| Entity Name: | Providers Trust Insurance Company, Inc. a Risk Retention Group |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 28 Dec 2021 |
| Business ALEI: | 2410493 |
| Annual report due: | 06 Mar 2025 |
| NAICS code: | 524298 - All Other Insurance Related Activities |
| Business address: | 36 Trumbull St, Hartford, CT, 06103-2413, United States |
| Mailing address: | 36 Trumbull St, Hartford, CT, United States, 06103-2413 |
| ZIP code: | 06103 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 700000 |
| E-Mail: | pj@csgct.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| Peter Cimini | Agent | 36 Trumbull St, Hartford, CT, 06103-2404, United States | 36, Hartford, CT, 06103-2404, United States | +1 860-983-4142 | pj@csgct.com | 71 Hunters Rdg, Rocky Hill, CT, 06067-1742, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| Charles Smith | Director | 215 US Highway 202/31 S, Flemington, NJ, 08822-1717, United States | No data | No data | 3 Naples Ln, Oxford, CT, 06478-6112, United States |
| Marc Rockower | Director | 20 Clements Ct, Roseland, NJ, 07068-3713, United States | No data | No data | 20 Clements Ct, Roseland, NJ, 07068-3713, United States |
| Edvie Castro | Director | 14 Countryside Ln, Ringwood, NJ, 07456-2742, United States | No data | No data | 42 Mohawk Trl, Wayne, NJ, 07470-5030, United States |
| Michael LaMotta | Director | 14 Countryside Ln, Ringwood, NJ, 07456-2742, United States | No data | No data | 132 Lakeshore Dr, North Palm Beach, FL, 33408, United States |
| Peter Cimini | Director | 36 Trumbull St, Hartford, CT, 06103-2404, United States | +1 860-983-4142 | pj@csgct.com | 71 Hunters Rdg, Rocky Hill, CT, 06067-1742, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Deborah LaMotta | Officer | 14 Countryside Ln, Ringwood, NJ, 07456-2742, United States | 3 Bromley Ct, Montville, NJ, 07045-9674, United States |
| Edvie Castro | Officer | 14 Countryside Ln, Ringwood, NJ, 07456-2742, United States | 42 Mohawk Trl, Wayne, NJ, 07470-5030, United States |
| Michael LaMotta | Officer | 14 Countryside Ln, Ringwood, NJ, 07456-2742, United States | 132 Lakeshore Dr, North Palm Beach, FL, 33408, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012311090 | 2024-03-06 | No data | Annual Report | Annual Report | No data |
| BF-0010498485 | 2023-03-19 | No data | Annual Report | Annual Report | No data |
| BF-0010183281 | 2022-03-06 | 2022-03-06 | First Report | Organization and First Report | No data |
| BF-0010493223 | 2022-02-25 | 2022-02-25 | Amendment | Certificate of Amendment | No data |
| BF-0010181629 | 2021-12-28 | No data | Business Formation | Certificate of Incorporation | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
