PACIFICSOURCE SELF-INSURANCE ADMINISTRATORS, INC.
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| Legal Name: | PACIFICSOURCE SELF-INSURANCE ADMINISTRATORS, INC. |
| Jurisdiction: | WASHINGTON |
| Entity Type: | FOREIGN PROFIT CORPORATION |
| Category: | FOREIGN ENTITY |
| Status: | Terminated |
| Formation/ Registration Date: | April 29th 2005 |
| Date of Dissolution: | March 18th 2010 |
| Expiration date: | 30 Apr 2010 |
| UBI Number: | 602 498 382 |
| Home State: | OREGON |
| Principal Office Street Address: |
PO BOX 7068, EUGENE, OR, 97401, UNITED STATES
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| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Registered Agent | 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES |
| Name | Role | Address |
|---|---|---|
| DAVID ABEL | Governing Person | PO BOX 7068, EUGENE, OR, 97401, UNITED STATES |
| PRISCILLA GOULD | Governing Person | PO BOX 7068, EUGENE, OR, 97401, UNITED STATES |
| KENNETH PROVENCHER | Governing Person | PO BOX 7068, EUGENE, OR, 97401, UNITED STATES |
| PAUL CHAVIN | Governing Person | PO BOX 7068, EUGENE, OR, 97401, UNITED STATES |
| PATRICIA BUCHANAN | Governing Person | PO BOX 7068, EUGENE, OR, 97401, UNITED STATES |
| FLETCHER LITTLE | Governing Person | PO BOX 7068, EUGENE, OR, 97401, UNITED STATES |
| MARY BURROWS | Governing Person | PO BOX 7068, EUGENE, OR, 97401, UNITED STATES |