Detail by Officer/Registered Agent Name

Foreign Profit Corporation

BAY STATE INSURANCE COMPANY

Filing Information
811116 04-2200004 06/25/1956 MA INACTIVE REVOKED FOR ANNUAL REPORT 09/19/2003 NONE
Principal Address
95 OLD RIVER RD
ANDOVER, MA 01810

Changed: 01/30/1998
Mailing Address
95 OLD RIVER RD
ANDOVER, MA 01810

Changed: 01/30/1998
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 VD

WALLIS, C. EDWARD
10 MOUNTAIN LAURELS #303
NASHUA, NH 03062

Title VSD

BRAWN, MALCOLM W
17 HAWK HILL LANE
IPSWICH, MA 01948

Title PTD

NICHOLS, WILLIAM E
71 BONNY DR
ANDOVER, MA 01845

Title VD

STOKHAM, EDWARD F
120 GALE AVE
HAVERHILL, MA 01830

Title VD

KOBER, ALAN RANSFORD
254 DANIELS ST
FRANKLIN, MA 02038

Title VD

VOSE, DONALD
44 SHEFFIELD RD
BOXFORD, MA 01921

Annual Reports
Report YearFiled Date
2000 03/15/2000
2001 04/16/2001
2002 05/08/2002