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2015-01-14
Name of individual signing BETH MCCARTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-15
Name of individual signing KIRK LUSK
Valid signature Filed with authorized/valid electronic signature
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST 2012 050197250 2014-01-15 PAWTUCKET INSURANCE COMPANY 144
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1950-04-01
Business code 524140
Sponsor’s telephone number 4017255600
Plan sponsor’s mailing address P.O. BOX 820, PAWTUCKET, RI, 028620820
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028620820

Number of participants as of the end of the plan year

Active participants 7
Retired or separated participants receiving benefits 49
Other retired or separated participants entitled to future benefits 85
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2014-01-15
Name of individual signing BETH GRAHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-15
Name of individual signing KIRK LUSK
Valid signature Filed with authorized/valid electronic signature
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST 2011 050197250 2013-01-15 PAWTUCKET INSURANCE COMPANY 146
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1950-04-01
Business code 524140
Sponsor’s telephone number 4017255600
Plan sponsor’s mailing address P.O. BOX 820, PAWTUCKET, RI, 028620820
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028620820

Plan administrator’s name and address

Administrator’s EIN 050197250
Plan administrator’s name PAWTUCKET INSURANCE COMPANY
Plan administrator’s address P.O. BOX 820, PAWTUCKET, RI, 028620820
Administrator’s telephone number 4017255600

Number of participants as of the end of the plan year

Active participants 7
Retired or separated participants receiving benefits 49
Other retired or separated participants entitled to future benefits 85
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-01-15
Name of individual signing SEAN F. MURPHY
Valid signature Filed with authorized/valid electronic signature
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST 2010 050197250 2012-01-16 PAWTUCKET INSURANCE COMPANY 146
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1950-04-01
Business code 524140
Sponsor’s telephone number 4017255600
Plan sponsor’s mailing address P.O. BOX 820, PAWTUCKET, RI, 028620820
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028620820

Plan administrator’s name and address

Administrator’s EIN 050197250
Plan administrator’s name PAWTUCKET INSURANCE COMPANY
Plan administrator’s address P.O. BOX 820, PAWTUCKET, RI, 028620820
Administrator’s telephone number 4017255600

Number of participants as of the end of the plan year

Active participants 8
Retired or separated participants receiving benefits 49
Other retired or separated participants entitled to future benefits 86
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-01-16
Name of individual signing SEAN F. MURPHY
Valid signature Filed with authorized/valid electronic signature
PAWTUCKET MUTUAL INSURANCE CO. DEFINED BENEFIT PENSION PLAN AND TRUST 2009 050197250 2011-01-17 PAWTUCKET INSURANCE COMPANY 146
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1950-04-01
Business code 524140
Sponsor’s telephone number 4017255600
Plan sponsor’s mailing address P.O. BOX 820, PAWTUCKET, RI, 028620820
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028620820

Plan administrator’s name and address

Administrator’s EIN 050197250
Plan administrator’s name PAWTUCKET INSURANCE COMPANY
Plan administrator’s address P.O. BOX 820, PAWTUCKET, RI, 028620820
Administrator’s telephone number 4017255600

Number of participants as of the end of the plan year

Active participants 10
Retired or separated participants receiving benefits 48
Other retired or separated participants entitled to future benefits 85
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-01-17
Name of individual signing SEAN F. MURPHY
Valid signature Filed with authorized/valid electronic signature

Events

Type Date Old Value New Value
Name Change 2005-12-07 PAWTUCKET MUTUAL INSURANCE COMPANY Pawtucket Insurance Company
Name Change 1952-01-02 Pawucket Mutual Fire Insurance Company PAWTUCKET MUTUAL INSURANCE COMPANY

Filings

Number Name File Date
202078497070 Articles of Amendment 2005-12-07
202078497250 Miscellaneous Filing (No Fee) 1879-11-30
202078497430 Miscellaneous Filing (No Fee) 1874-01-02
202078497520 Articles of Incorporation 1848-05-01

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State