SELF INSURED SERVICES COMPANY, 1145763

PO BOX 389, 800 MAIN STREET, DUBUQUE, 52001, IA

Subject SELF INSURED SERVICES COMPANY is a legal business entity registered in the Register of the state of Connecticut under the legal form of Stock. The company is written in the register with the ID number 1145763 and its seat is at 800 MAIN STREET, DUBUQUE, 52001, IA. The company was established on 5th June 2014 and its actual status is Active.

Entity Name	SELF INSURED SERVICES COMPANY
Entity Number	1145763

Status	Active
Incorporation Date	5th June 2014
Business Address	800 MAIN STREET, DUBUQUE, 52001, IA
Mailing Address	PO BOX 389, 800 MAIN STREET, DUBUQUE, 52001, IA
Citizenship/State Inc	Foreign/IA
Legal form	Stock
Name in State of INC	SELF INSURED SERVICES COMPANY

The company and its activities are actually managed by 3 persons with the responsibility of its market actions. Persons written in the register are ANDREW JOHN BUTLER, who’s seat is at 800 MAIN STREET, DUBUQUE, 52001, IA, TIMOTHY LEE BERNS, who’s seat is at 800 MAIN STREET, DUBUQUE, 52001, IA, C T CORPORATION SYSTEM, who’s seat is at FLOOR 11, HARTFORD, CT, 06103-3220.

Role	Principal
Title	PRESIDENT
Residence Address	898 MOUNT CARMEL ROAD, DUBUQUE, 52001, IA
Business Address	800 MAIN STREET, DUBUQUE, 52001, IA

Role	Principal
Title	CFO
Residence Address	2866 CASTLEWOODS LANE, DUBUQUE, 52001, IA
Business Address	800 MAIN STREET, DUBUQUE, 52001, IA

Role	Registered Agent
Business Address	FLOOR 11, HARTFORD, CT, 06103-3220

25 BELKNAP ROAD, WEST HARTFORD, 06117, CT

2446 WHITNEY AVENUE, 2ND FLOOR, HAMDEN, 06518, CT

8 BEACH DRIVE, DARIEN, 06820, CT

164 TURNEY RD, FAIRFIELD, 06824, CT

4TH FLOOR, 4TH FLOOR, FAIRFIELD, 06824, CT

188 TRIANGLE ST, DANBURY, 06810, CT

100 BUNKER HILL ROAD, PO BOX 572, SALISBURY, 06068, CT

18 PATCH ST 2FL, DANBURY, 06810, CT

27 WILLIAM STREET, DANBURY, 06810, CT

27 ABBOTT AVE #1, DANBURY, 06810, CT

854 SOUTH MAIN ST, PLANTSVILLE, 06479, CT

310 SAYBROOK ROAD, HIGGANUM, 06441, CT

67 MARLIN DR, NORWALK, 06854, CT

25 OLD KINGS HIGHWAY NORTH, SUITE 13 #108, DARIEN, 06820, CT

63399 HIGHWAY 51 NORTH, ROSELAND, 70456, LA

25 NORTHWEST POINT BLVD., SUITE 1025, ELK GROVE VILLAGE, 60007, IL

26 QUARRY RD, BRANFORD, 06405, CT

945 QUEEN STREET, SOUTHINGTON, 06489, CT

7601 PENN AVE S, RICHFIELD, 55423, MN

12400 WHITEWATER DRIVE, SUITE 110, MINNETONKA, 55121, MN

667 UNION AVENUE, BRIDGEPORT, 06607, CT

10 RUSSETT RD, SANDY HOOK, 06482, CT

525 NEW BRITAIN AVE, UNIONVILLE, 06085, CT

33 NUTMEG DR, DANBURY, 06810, CT

645 MIDDLETOWN AVE, NEW HAVEN, 06513, CT

1 KERMIT ST, NORWALK, 06851, CT

29 BUTTERFIELD ROAD, NEWTOWN, 06470, CT

1090 MAIN ST, BRANFORD, 06405, CT

79 LINCOLN AVE, BRIDGEPORT, 06606, CT

77 HORATIO ST., APT. 1B, NEW YORK, 10014, NY

186 KELSEY STREET, NEWINGTON, 06111, CT

21 WILLOW ST, MYSTIC, 06355, CT

222 BALL POND RD, NEW FAIRFIELD, 06812, CT

37 MATTABASSET DR, MERIDEN, 06450, CT

186 KELSEY STREET, NEWINGTON, 06111, CT

37 WEST RD, CANTON, 06019, CT

7 SUNSET RD, MADISON, 06443, CT

99 SABINA DR, SOUTHINGTON, 06489, CT

465 PUCHER STREET, COVENTRY, 06238, CT

9 LOCKWOOD LANE, NORWALK, 06851, CT

51 WEST STREET, LITCHFIELD, 06759, CT

53 BARRY AVE, RIDGEFIELD, 06877, CT

61 INTERVALE PLACE, RYE, 10580, NY

33 JOHN STREET, GREENWICH, 06831, CT

3535 STATE HWY 66 STE 7, NEPTUNE, 07753, NJ

51 WEST STREET, LITCHFIELD, 06759, CT

61 HIGH RIDGE HOLLOW, AVON, 06001, CT

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

2711 CENTERVILLE ROAD, SUITE 400, WILMINGTON, 19808, DE

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

63 SPRUCE DR., NAUGATUCK, 06770, CT

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

499 MAIN STREET, SOUTH GLASTONBURY, 06073, CT

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

91 FAIRFAX STREET, WEST HAVEN, 06516, CT

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

1004 SHEWVILLE ROAD, LEDYARD, 06339, CT

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

65 STROLL ROCK COMMON, FAIRFIELD, 06824, CT

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

87 CHURCH ST., EAST HARTFORD, 06108, CT

32 IRENE COURT, LAKEWOOD, 08701, NJ

60 NEWOWN ROAD #183, DANBURY, 06810, CT

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

42 LAKE AVENUE EXTENSION STE. 117, DANBURY, 06811, CT

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

146 MIMOSA CIRCLE, RIDGEFIELD, 06877, CT

1943 STATE ST, SUITE 90, HAMDEN, 06517, CT

10 JANSON DRIVE, WESTPORT, 06880, CT

179 POCONO RD., BROOKFIELD, 06804, CT

457 BRIDGEPORT AVE., MILFORD, 06460, CT

289 CLEVELAND AVE., BRIDGEPORT, 06604, CT

76 BONNIE VU LANE, 76, NEW MILFORD, 06776, CT

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

28 GRIFFITH LANE, RIDGEFIELD, 06877, CT

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

110, LAKEWOOD, 08701, NJ

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

8 JENNIFER ROAD, NORWALK, 06850, CT

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

38 SECURITY DR, AVON, 06001, CT

110 HILLSIDE BOULEVARD - SUITE 3, LAKEWOOD, 08701, NJ

381 PARK AVENUE SOUTH, 15 FL., NEW YORK, 10016, NY

65 LOCUST AVENUE, SUITE 200, NEW CANAAN, 06840, CT

800 MAIN STREET, DUBUQUE, 52001, IA

137 MAIN STREET, SUITE 400, DUBUQUE, 52001, IA

18950 ROUTE 5 WEST, EAST DUBUQUE, 52001, IL

CTOPENDATA

SELF INSURED SERVICES COMPANY

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