PACIFICSOURCE SELF-INSURANCE ADMINISTRATORS, INC.


Address: Po Box 7068, Eugene, OR 97401

PACIFICSOURCE SELF-INSURANCE ADMINISTRATORS, INC. (UBI# 602498382) is a corporation entity registered with Washington State Secretary of State. The business incorporation date is April 29, 2005. The entity status is Terminated.

Business Overview

Unified Business Identifier (UBI) 602498382
Business Name PACIFICSOURCE SELF-INSURANCE ADMINISTRATORS, INC.
Physical Address 711 Capitol Way S Ste 204
Olympia
WA 98501
Mailing Address 711 Capitol Way S Ste 204
Olympia
WA 98501
Registered Agent Name C T CORPORATION SYSTEM
Registered Agent Address 711 Capitol Way S Ste 204
Olympia
WA 98501
Category Regular Corporation (REG)
Business Type PROFIT
Business Type Description FOREIGN PROFIT CORPORATION
Incorporation State OREGON
Incorporation Date 2005-04-29
Expiration Date 2010-04-30
Dissolution Date 2010-03-18
Duration PERPETUAL
Record Status Terminated

Governing Persons

Name Role Address
David Abel Governor PO BOX 7068, EUGENE, OR, 97401
Kenneth P Provencher Governor PO BOX 7068, EUGENE, OR, 97401
Priscilla Gould Governor PO BOX 7068, EUGENE, OR, 97401
Patricia Buchanan Governor PO BOX 7068, EUGENE, OR, 97401
Paul Chavin Governor PO BOX 7068, EUGENE, OR, 97401
Fletcher Little Governor PO BOX 7068, EUGENE, OR, 97401
Mary Mccauley Burrows Governor PO BOX 7068, EUGENE, OR, 97401

Corporation Documents

Document Type Completed Date
ANNUAL REPORT 2009-03-30, 2008-03-24, 2007-03-23, 2006-04-18
Certificate of Withdrawal 2010-06-10
Dissolution/Withdrawal 2005-12-01
FOREIGN REGISTRATION STATEMENT 2005-04-29
Initial Report 2005-12-07
Statement of Change 2016-04-06

Office Location

Street Address PO BOX 7068
City EUGENE
State OR
Zip Code 97401

Businesses in the same zip prefix

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Business Officer

Name Role Address
C T Corporation System Registered Agent 711 Capitol Way S Ste 204, Olympia, WA 98501
David Abel Governor PO BOX 7068, EUGENE, OR, 97401
Kenneth P Provencher Governor PO BOX 7068, EUGENE, OR, 97401
Priscilla Gould Governor PO BOX 7068, EUGENE, OR, 97401
Patricia Buchanan Governor PO BOX 7068, EUGENE, OR, 97401
Paul Chavin Governor PO BOX 7068, EUGENE, OR, 97401
Fletcher Little Governor PO BOX 7068, EUGENE, OR, 97401
Mary Mccauley Burrows Governor PO BOX 7068, EUGENE, OR, 97401

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Frederickson Industrial Holdings Phase I, LLC 100 Wilshire Blvd Ste 940, Santa Monica, CA 90401-1113 C T Corporation System 2020-11-20
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Competitor

Search similar business entities

City OLYMPIA
Zip Code 98501
Category insurance
Category + City insurance + OLYMPIA

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Dataset Information

Data Provider Washington State Secretary of State
Jurisdiction Washington State

This dataset includes 2.43 million business entities registered with Washington State Secretary of State.