Detail by Officer/Registered Agent Name

Foreign Profit Corporation

FORUM INSURANCE COMPANY

Filing Information
P10066 05-0303803 05/09/1986 IL INACTIVE REVOKED FOR ANNUAL REPORT 09/22/2000 NONE
Principal Address
200 N MARTINDALE ROAD
SCHAUMBURG, IL 60173-2096
Changed: 02/07/1994
Mailing Address
200 N. MARTINGALE RD
SCHAUMBURG, IL 60173-2096
Changed: 03/07/1995
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 V

ROMANCHUK, WAYNE B.
200 N MARTINGALE RD
SCHAUMBURG, IL
Title V

PLACEK, ROBERT L.
200 N. MARTINGALE RD.
SCHAUMBURG, IL
Title SVD

EUWEMA, JOHN B
200 N. MARTINGALE RD.
SCHAUMBURG, IL
Title TV

CASEY, PATRICK J
200 N. MARTINGALE RD.
SCHAUMBURG, IL
Title S

MOYER, LYMAN C. (ASST.)
200 N. MARTINGALE RD.
SCHAUMBURG, IL
Title P

GALLAGHER, RICHARD C
200 N MARTINGALE ROAD
SCHAUMBURG, IL
Annual Reports
Report YearFiled Date
1997 05/05/1997
1998 03/24/1998
1999 02/02/1999

Document Images
02/02/1999 -- ANNUAL REPORT View image in PDF format
03/24/1998 -- ANNUAL REPORT View image in PDF format
05/05/1997 -- ANNUAL REPORT View image in PDF format
02/07/1996 -- ANNUAL REPORT View image in PDF format
03/07/1995 -- ANNUAL REPORT View image in PDF format