AMERICAN MID STATES LIFE INSURANCE COMPANY

Foreign Profit Corporation

Filing Information

• Document Number: P07955
• FEI/EIN Number: 36-2875253
• Date Filed: 11/01/1985
• State: IL
• Status: INACTIVE
• Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
• Event Date Filed: 10/11/1991
• Event Effective Date: NONE

Principal Address

1 OAK HILL CNTR #300,WESTMONT, IL 60559
P.O. BOX 3667
OAK BROOK, IL 60522

Changed: 09/22/1989

Mailing Address

1 OAK HILL CNTR #300,WESTMONT, IL 60559
P.O. BOX 3667
OAK BROOK, IL 60522

Changed: 09/22/1989

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 PD

BRDECKA, MICHAEL J.

5573 CASCADE DRIVE
LISLE, IL

Title TD

RUDISILL, ROBERT G.

572 N. WALNUT LANE
SCHAUMBURG, IL

Title D

KRNETA, MICHAEL L.

6301 N. 42ND ST.
PARADISE VALLEY, AZ

Title D

HALSALL, LEWIS K.

1150 OLD NORCROSS TUCKER
TUCKER, GA

Title SD

BODWELL, DAVID

9255 N. 29TH ST.
PHOENIX, AZ

Annual Reports

Report Year	Filed Date
1988	09/12/1988
1989	09/22/1989
1990	06/20/1990

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