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Wysk Company Profile for
Provider Insurance Group, Inc.

Massachusetts Corporation | Wysk # JTXD6PV
State Registrations
Business Registration | Texas (Foreign State)

Texas Secretary of State Data updated April 22, 2014

Business Details

Business Name: Provider Insurance Group, Inc.See Business Report
Business Type: Foreign For-Profit Corporation
Citizenship: Foreign
State of Incorporation: MA
Foreign Formation Date: 10/01/1968
Business Address: 160 Gould Street, Suite 130
Needham MA 02494
SoS Filing Status: In existence
SoS ID: 0801204730
State Tax ID: 32040841010
Filing Date: 12/14/2009
Perpetual: Yes

Charter Names

Name Status Type Consent Filing No. Creation Inactive Expiration
Provider Insurance Group, Inc. In use Legal 12/15/2009
Provider Insurance Group, Inc. Inactive Legal 12/15/2009 09/13/2012

Associated Entities

No associated entities found.

Filing History

Filing Date Document No. Filing Type Effective Inactive Entry
09/13/2012 443491000002 Certificate of Withdrawal 09/13/2012 09/14/2012
04/02/2012 415877060001 Reversal of Tax Forfeiture 04/02/2012 04/04/2012
01/28/2011 352166711270 Tax Forfeiture 01/28/2011 01/29/2011
12/14/2009 287677160002 Application for Registration 12/14/2009 12/15/2009
Business Registration | Georgia (Foreign State)

Georgia Secretary of State Data updated August 16, 2012

Business Registration

Business Name: PROVIDER INSURANCE GROUP, INC.See Business Report
Business Type: Profit Corporation
Citizenship: Foreign
State of Incorporation: MA
Principal Office: 160 GOULD STREET
SUITE 130
Needham, MA 02494
Entity ID: 1634642
Control Number: 10025979
Status: Withdrawn
Registration Date: 01/29/2010

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