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DELTA DENTAL PLAN OF MICHIGAN, INC.

Company Details

Entity Name: DELTA DENTAL PLAN OF MICHIGAN, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Foreign
Status: Active
Sub status: Annual report due
Date Formed: 25 Aug 2003
Business ALEI: 0758377
Annual report due: 25 Aug 2025
NAICS code: 524114 - Direct Health and Medical Insurance Carriers
Business address: 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States
Mailing address: P.O. BOX 30416, LANSING, MI, United States, 48909
Place of Formation: MICHIGAN
E-Mail: compliance@deltadentalmi.com

Officer

Name Role Business address Residence address
GORAN M. JURKOVIC Officer 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States 2210 CAWDOR CIRCLE, LANSING, MI, 48917, United States
MARK EDWARD BAUGHMAN Officer 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States 23325 THORNCLIFFE, SOUTHFIELD, MI, 48033, United States
JEFFERY W JOHNSTON Officer 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States
ANTHONY DARRELL ROBINSON Officer 4100 OKEMOS RD, OKEMOS, MI, 48864, United States 4100 OKEMOS RD, OKEMOS, MI, 48864, United States
AMY LYN BASEL CPA, CGMA Officer 4100 OKEMOS RD, OKEMOS, MI, 48864, United States 1258 SWEETWOOD DR., OKEMOS, MI, 48864, United States
SUE ELLEN JENKINS Officer 4100 OKEMOS RD, OKEMSO, MI, 48864, United States 6332 LAKE DRIVE, HASLETT, MI, 48840, United States

Director

Name Role Business address Residence address
BLAKE LIVINGSTON Director 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States
PATRICK GILLESPIE Director 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States
RAYMOND F. GIST Director 4100 OKEMOS RD, OKEMOS, MI, 48864, United States 5301 DEEPDALE DRIVE, GRAND BLANC, MI, 48439, United States
CHRISTOPHER T FISHER Director 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States
ANTHONY WILLIAMS Director 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States 180 Woodmont Dr, East Hartford, CT, 06118-3339, United States
STEVEN DATER Director 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States
SARA M DOLAN Director 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States
Juan Rodriquez Director No data 4100 Okemos Road, Okemos, MI, 48864, United States
Timothy Daman Director No data 4100 Okemos Road, Okemos, MI, 48864, United States
STEVEN TACK Director 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States 4100 OKEMOS ROAD, OKEMOS, MI, 48864, United States

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012082270 2024-08-02 No data Annual Report Annual Report No data
BF-0011274765 2023-08-03 No data Annual Report Annual Report No data
BF-0010328691 2022-07-26 No data Annual Report Annual Report 2022
BF-0010466800 2022-01-14 2022-01-14 Mass Agent Change � Address Agent Address Change No data
BF-0009809728 2021-07-30 No data Annual Report Annual Report No data
0006943532 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006950703 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006940134 2020-07-02 No data Annual Report Annual Report 2020
0006598379 2019-07-17 No data Annual Report Annual Report 2019
0006212693 2018-07-10 No data Annual Report Annual Report 2018

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Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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