| Name: | PROVIDER INSURANCE AGENCY, LLC |
| Jurisdiction: | New York |
| Legal type: | FOREIGN LIMITED LIABILITY COMPANY |
| Status: | Inactive |
| Date of registration: | 02 Jun 2010 (14 years ago) (Companies founded in June 2010) |
| Date of dissolution: | 14 Feb 2019 |
| Entity Number: | 3957066 |
| ZIP code: | 02494 (Companies in New York, 02494) |
| County: | New York |
| Place of Formation: | Massachusetts |
| Foreign Legal Name: | PROVIDER INSURANCE GROUP, LLC |
| Fictitious Name: | PROVIDER INSURANCE AGENCY, LLC |
| Address: | 160 GOULD STREET, SUITE 122, NEEDHAM, MA, United States, 02494 |
| Name | Role | Address |
|---|---|---|
| THE LLC | DOS Process Agent | 160 GOULD STREET, SUITE 122, NEEDHAM, MA, United States, 02494 |
| Name | Role |
|---|---|
| REGISTERED AGENT REVOKED | Agent |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2019-01-28 | 2019-02-14 | Address | 28 LIBERTY ST., NEW YORK, NY, 10005, USA (Type of address: Registered Agent) |
| 2019-01-28 | 2019-02-14 | Address | 28 LIBERTY ST., NEW YORK, NY, 10005, USA (Type of address: Service of Process) |
| 2012-09-18 | 2019-01-28 | Address | 111 EIGHTH AVENUE, NEW YORK, NY, 10011, USA (Type of address: Registered Agent) |
| 2012-09-18 | 2019-01-28 | Address | 111 EIGHTH AVENUE, NEW YORK, NY, 10011, USA (Type of address: Service of Process) |
| 2010-06-02 | 2012-09-18 | Address | 80 STATE STREET, ALBANY, NY, 12207, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 190214000344 | 2019-02-14 | SURRENDER OF AUTHORITY | 2019-02-14 |
| SR-54750 | 2019-01-28 | CERTIFICATE OF CHANGE | 2019-01-28 |
| SR-54749 | 2019-01-28 | CERTIFICATE OF CHANGE | 2019-01-28 |
| 180608006151 | 2018-06-08 | BIENNIAL STATEMENT | 2018-06-01 |
| 160601006643 | 2016-06-01 | BIENNIAL STATEMENT | 2016-06-01 |
| 140602006856 | 2014-06-02 | BIENNIAL STATEMENT | 2014-06-01 |
| 120918000446 | 2012-09-18 | CERTIFICATE OF CHANGE | 2012-09-18 |
| 120605006196 | 2012-06-05 | BIENNIAL STATEMENT | 2012-06-01 |
| 100602000774 | 2010-06-02 | APPLICATION OF AUTHORITY | 2010-06-02 |
Date of last update: 08 Nov 2024
Sources: New York Secretary of State
