| Name: | BELMONT-NEEDHAM INSURANCE AGENCY |
| Jurisdiction: | New York |
| Legal type: | FOREIGN BUSINESS CORPORATION |
| Status: | Inactive |
| Date of registration: | 23 Jun 2003 (21 years ago) (Companies founded in June 2003) |
| Date of dissolution: | 27 Oct 2010 |
| Entity Number: | 2922593 |
| ZIP code: | 02494 (Companies in Onondaga, 02494) |
| County: | Onondaga |
| Place of Formation: | Massachusetts |
| Foreign Legal Name: | PROVIDER INSURANCE GROUP INC. |
| Fictitious Name: | BELMONT-NEEDHAM INSURANCE AGENCY |
| Address: | 160 GOULD STREET, SUITE 130, NEEDHAM, MA, United States, 02494 |
| Principal Address: | 160 GOULD ST, STE 130, NEEDHAM HEIGHTS, MA, United States, 02494 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 160 GOULD STREET, SUITE 130, NEEDHAM, MA, United States, 02494 |
| Name | Role | Address |
|---|---|---|
| RICHARD W DAVIS | Chief Executive Officer | 160 GOULD ST, STE 130, NEEDHAM HEIGHTS, MA, United States, 02494 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2005-08-18 | 2013-01-25 | Address | 160 GOULD ST, STE 130, NEEDHAM HEIGHTS, MA, 02494, USA (Type of address: Service of Process) |
| 2003-06-23 | 2005-08-18 | Address | 258 BLANCHARD ROAD, BELMONT, MA, 02478, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 130125000016 | 2013-01-25 | CANCELLATION OF ANNULMENT OF AUTHORITY | 2013-01-25 |
| 130125000019 | 2013-01-25 | SURRENDER OF AUTHORITY | 2013-01-25 |
| DP-1934211 | 2010-10-27 | ANNULMENT OF AUTHORITY | 2010-10-27 |
| 070709002402 | 2007-07-09 | BIENNIAL STATEMENT | 2007-06-01 |
| 050818002928 | 2005-08-18 | BIENNIAL STATEMENT | 2005-06-01 |
| 030623000713 | 2003-06-23 | APPLICATION OF AUTHORITY | 2003-06-23 |
Date of last update: 10 Nov 2024
Sources: New York Secretary of State
