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HNI Insurance, LLC

Company Details

Name: HNI Insurance, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Dissolved
Date of Organization in Rhode Island: 26 May 2015 (10 years ago)
Date of Dissolution: 23 Dec 2020 (4 years ago)
Date of Status Change: 23 Dec 2020 (4 years ago)
Identification Number: 001335642
ZIP code: 02879
County: Washington County
Principal Address: 41 MULBERRY DRIVE, SOUTH KINGSTOWN, RI, 02879, USA
Purpose: INSURANCE COMPANY
NAICS: 524113 - Direct Life Insurance Carriers

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEALTH NETWORK 401(K) RETIREMENT PLAN 2019 474143978 2020-02-06 HNI INSURANCE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 4012288915
Plan sponsor’s address 1615 PONTIAC AVE, 3RD FLOOR, CRANSTON, RI, 02920
HEALTH NETWORK 401(K) RETIREMENT PLAN 2018 474143978 2019-07-16 HNI INSURANCE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 4012288915
Plan sponsor’s address 1615 PONTIAC AVE, 3RD FLOOR, CRANSTON, RI, 02920
HEALTH NETWORK 401(K) RETIREMENT PLAN 2018 474143978 2019-05-03 HNI INSURANCE, LLC 8
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 4012288915
Plan sponsor’s address 1615 PONTIAC AVE, 3RD FLOOR, CRANSTON, RI, 02920
HEALTH NETWORK 401(K) RETIREMENT PLAN 2017 474143978 2018-05-02 HNI INSURANCE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 4012288915
Plan sponsor’s address 1615 PONTIAC AVE, 3RD FLOOR, CRANSTON, RI, 02920
HEALTH NETWORK, INC. 401(K) RETIREMENT PLAN 2016 050516272 2017-08-02 HNI INSURANCE LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 4012288915
Plan sponsor’s address 1615 PONTIAC AVENUE, 3RD FLOOR, CRANSTON, RI, 02920

Signature of

Role Plan administrator
Date 2017-08-02
Name of individual signing RICHARD ENGELMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHRISTOPHER A. MURPHY, ESQ. Agent 4060 POST ROAD, WARWICK, RI, 02886, USA

Filings

Number Name File Date
202081443170 Articles of Dissolution 2020-12-23
202080442200 Annual Report 2020-12-18
201997710970 Annual Report 2019-06-19
201873932760 Annual Report 2018-08-07
201754361160 Annual Report 2017-11-30
201752404940 Statement of Change of Registered/Resident Agent Office 2017-10-27
201601885700 Annual Report 2016-07-11
201561949810 Articles of Organization 2015-05-26

Date of last update: 23 Oct 2024

Sources: Rhode Island Department of State