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NBIC Service Company, Inc.

Headquarter

Company Details

Name: NBIC Service Company, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 06 May 2008 (17 years ago)
Identification Number: 000362182
ZIP code: 02919
County: Providence County
Principal Address: 1301 ATWOOD AVENUE SUITE 316E, JOHNSTON, RI, 02919, USA
Purpose: TO OWN AND MANAGE INSURANCE COMPANIES AND OTHER FINANCIAL INSTITUTIONS Title: 7-1.2
Historical names: Blackstone Service Company, Inc.

Links between entities

Type Company Name Company Number State
Headquarter of NBIC Service Company, Inc., NEW YORK 6455633 NEW YORK
Headquarter of NBIC Service Company, Inc., FLORIDA F22000001135 FLORIDA
Headquarter of NBIC Service Company, Inc., CONNECTICUT 2473494 CONNECTICUT

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NBIC SERVICE COMPANY INC 401 K PROFIT SHARING PLAN TRUST 2017 263867627 2018-07-18 NBIC SERVICE COMPANY INC 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524290
Sponsor’s telephone number 4017255600
Plan sponsor’s address 25 MAPLE ST, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2018-07-18
Name of individual signing KIRK LUSK
Valid signature Filed with authorized/valid electronic signature
NBIC SERVICE COMPANY INC 401 K PROFIT SHARING PLAN TRUST 2016 263867627 2017-07-24 NBIC SERVICE COMPANY INC 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524290
Sponsor’s telephone number 4017255600
Plan sponsor’s address 25 MAPLE ST, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2017-07-24
Name of individual signing SEAN COOGAN
Valid signature Filed with authorized/valid electronic signature
NBIC SERVICE COMPANY INC 401 K PROFIT SHARING PLAN TRUST 2015 263867627 2016-07-27 NBIC SERVICE COMPANY INC 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524290
Sponsor’s telephone number 4017255600
Plan sponsor’s address 25 MAPLE ST, PAWTUCKET, RI, 02860

Signature of

Role Plan administrator
Date 2016-07-27
Name of individual signing KIRK LUSK
Valid signature Filed with authorized/valid electronic signature
NBIC SERVICE COMPANY 401(K) PLAN 2013 263867627 2014-08-14 NBIC SERVICE COMPANY, INC. 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524290
Sponsor’s telephone number 4017255600
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028602104

Plan administrator’s name and address

Administrator’s EIN 263867627
Plan administrator’s name NBIC SERVICE COMPANY, INC.
Plan administrator’s address 25 MAPLE STREET, PAWTUCKET, RI, 028602104
Administrator’s telephone number 4017255600

Signature of

Role Plan administrator
Date 2014-08-14
Name of individual signing KIRK LUSK
Valid signature Filed with authorized/valid electronic signature
NBIC SERVICE COMPANY 401(K) PLAN 2012 263867627 2013-06-19 NBIC SERVICE COMPANY, INC. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524290
Sponsor’s telephone number 4017255600
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028602104

Plan administrator’s name and address

Administrator’s EIN 263867627
Plan administrator’s name NBIC SERVICE COMPANY, INC.
Plan administrator’s address 25 MAPLE STREET, PAWTUCKET, RI, 028602104
Administrator’s telephone number 4017255600

Signature of

Role Plan administrator
Date 2013-06-19
Name of individual signing KIRK LUSK
Valid signature Filed with authorized/valid electronic signature
NBIC SERVICE COMPANY 401(K) PLAN 2011 263867627 2012-10-02 NBIC SERVICE COMPANY, INC. 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524290
Sponsor’s telephone number 4017255600
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028602104

Plan administrator’s name and address

Administrator’s EIN 263867627
Plan administrator’s name NBIC SERVICE COMPANY, INC.
Plan administrator’s address 25 MAPLE STREET, PAWTUCKET, RI, 028602104
Administrator’s telephone number 4017255600

Signature of

Role Plan administrator
Date 2012-10-02
Name of individual signing SEAN MURPHY
Valid signature Filed with authorized/valid electronic signature
NBIC SERVICE COMPANY 401(K) PLAN 2010 263867627 2011-08-30 NBIC SERVICE COMPANY, INC. 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524290
Sponsor’s telephone number 4017255600
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028602104

Plan administrator’s name and address

Administrator’s EIN 263867627
Plan administrator’s name NBIC SERVICE COMPANY, INC.
Plan administrator’s address 25 MAPLE STREET, PAWTUCKET, RI, 028602104
Administrator’s telephone number 4017255600

Signature of

Role Plan administrator
Date 2011-08-30
Name of individual signing SEAN MURPHY
Valid signature Filed with authorized/valid electronic signature
NBIC SERVICE COMPANY 401(K) PLAN 2009 263867627 2010-07-26 NBIC SERVICE COMPANY, INC. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524290
Sponsor’s telephone number 4017255600
Plan sponsor’s address 25 MAPLE STREET, PAWTUCKET, RI, 028602104

Plan administrator’s name and address

Administrator’s EIN 263867627
Plan administrator’s name NBIC SERVICE COMPANY, INC.
Plan administrator’s address 25 MAPLE STREET, PAWTUCKET, RI, 028602104
Administrator’s telephone number 4017255600

Signature of

Role Plan administrator
Date 2010-07-26
Name of individual signing SEAN MURPHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-26
Name of individual signing SEAN MURPHY
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

PRESIDENT

Name Role Address
TIMOTHY MICHAEL MOURA PRESIDENT 1301 ATWOOD AVENUE,SUITE 316E JOHNSTON, RI 02919 USA

SECRETARY

Name Role Address
KIRK HOWARD LUSK SECRETARY 1301 ATWOOD AVENUE,SUITE 316E JOHNSTON, RI 02919 USA

TREASURER/CFO

Name Role Address
KIRK HOWARD LUSK TREASURER/CFO 1301 ATWOOD AVENUE,SUITE 316E JOHNSTON, RI 02919 USA

VICE PRESIDENT

Name Role Address
JOSEPH PEISO VICE PRESIDENT 1301 ATWOOD AVENUE,SUITE 316E JOHNSTON, RI 02919 USA

DIRECTOR

Name Role Address
RICHARD WIDDICOMBE DIRECTOR 1301 ATWOOD AVENUE,SUITE 316E JOHNSTON, RI 02919 USA
JOSEPH VATTAMATTAM DIRECTOR 1301 ATWOOD AVENUE,SUITE 316E JOHNSTON, RI 02919 USA
IRINI BARLAS DIRECTOR 1301 ATWOOD AVENUE,SUITE 316E JOHNSTON, RI 02919 USA
VIJAY WALVEKAR DIRECTOR 1301 ATWOOD AVENUE,SUITE 316E JOHNSTON, RI 02919 USA
ERNESTO JOSE GARATEIX DIRECTOR 1301 ATWOOD AVENUE,SUITE 316E JOHNSTON, RI 02919 USA

Events

Type Date Old Value New Value
Name Change 2009-12-02 Blackstone Service Company, Inc. NBIC Service Company, Inc.

Filings

Number Name File Date
202450670040 Annual Report 2024-04-10
202331667370 Annual Report 2023-03-25
202214857810 Annual Report 2022-04-15
202192199450 Annual Report 2021-02-20
202033246800 Annual Report 2020-01-28
201990074600 Annual Report 2019-04-08
201882441620 Statement of Change of Registered/Resident Agent 2018-12-07
201861028990 Annual Report 2018-03-27
201860653850 Statement of Change of Registered/Resident Agent 2018-03-20
201734540110 Annual Report 2017-02-22

Date of last update: 12 Oct 2024

Sources: Rhode Island Department of State