Detail by Officer/Registered Agent Name

Foreign Profit Corporation

CLARICA LIFE INSURANCE COMPANY-U.S.

Filing Information
854077 45-0208990 09/15/1982 ND INACTIVE WITHDRAWAL 04/23/2004 NONE
Principal Address
2000 44TH STREET SW
SUITE 200
FARGO, ND 58103
Changed: 03/01/2004
Mailing Address
ATTN: MELODY JENSEN
PO BOX 2907
FARGO, ND 58108-2907
Changed: 03/17/2003
Registered Agent Name & Address CHIEF FINANCIAL OFFICER
P O BOX 6200 (32314-6200)
200 E. GAINES ST
TALLAHASSEE, FL 32399-0000
Name Changed: 03/17/2003

Address Changed: 03/17/2003
Officer/Director Detail Name & Address

Title CD

MASTERSON, MICHAEL J
525 WEST VAN BEREN
CHICAGO, IL 60607
Title D

CRAIG, JOHN J
ONE MIDLAND PLAZA
SIOUX FALLS, SD 57193
Title DV

MEYER, THOMAS M
ONE MIDLAND PLAZA
SIOUX FALLS, SD 57193
Title D

IVERSON, DONALD J
ONE MIDLAND PLAZA
SIOUX FALLS, SD 57193
Title DV

PALMITTLER, STEVEN P
ONE MIDLAND PLAZA
SIOUX FALLS, SD 57193
Title V

JENSEN, MELODY RJ
200 44TH ST SW., STE 200
FARGO, ND 58103
Annual Reports
Report YearFiled Date
2002 02/11/2002
2003 03/17/2003
2004 03/01/2004

Document Images
04/23/2004 -- Withdrawal View image in PDF format
03/01/2004 -- ANNUAL REPORT View image in PDF format
03/17/2003 -- ANNUAL REPORT View image in PDF format
02/11/2002 -- ANNUAL REPORT View image in PDF format
02/19/2001 -- ANNUAL REPORT View image in PDF format
03/15/2000 -- Name Change View image in PDF format
01/27/2000 -- ANNUAL REPORT View image in PDF format
02/11/1999 -- ANNUAL REPORT View image in PDF format
02/26/1998 -- ANNUAL REPORT View image in PDF format
03/03/1997 -- ANNUAL REPORT View image in PDF format
01/29/1996 -- ANNUAL REPORT View image in PDF format
01/20/1995 -- ANNUAL REPORT View image in PDF format
01/20/1995 -- ANNUAL REPORT View image in PDF format