Detail by Officer/Registered Agent Name

Foreign Profit Corporation

PHYSICIANS PROFESSIONAL LIABILITY RISK RETENTION GROUP, INC.

Filing Information
F02000003450 33-1010508 07/05/2002 VT INACTIVE REVOKED FOR ANNUAL REPORT 09/22/2023 NONE
Principal Address
76 ST. PAUL STREET STE. 500
BURLINGTON, VT 05401
Mailing Address
76 ST. PAUL STREET STE. 500
BURLINGTON, VT 05401
Registered Agent Name & Address PAPADAKIS, JOHN A
6051 NORTH OCEAN DRIVE
APT 1006
HOLLYWOOD, FL 33019

Name Changed: 03/22/2016

Address Changed: 03/22/2016
Officer/Director Detail Name & Address

Title VP, Asst. Secretary

JOY, PETER
76 ST. PAUL STREET STE. 500
BURLINGTON, VT 05401

Title Director, Treasurer

REISS, GERALD
5200 ARTHUR STREET
HOLLYWOOD, FL 33029

Title Assistant Secretary

Gibbs, Stacey
76 St. Paul Street
Suite 500
Burlington, VT 05401

Title Director, Asst. Secretary

MAPES, STEPHANIE
CHURCH STREET
BURLINGTON, VT 05401

Title Director, Secretary

HEROLD, FRED
1150 NORTH 35TH AVENUE
HOLLYWOOD, FL 33021

Title President, Chairman, Director

BIRKEN, GARY
1150 NORTH 35TH AVENUE
HOLLYWOOD, FL 33021

Title CEO

Papadakis, John A
6051 NORTH OCEAN DRIVE
APT 1006
HOLLYWOOD, FL 33019

Title Asst. Treasurer

Rampat, Veda
3501 Johnson Street
Hollywood, FL 33021

Title Director - Claims & Finance/Audit Committee

Roberts, MD, Michael C
3620 N 55th Avenue
Hollywood, FL 33021

Title Director - Claims Commitee

Greissman, MD, Allan M
157 Dockside Circle
Weston, FL 33327

Title Director - Audit/Finance Commitee

Krayer III, Anthony C
6051 N. Ocean Dr.
#1706
Hollywood, FL 33019

Title Director

Ibrahim, MD, Bassell
2591 SW 102 Dr
Davie, FL 33324

Title Director

Prince, Stacey
76 ST. PAUL STREET STE. 500
BURLINGTON, VT 05401

Annual Reports
Report YearFiled Date
2020 04/21/2020
2021 04/08/2021
2022 04/06/2022