| Name: | Provider Insurance Group, LLC |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Limited Liability Company |
| Status: | Withdrawn |
| Effective Date: | 10 Jun 2010 (15 years ago) |
| Business ID: | 967387 |
| State of Incorporation: | MASSACHUSETTS |
| Principal Office Address: | 160 Gould Street, Suite 122Needham, MA 02494 |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 645 LAKELAND EAST DRIVE, Suite 101, FLOWOOD, MS 39232 |
| Name | Role | Address |
|---|---|---|
| Glen Davis | Organizer | 160 GOULD STREET, SUITE 130, NEEDHAM, MA 02494 |
| Name | Role | Address |
|---|---|---|
| William M. Darcey | President | 160 Gould Street, Suite 122, Needham, MA 02494 |
| Name | Role | Address |
|---|---|---|
| Michael J. McSally | Member | 160 Gould Street, Suite 122, Needham, MA 02494 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Withdrawal | Filed | 2019-02-05 | Withdrawal For Provider Insurance Group, LLC |
| Annual Report LLC | Filed | 2018-02-22 | Annual Report For Provider Insurance Group, LLC |
| Annual Report LLC | Filed | 2017-02-10 | Annual Report For Provider Insurance Group, LLC |
| Annual Report LLC | Filed | 2016-02-22 | Annual Report For Provider Insurance Group, LLC |
| Annual Report LLC | Filed | 2015-02-13 | Annual Report For Provider Insurance Group, LLC |
| Annual Report LLC | Filed | 2014-03-12 | Annual Report LLC |
| Annual Report LLC | Filed | 2013-03-22 | Annual Report LLC |
| Amendment Form | Filed | 2012-08-17 | Amendment |
| Annual Report LLC | Filed | 2012-04-19 | Annual Report LLC |
| Reinstatement | Filed | 2012-04-05 | Reinstatement |
Date of last update: 05 Jan 2025
Sources: Mississippi Secretary of State
