| Name: | SELF-INSURERS SERVICE, INC. |
| Jurisdiction: | New York |
| Legal type: | FOREIGN BUSINESS CORPORATION |
| Status: | Inactive |
| Date of registration: | 04 Sep 1984 (40 years ago) |
| Entity Number: | 940987 |
| County: | New York |
| Date of dissolution: | 11 May 2004 |
| Place of Formation: | Delaware |
| Address: | ATT: DAN KASTEN, ESQ., 200 E RANDOLPH S,8FL,TRIAL DEP, CHICAGO, IL, United States, 60601 |
| Address ZIP Code: | |
| Principal Address: | 123 N WACKER DR, CHICAGO, IL, United States, 60606 |
| Principal Address ZIP Code: |
| Name | Role |
|---|---|
| REGISTERED AGENT REVOKED | Agent |
| Name | Role | Address |
|---|---|---|
| PETER D JOHNSON | Chief Executive Officer | 123 N WACKER DR, CHICAGO, IL, United States, 60606 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | ATT: DAN KASTEN, ESQ., 200 E RANDOLPH S,8FL,TRIAL DEP, CHICAGO, IL, United States, 60601 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2000-10-11 | 2004-05-11 | Address | 111 8TH AVE, NEW YORK, NY, 10011, USA (Type of address: Service of Process) |
| 1999-12-08 | 2004-05-11 | Address | 111 EIGHTH AVENUE, NEW YORK, NY, 10011, USA (Type of address: Registered Agent) |
| 1995-08-04 | 2000-10-11 | Address | 123 N WACKER DR, 26TH FL, CHICAGO, IL, 60606, USA (Type of address: Chief Executive Officer) |
| 1995-08-04 | 2000-10-11 | Address | 123 N WACKER DR, 26TH FL, CHICAGO, IL, 60606, USA (Type of address: Service of Process) |
| 1995-08-04 | 2000-10-11 | Address | 123 N WACKER DR, 26TH FL, CHICAGO, IL, 60606, USA (Type of address: Principal Executive Office) |
| 1984-09-04 | 1999-12-08 | Address | 1633 BROADWAY, NEW YORK, NY, 10019, USA (Type of address: Registered Agent) |
| 1984-09-04 | 1995-08-04 | Address | 1633 BROADWAY, NEW YORK, NY, 10019, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 040511000605 | 2004-05-11 | SURRENDER OF AUTHORITY | 2004-05-11 |
| 001011002519 | 2000-10-11 | BIENNIAL STATEMENT | 2000-09-01 |
| 991208000859 | 1999-12-08 | CERTIFICATE OF CHANGE | 1999-12-08 |
| 981001002563 | 1998-10-01 | BIENNIAL STATEMENT | 1998-09-01 |
| 961003002237 | 1996-10-03 | BIENNIAL STATEMENT | 1996-09-01 |
| 950804002238 | 1995-08-04 | BIENNIAL STATEMENT | 1993-09-01 |
| B138359-4 | 1984-09-04 | APPLICATION OF AUTHORITY | 1984-09-04 |
Date of last update: 28 Oct 2024
Sources: New York Secretary of State
