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ANNUAL STATEMENT

FOR THE YEAR ENDING DECEMBER 31, 2010
OF THE CONDITION AND AFFAIRS OF THE

Martin's Point Generations, LLC

 

NAIC Group Code..... 0000,
(Current Period) (Prior Period)

NAIC Company Code..... 12545

Employer's ID Number..... 20-4505084

Organized under the Laws of Maine

State of Domicile or Port of Entry Maine

Country of Domicile US

Licensed as business type:

Life, Accident and Health [ ] Property/Casualty [ ] Hospital, Medical and Dental Service or Indemnity [ ]
Dental Service Corporation [ ] Vision Service Corporation [ ] Other [ ] Health Maintenance Organization [ X ]

Is HMO Federally Qualified? Yes [ X ] No [ ]

Incorporated/Organized..... January 11, 2006

Commenced Business..... January 1, 2007

Statutory Home Office 331 Veranda Street, Portland, Maine 04103
(Street and Number) (City or Town, State and Zip Code)

Main Administrative Office 331 Veranda Street, Portland, Maine 04103 207-774-5801
(Street and Number) (City or Town, State and Zip Code) (Area Code) (Telephone Number)

Mail Address PO Box 9746, Portland, Maine 04104-5040
(Street and Number) (City or Town, State and Zip Code)

Primary Location of Books and Records 901 Washington Ave, Portland, Maine 04103 207-253-6224
(Street and Number) (City or Town, State and Zip Code) (Area Code) (Telephone Number)

Internet Website Address www.martinspoint.org

Statutory Statement Contact Charles Nicholas Hadiaris 207-253-6224
(Name) (Area Code) (Telephone Number) (Extension)
charles.hadiaris@martinspoint.org 207-253-6227
(E-mail Address) (Fax Number)

OFFICERS
David Hermon Howes, MD (President & CEO)
Dale Hansen Bradford (Chief Operating Officer)
Dennis Jon Reese, CPA (Chief Financial Officer)
Sandra Lynn Monfiletto (Chief Administrative Officer)

OTHER OFFICERS
Daniel Howard Olsten (Chief Delivery Systems Officer)
Elizabeth Hartley Johnson, MD (Chief Medical Officer)
Daniel Bruce Chojnowski (Corporate Controller)

 

DIRECTORS OR TRUSTEES
Karen Loeb Lifford, MD, Chair
Machael Eric Thomas, Vice Chair
Robert Adair Moore, Secretary
George Nelson Campbell, Jr. Treasurer
Warren Deems Alpern, MD
Marylou Buyse, MD
Raymond Eldon Durkee
Daniel Kent Onion, MD
Edward Charles Dupont, Jr.#
James Alexander Hester, Jr. PhD#
David Hermon Howes, MD

State of........ Maine
County of..... Cumberland} ss

The officers of this reporting entity, being duly sworn, each depose and say that they are the described officers of said reporting entity, and that on the reporting period stated above, all of the herein described assets were the absolute property of the said reporting entity, free and clear from any liens or claims thereon, except as herein stated, and that this statement, together with related exhibits, schedules and explanations therein contained, annexed or referred to, is a full and true statement of all the assets and liabilities and of the condition and affairs of the said reporting entity as of the reporting period stated above, and of its income and deductions therefrom for the period ended, and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent that: (1) state law may differ; or, (2) that state rules or regulations require differences in reporting not related to accounting practices and procedures, according to the best of their information, knowledge and belief, respectively.

______________________________
David Hermon Howes, MD
President & CEO

______________________________
Dennis Jon Reese, CPA
Chief Financial Officer

______________________________

Subscribed and sworn to before me this
____ day of _________________

________________________________________

 

a. Is this an original filing? Yes [ X ] No [ ]
b. If no: 1. State the amendment number.....
2. Date filed.....
3. Number of pages attached.....

 

Last Updated: August 22, 2012