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  5. Providence Washington Insurance Solutions, LLC

Providence Washington Insurance Solutions, LLC

Headquarter

Company Details

Name: Providence Washington Insurance Solutions, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Dissolved
Date of Organization in Rhode Island: 14 Jun 2006 (19 years ago)
Date of Dissolution: 27 Jan 2014 (11 years ago)
Date of Status Change: 27 Jan 2014 (11 years ago)
Identification Number: 000156753
ZIP code: 02886
County: Kent County
Principal Address: 475 KILVERT STREET SUITE 330, WARWICK, RI, 02886, USA
Purpose: CLAIM SERVICE COMPANY
Historical names: PW Service Company, LLC

Links between entities

Type Company Name Company Number State
Headquarter of Providence Washington Insurance Solutions, LLC, MISSISSIPPI 922319 MISSISSIPPI
Headquarter of Providence Washington Insurance Solutions, LLC, IDAHO 215533 IDAHO
Headquarter of Providence Washington Insurance Solutions, LLC, ALABAMA 000-613-547 ALABAMA
Headquarter of Providence Washington Insurance Solutions, LLC, FLORIDA M07000004925 FLORIDA
Headquarter of Providence Washington Insurance Solutions, LLC, KENTUCKY 0674898 KENTUCKY
Headquarter of Providence Washington Insurance Solutions, LLC, CONNECTICUT 0914011 CONNECTICUT
Headquarter of Providence Washington Insurance Solutions, LLC, ILLINOIS LLC_02298317 ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LONG TERM DISABILITY 2010 205040471 2011-10-16 PROVIDENCE WASHINGTON INSURANCE SOLUTIONS LLC 50
Three-digit plan number (PN) 503
Effective date of plan 1987-01-01
Business code 524150
Sponsor’s telephone number 4014537163
Plan sponsor’s mailing address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915
Plan sponsor’s address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 205040471
Plan administrator’s name LINDA LAYMAN
Plan administrator’s address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915
Administrator’s telephone number 4014537463

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2011-10-16
Name of individual signing LINDA LAYMAN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE AND DEPENDENT LIFE INSURANCE 2010 205040471 2011-10-16 PROVIDENCE WASHINGTON INSURANCE SOLUTIONS LLC 39
Three-digit plan number (PN) 502
Effective date of plan 1985-12-31
Business code 524150
Sponsor’s telephone number 4014537163
Plan sponsor’s mailing address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915
Plan sponsor’s address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 205040471
Plan administrator’s name LINDA LAYMAN
Plan administrator’s address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915
Administrator’s telephone number 4014537463

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2011-10-16
Name of individual signing LINDA LAYMAN
Valid signature Filed with authorized/valid electronic signature
PROVIDENCE WASHINGTON INSURANCE SOLUTIONS HEALTH BENEFIT PLAN 2010 205040471 2011-10-16 PROVIDENCE WASHINGTON INSURANCE SOLUTIONS, LLC 159
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1986-01-01
Business code 524150
Sponsor’s telephone number 4014537163
Plan sponsor’s mailing address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915
Plan sponsor’s address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 205040471
Plan administrator’s name LINDA LAYMAN
Plan administrator’s address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915
Administrator’s telephone number 4014537463

Number of participants as of the end of the plan year
Active participants 16

Signature of
Role Plan administrator
Date 2011-10-16
Name of individual signing LINDA LAYMAN
Valid signature Filed with authorized/valid electronic signature
LONG TERM DISABILITY 2010 205040471 2011-10-16 PROVIDENCE WASHINGTON INSURANCE SOLUTIONS LLC 50
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1987-01-01
Business code 524150
Sponsor’s telephone number 4014537163
Plan sponsor’s mailing address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915
Plan sponsor’s address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 205040471
Plan administrator’s name LINDA LAYMAN
Plan administrator’s address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915
Administrator’s telephone number 4014537463

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2011-10-16
Name of individual signing LINDA LAYMAN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE AND DEPENDENT LIFE INSURANCE 2010 205040471 2011-10-16 PROVIDENCE WASHINGTON INSURANCE SOLUTIONS LLC 39
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1985-12-31
Business code 524150
Sponsor’s telephone number 4014537163
Plan sponsor’s mailing address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915
Plan sponsor’s address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915

Plan administrator’s name and address
Administrator’s EIN 205040471
Plan administrator’s name LINDA LAYMAN
Plan administrator’s address 1275 WAMPANOAG TRAIL, EAST PROVIDENCE, RI, 02915
Administrator’s telephone number 4014537463

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2011-10-16
Name of individual signing LINDA LAYMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA

Events

Type Date Old Value New Value
Name Change 2006-07-13 PW Service Company, LLC Providence Washington Insurance Solutions, LLC

Filings

Number Name File Date
201436384670 Articles of Dissolution 2014-01-27
201329427800 Annual Report 2013-10-11
201324549930 Statement of Change of Registered/Resident Agent Office 2013-06-17
201313093770 Statement of Change of Registered/Resident Agent Office 2013-02-12
201299955600 Annual Report 2012-10-19
201184142540 Annual Report 2011-10-14
201178998470 Statement of Change of Registered/Resident Agent Office 2011-05-02
201070759250 Annual Report 2010-10-15
201067505150 Statement of Change of Registered/Resident Agent 2010-09-22
201060157400 Miscellaneous Filing (No Fee) 2010-02-25

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Related by address

475 KILVERT STREET SUITE 330, WARWICK, RI, 02886, USA

PROVIDENCE WASHINGTON INSURANCE COMPANY PW ACQUISITION CO. York Insurance Company PWAC Holdings, Inc.

Date of last update: 10 Oct 2024

Sources: Rhode Island Department of State

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