SECURITY HEALTH PLAN OF WISCONSIN, INC.
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| Name: | SECURITY HEALTH PLAN OF WISCONSIN, INC. |
| Legal type: | Foreign Corporation |
| Status: | Inactive |
| Standing: | Bad |
| Profit or Non-Profit: | Non-profit |
| File Date: | 25 Sep 2001 (24 years ago) |
| Authority Date: | 25 Sep 2001 (24 years ago) |
| Last Annual Report: | 02 Apr 2002 (23 years ago) |
| Organization Number: | 0523026 |
| Principal Office: | 1515 SAINT JOSEPH AVE., MARSHFIELD, WI 54449 |
| Place of Formation: | WISCONSIN |
| Name | Role |
|---|---|
| Ivan B. Schaller, M.D. | Director |
| Timothy R. Boyle, M.D. | Director |
| Daniel G. Cavanough, M.D. | Director |
| David J. Simenstad, M.D. | Director |
| Laura M. Nelson, M.D. | Director |
| Name | Role |
|---|---|
| Robert A. Carlson, M.D. | Secretary |
| Name | Role |
|---|---|
| Frederic P. Wesbrook, M.D. | President |
| Name | Role |
|---|---|
| Gary P. Mayeux, M.D. | Vice President |
| Name | Role |
|---|---|
| KY SECRETARY OF STATE | Registered Agent |
| Name | Status | Expiration Date |
|---|---|---|
| SECURITY ADMINISTRATIVE SERVICES | Inactive | 2006-09-25 |
| Name | File Date |
|---|---|
| Revocation of Certificate of Authority | 2003-11-01 |
| Annual Report | 2002-05-22 |
| Application for Certificate of Authority | 2001-09-25 |
| Certificate of Assumed Name | 2001-09-25 |
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Sources: Kentucky Secretary of State