| Name: | NCMIC Diversified Health RPG Assn. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 09 Jul 2012 (13 years ago) |
| Identification Number: | 000791564 |
| Purpose: | TO OPERATE AS A PURCHASING GROUP TO PURCHASE LIABILITY INSURANCE FOR THE BENEFIT OF THE MEMBERS ON A GROUP BASIS. |
| Principal Address: |
14001 UNIVERSITY AVE, CLIVE, IA, 50325, USA
|
NAICS
524126 Direct Property and Casualty Insurance CarriersThis U.S. industry comprises establishments primarily engaged in initially underwriting (i.e., assuming the risk and assigning premiums) insurance policies that protect policyholders against losses that may occur as a result of property damage or liability. Learn more at the U.S. Census Bureau
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| DAVID SIEBERT | PRESIDENT | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| Name | Role | Address |
|---|---|---|
| MATT GUSTAFSON | TREASURER | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| Name | Role | Address |
|---|---|---|
| MATT GUSTAFSON | SECRETARY | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| Name | Role | Address |
|---|---|---|
| DAVID SIEBERT | DIRECTOR | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| MATT GUSTAFSON | DIRECTOR | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| MIKE MCCOY | DIRECTOR | 14001 UNIVERSITY AVE CLIVE, IA 50325 USA |
| Number | Name | File Date |
|---|---|---|
| 202451196350 | Annual Report | 2024-04-16 |
| 202332821140 | Annual Report | 2023-04-12 |
| 202207973240 | Annual Report | 2022-01-14 |
| 202198084570 | Annual Report | 2021-06-09 |
| 202041731080 | Annual Report | 2020-06-09 |
Date of last update: 30 May 2025
Sources: Rhode Island Department of State
