| Name: | Axiom Re, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Conversion |
| Date of Organization in Rhode Island: | 15 Aug 2007 (17 years ago) |
| Date of Dissolution: | 22 Jan 2013 (12 years ago) |
| Date of Status Change: | 22 Jan 2013 (12 years ago) |
| Branch of: | Axiom Re, Inc., FLORIDA (Company Number K49744) |
| Identification Number: | 000183295 |
| Place of Formation: | FLORIDA |
| Principal Address: | 521 BOONE STATION DR SUITE 101, BURLINGTON, NC, 27215, USA |
| Purpose: | To engage in all lines of insurance-related business as a reinsurance intermediary. |
| Fictitious names: |
Evergreen Re (trading name, 2008-06-06 - ) Evergreen RX (trading name, 2008-06-06 - ) |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 10 WEYBOSSET STREET, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| RICHARD M SOTHEN | TREASURER | 220 S RIDGEWOOD AVE DAYTONA BEACH, FL 32114 USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL CROSS | CEO | 521 BOONE STATION DR, STE 101 BURLINGTON, NC 27215 USA |
| Name | Role | Address |
|---|---|---|
| LAUREL L. GRAMMIG | VICE PRESIDENT & SECRETARY | 3101 W. MARTIN LUTHER KING JR. BLVD., SUITE 400 TAMPA, FL 33607 USA |
| Name | Role | Address |
|---|---|---|
| CORY T. WALKER | VICE PRESIDENT | 220 S. RIDGEWOOD AVENUE DAYTONA BEACH, FL 32114 USA |
| Name | Role | Address |
|---|---|---|
| J SCOTT PENNY | DIRECTOR & PRESIDENT | 220 S RIDGEWOOD AVE DAYTONA BEACH, FL 32114 USA |
| Name | Role | Address |
|---|---|---|
| RONALD K TAYLOR | EXECUTIVE VICE PRESIDENT | 1000 SE MONTERE COMMONS BLVD, SUITE 301 STUART, FL 34996 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Conversion | 2013-01-22 | Axiom Re, Inc. | Axiom Re, LP on 01-22-2013 |
| Number | Name | File Date |
|---|---|---|
| 201291271320 | Statement of Change of Registered/Resident Agent | 2012-03-20 |
| 201290275220 | Annual Report | 2012-02-28 |
| 201175707660 | Annual Report | 2011-02-28 |
| 201059244780 | Annual Report | 2010-02-25 |
| 200942042290 | Annual Report | 2009-02-12 |
| 200811539700 | Fictitious Business Name Statement | 2008-06-06 |
| 200811539610 | Fictitious Business Name Statement | 2008-06-06 |
| 200806990950 | Annual Report | 2008-02-18 |
| 200700165490 | Application for Certificate of Authority | 2007-08-15 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
