Nevada Annual Report
DissolvedNot in good standing

new providential insurance company ltd

Domestic Corporation · Entity Number E0193852015-4 · NV Business ID NV20151245534

Formed
April 20, 2015
Annual List
Due by April 30, 2017
Managed by
Not on file
Status changed
April 17, 2017

Record

Entity Number
E0193852015-4
NV Business ID
NV20151245534
Entity type
Domestic Corporation
Formed
April 20, 2015
Authorized capital
$1
Record as of
September 17, 2026

Registered agent

SHIRLEY A. DERKE, ESQ.· 75 entities

627 S SEVENTH ST · Las Vegas, NV 89101· 78 entities

Principal office

Not on file

Mailing address

Not on file

Officers, managers, and members

NameRoleAddress
R. D COOKPresident19151 COUNTY ROAD 450A · UMATILLA, FL 32784
F M CROUCHSecretary103 HENRY SEWELL WAY · STUART, FL 34996
ROBERT J RICHARDSONTreasurer1244 ELYSIUM BOULEVARD · MT. DORA, FL 32757
R. D COOKDirector19151 COUNTY ROAD 450A · UMATILLA, FL 32784
F. M CROUCHDirector103 HENRY SEWELL WAY · STUART, FL 34996
SHIRLEY A DERKEDirector516 S EIGHTH · LAS VEGAS, NV 89101
DAVID DODD· 3 entitiesDirector6955 TIFFANY OAK DRIVE · LAKELAND, FL 33813
KIM PETERDirector5098 SW 41ST ST. · OCALA, FL 34474
ROBERT RICHARDSON· 25 entitiesDirector1244 ELYSIUM BOULEVARD · MT. DORA, FL 32757
MATEO DAYODirector1177 LOST CREEK CT. · OSPREY, FL 34229
DAVID EVANS· 40 entitiesDirectorP.O. BOX 832 · LAKE WALES, FL 33859
WISTAR MOOREDirector1501 E. CROOKED LAKE DRIVE · EUSTIS, FL 32726
JAMES THORNTON· 3 entitiesDirector4100 NE SAVANNAH ROAD · JENSEN BEACH, FL 34957

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