| Name: | KENTUCKY SELF-INSURERS ASSOCIATION, INC. |
| Legal type: | Kentucky Corporation |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Non-profit |
| Organization Date: | 30 Jan 1981 (44 years ago) |
| Last Annual Report: | 16 May 2024 (a year ago) |
| Organization Number: | 0153419 |
| Industry: | Wholesale Trade - Durable Goods |
| Number of Employees: | Small (0-19) |
| ZIP code: | 40059 |
| City: | Prospect, River Bluff |
| Primary County: | Jefferson County |
| Principal Office: | 5932 TIMBER RIDGE DRIVE SUITE 101, PROSPECT, KY 40059 |
| Place of Formation: | KENTUCKY |
| Name | Role |
|---|---|
| MS. DONNA C. ROWLAND | Director |
| MR. ALLEN BLEVINS | Director |
| MR. PHIL POWELL | Director |
| MR. JOHN MCCAULEY | Director |
| MR. CHARLES R. ERLER | Director |
| Judy Long | Director |
| Sandi Wilson | Director |
| Dina Green | Director |
| Name | Role |
|---|---|
| MR. JOHN MCCAULEY | Incorporator |
| MR. CHARLES R. ERLER | Incorporator |
| MS. DONNA C. ROWLAND | Incorporator |
| MR. ALLEN BLEVINS | Incorporator |
| MR. PHIL POWELL | Incorporator |
| Name | Role |
|---|---|
| JOHN T. (THOMAS) UNDERWOOD | Registered Agent |
| Name | Role |
|---|---|
| JUDY LONG | President |
| Name | Role |
|---|---|
| Dina Green | Secretary |
| Name | Role |
|---|---|
| Sandi Wilson | Treasurer |
| Name | File Date |
|---|---|
| Annual Report | 2024-05-16 |
| Annual Report | 2023-06-02 |
| Annual Report | 2022-05-20 |
| Annual Report | 2021-04-21 |
| Annual Report | 2020-05-14 |
| Annual Report | 2019-06-14 |
| Annual Report | 2018-05-23 |
| Annual Report | 2017-06-15 |
| Principal Office Address Change | 2016-06-13 |
| Registered Agent name/address change | 2016-06-13 |
Sources: Kentucky Secretary of State
