Detail by Officer/Registered Agent Name

Foreign Limited Liability Company

PROVIDENT INSURANCE AGENCY, LLC

Filing Information
M98000001165 62-1757755 10/12/1998 DE INACTIVE WITHDRAWAL 12/03/2004 NONE
Principal Address
1 FOUNTAIN SQUARE
CHATTANOOGA, TN 37402
Mailing Address
1 FOUNTAIN SQUARE
CHATTANOOGA, TN 37402
Registered Agent Name & Address C T CORPORATION SYSTEM
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324
Authorized Person(s) Detail Name & Address

Title MGR

WOLF, RICHARD A
1 FOUNTAIN SQUARE
CHATTANOOGA, TN 37402

Title VS

HARDIN, HENRY TIII
1 FOUNTAIN SQUARE
CHATTANOOGA, TN 37402

Annual Reports
Report YearFiled Date
2002 05/12/2002
2003 06/04/2003
2004 07/21/2004